SOCI 11- Day One - Monday Afternoon - June 13, 2016
1.
2.
3. Innovation Spotlight: Employing
Cognitive Computing to Advance
Program Effectiveness
o Martin Duggan
o Director, Social Programs, IBM Watson Health
o Vernon Brown
o Chairman of the Board of Directors, Stewards
of Change Institute; CEO, Aspiranet
#SOCI16
6. Watson Health will serve as a catalyst to
improve and save lives of people around
the world, and lower health and human
services costs through the power of
cognitive insights.
11. Page 11 IBM Watson Health
Using Cognitive to impact Healthcare
Memorial Sloan Kettering Partners with Watson
A team of physicians and researchers drew “from an
impressive corpus of information, including MSK curated
literature and rationales, as well as over 290 medical
journals, over 200 textbooks, and 12 million pages of text,”
so that Watson could understand the field of medicine
generally, and oncology in particular.
IBM and Boston Children’s
Hospital are collaborating to
apply IBM’s Watson cognitive
platform to help clinicians identify
possible options for the diagnosis
and treatment of rare pediatric
diseases. In an initial project
focused on kidney disease,
Watson will analyze the massive
volumes of scientific literature
and clinical databases on the
Watson Health Cloud to match
genetic mutations to diseases
and help uncover insights that
could help clinicians identify
treatment options.
Cleveland Clinic
14. Aspiranet Continuum of Services
Core Programs:
Adoption
Behavioral Health
Family and Community
Services
Foster Care
Intensive Home-Based
Services
Residential
Transitional-Aged Youth
Client Base
22,000 Children, Youth,
and Families Annually
15. Transitional-Aged Youth
Exiting Foster Care
Young Adults, 18-26
Collaborative Care Management
Housing
250 Apartments
Employment
Education
Life Skills
Family and Community Connection
16.
17.
18. Watson Care Management
Pilot Proof of Concept TAY
Integrated Care Management
Evolving Needs of Health and Human Service
Programs
Collaborative Person-Centered
Replace Transactional Features of Existing Case
Management
Cloud-Based Solution
Design and Functionality
19. Cognitive Care Management
Natural Language Inquiry of Unstructured
Data
Lease and Rental Agreements
User Interface
Access to Analytics
Client Portal Access
HealthShack
20. Two Youth Ambassadors who
participated in the Health Shack
2.0 Sustainability Project
Melanie S., Age 21
Antoinetta B., Age 20
HealthShack
23. Research Presentation: How New
Technology Could Improve Child
Welfare Outcomes
o Daniel Stein, President, Stewards of Change
Institute
o Richard Gold, Senior Consultant, Stewards of
Change Institute
o Adam Pertman, Senior Consultant, Stewards of
Change Institute
o Alan Day, Senior Consultant, Stewards of Change
Institute
#SOCI16
24.
25. Cognitive Computing for Child
Welfare Agenda
■ Daniel Stein
– Background, Overview of Research, Key Findings,
Recommendations
■ Adam Pertman
– Implications of “Within Our Reach: A National Strategy to
Eliminate Child Abuse and Neglect Fatalities” Report
■ Richard Gold
– A Practitioner’s Perspective On Cognitive Applications to
Child Welfare
■ Alan Day
– Broader System-wide Applications
– Conclusions
Stewards of Change Institute
26. Research Key Findings
■ Strong interest for new tools and technologies to improve access to
information, and improve analytics to support case management
and administration.
■ Lack of technologies and tools limit access or use of existing/new
information e.g. more accurate risk assessments, case history
mining, solution modeling, and pattern identification (fraud, abuse,
neglect).
■ Lack of evidence-based approaches impacts worker effectiveness
e.g. safety assessments, staff selection, matching children with
families.
■ High caseloads and employee turnover limits knowledge regarding
policies and best practices.
■ Administrative burden - and lack of automation tools - limits workers
ability to interact most effectively with families.
■ Few opportunities exist to leverage subject matter experts for
training new workers. Stewards of Change Institute
27. Recommendations
1. Public and nonprofit child welfare agencies should pilot
‘level 1’ cognitive tools to help solve immediate
problems e.g. access to policies and procedures.
2. Public agency’s should incorporate cognitive computing
tools into future procurements.
3. University and philanthropy consortiums should build
scalable models to accelerate testing to benefit the
child welfare community.
4. Federal officials, foundation leaders, academia and
vendors should convene to shape how they will share
responsibility for sponsoring and funding pilots,
research and analysis.
Stewards of Change Institute
28. Recommendations, cont’d
5. Similarly, they should outline procurement guidelines to
ensure that new investments encourage the use of
these tools.
6. Foundations, universities, government and vendor
representatives should form a consortium to underwrite
research on how best to use cognitive systems in child
welfare.
7. HHS leaders should convene all partners to explore how
cognitive computing could help advance the Social
Determinants of Health and Wellness, especially as
value-based pricing from healthcare accelerates.
Stewards of Change Institute
30. A Public Health Approach:
■ Leadership and Accountability: strong leaders at every level
■ Decisions Grounded in Better Data and Research: real-time sharing
■ Multidisciplinary Support for Families: cross-system prevention and
intervention
Principal Findings Include:
■ Four to eight children a day, every day, die of abuse or neglect
■ Some are seen not by child welfare, but healthcare, schools, courts, etc.
■ Access to real-time information about families is vital but not available
■ A lot is known, but there are few evidence-based or promising solutions
Recommendations Include:
■ States should review the past five years of abuse/neglect data to
identify circumstances that led to fatalities and to shape preventive
policies and services
■ All relevant programs (Medicaid, etc.) should focus on reducing these
fatalities
■ The administration should lead the drive for real-time sharing of
information
Stewards of Change Institute
31. What is the Wider Scope and Role of
Cognitive for Social Determinants of Health?
■ Cognitive Analytics – Productive Patterns in Complex Information
– Inform Key Child Welfare Decision Guidance
– Identify Productive Coordinated Care Patterns Across Other Domains
■ CCWIS for Child Welfare, A-87, Medicaid Fund Matching & SDOH
– All Push Data Sharing and Integrated Care
– SDOH Seeks Lower Healthcare Costs by Better Social Services
Engagement
– All Need Effective Models For Using Shared Data to Work Together.
■ Needs Very Large Research/Analysis Investment
– Payback Societal – Not Often Agency Internal
– Investment From Societal Level Players
■ Government, Foundations, Investors (how to share benefits?)
Stewards of Change Institute
32. Conclusions
■ The Child Welfare Field is maturing slowly, but it is in desperate
need for better tools to leverage the data in hand to make more
evidence based decisions.
■ Technologies and tools are able to handle the complexity and
volume of information – both unstructured and structured
■ CCWIS enables bi-directional information flows, and will be a
catalyst for next generation systems to support children and
families
■ We owe it to our children and families to act local but think globally
– and use the best tools available.
Stewards of Change Institute
33. Case Study: Battling the Opioid/Heroin
Epidemic with Better Information-
Sharing and Interoperability
Case Study Moderators:
o Christopher Jones, Director, Division of Science Policy,
Office of the Assistant Secretary for Planning and
Evaluation, U.S. Department of Health and Human
Services (HHS)
o Richard Gold, Senior Consultant, SOC Institute
#SOCI16
34. A Brief Introduction to the Opioid Epidemic
Christopher M. Jones, PharmD, MPH
CDR, US Public Health Service
Director, Division of Science Policy
Office of the Assistant Secretary for Planning and Evaluation
36. Source: CDC/NCHS, National Vital Statistics System, Mortality File.
0
5
10
15
20
25
1980 1985 1990 1995 2000 2005 2010 2014
Deathsper100,000population
MV Traffic Drug Poisoning
Age-adjusted death rates for
Motor Vehicle Traffic and Drug Poisoning,
United States,1980-2014
53. Increases in Rx opioid prescribing coincide with increases
in Rx opioid overdose deaths
0
1
2
3
4
5
6
7
8
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Rate
Source: CDC/NVSS and DEA ARCOS.
KG of morphine milligram equivalent per 10,000 population
Opioid overdose deaths per 100,000 population
54. Primary care physician’s views on Rx opioids
0
10
20
30
40
50
60
No problem at
all
Small problem Moderate
problem
Big problem
Percent
Magnitude of Rx abuse in community
0
10
20
30
40
50
60
Strongly
disagree
Somewhat
disagree
Somewhat
agree
Strongly agree
Percent
Opioids overused for pain
0
10
20
30
40
50
60
Not at all Slightly Moderately Very
Percent
Confidence in clinical skills related to opioid
prescribing
0
10
20
30
40
50
60
Not at all Slightly Moderately Very
Percent
Comfort in prescribing opioids for chronic
noncancer pain
Source: Hwang et al. Prescription drug abuse: a national survey of primary care physicians. JAMA 2015
55. Increase in opioid prescribing dose
for same conditions over time
Source: Wunsch et al. JAMA 2016
56. Changing demographics of heroin use
Source: Jones CM et al. MMWR 2016; Cicero et al JAMA Psychiatry 2014.
58. Demographics
Men
35-54 year olds (deaths)
18-35 (abuse)
Whites
American Indians/Alaska
Natives
Socioeconomics and
Geography
Medicaid, uninsured
Rural
Clinical Characteristics
Chronic pain
Substance abuse
Mental health
Nonmedical use
Multiple prescriptions
Multiple prescribers
High daily dosage
Combination of opioids and
benzodiazepines
Risk factors for Rx opioid abuse and overdose
59. Use data to identify patients in need of treatment and improve
continuity of information across information systems
• PDMPs
– Key piece of information in the clinical work flow
– Starting point for a conversation with patients
• EHRs
– Like PDMPs, could provide full visibility on prior drug and treatment exposure,
clinical conditions, risk factors
– Clinical decision support can facilitate screening, assessment, intervention, and
monitoring
– Incorporate guidelines on appropriate prescribing for both acute and chronic
pain conditions
• Insurer/PBM data/Claims data
– Examine utilization patterns to identify patients at risk or abusing substances
– Academic detailing, alerts to providers, alters to patients, connection with
employee assistance programs, etc.
• Connection with other information systems such as human and social services,
inpatient systems, etc., is needed
60. HHS Opioid Initiative
• Launched by Secretary
Burwell in March 2015
• Three focus areas
– Improve opioid prescribing
– Increase use of naloxone to
reverse opioid overdose
– Expand use of Medication-
Assisted Treatment (MAT) for
opioid use disorders
62. Interoperability in Action: Advancing Cross-
System Information-Sharing at Scale
Moderator:
o Wade Horn, Managing Director, Deloitte
Presenters:
o Nick Lyon, Director, Michigan Department of
Human Services
o Sean Pearson, Deputy Cabinet Secretary, New
Mexico Human Services Department
63. Michigan Department of Health & Human Services
P u t t i n g p e o p l e f i r s t , w i t h t h e g o a l o f h e l p i n g a l l M i c h i g a n d e r s l e a d h e a l t h i e r
a n d m o r e p r o d u c t i v e l i v e s , n o m a t t e r t h e i r s t a g e i n l i f e .
I n t e g r a t e d S e r v i c e D e l i v e r y
64. Where We Stand: Today’s Complex System
P u t t i n g p e o p l e f i r s t , w i t h t h e g o a l o f h e l p i n g a l l M i c h i g a n d e r s l e a d
h e a l t h i e r a n d m o r e p r o d u c t i v e l i v e s , n o m a t t e r t h e i r s t a g e i n l i f e .
65. The Challenge Before Us: Integrating Programs
We’ve tried to solve problems by
creating new programs and adding
layers of government. Each program
focuses on a specific piece of someone’s
life without looking at the whole person
and understanding what’s holding them
back... government keeps getting bigger,
the root of someone’s problem isn’t
solved, and people are maintained in a
status quo.
“
“
P u t t i n g p e o p l e f i r s t , w i t h t h e g o a l o f h e l p i n g a l l M i c h i g a n d e r s l e a d
h e a l t h i e r a n d m o r e p r o d u c t i v e l i v e s , n o m a t t e r t h e i r s t a g e i n l i f e .
66. The Merger: A Starting Point for Transformation
• Separately, the Departments managed hundreds of unique programs
that customers interacted with in many ways
• Through the merger, we’re looking at every program we offer to see
how we can achieve more person-centric flexibility
• The combined MDHHS is charged with reforming how we interface
with our customers through technology and making the service
delivery system more focused on customers’ needs
+ =
P u t t i n g p e o p l e f i r s t , w i t h t h e g o a l o f h e l p i n g a l l M i c h i g a n d e r s l e a d
h e a l t h i e r a n d m o r e p r o d u c t i v e l i v e s , n o m a t t e r t h e i r s t a g e i n l i f e .
67. MDHHS Programs
21st CenturyCommunity LearningCenters Dental Services: SEAL! Michigan Program Immunization Native American Affairs Specialized Action Center
24/7 After Hours On-Call Program Epidemiology Dental Workforce Development Infant Death Prevention,Autopsy And Bereavement Support Newborn ScreeningProgram State Disability Assistance
Access Services Developmental Disabilities Council Infant Mortality Reduction NurseFamily Partnership State Disability AssistanceProgram SubstanceAbuse Services
Additional Community-Based Programs Diabetes Prevention And Control Program In-Home Help Program (Medicaid) Nursing Facility Transition Services State Emergency Relief Program
Adoption Services Program Disability Determination Services In-Home Services
Nursing Home Pre-Admission Screening And Resident
Review/OminbusReconciliation Act (OBRA)
State Psychiatric Hospitals And CentersFor Persons With
Developmental Disabilities
Adoption Subsidy Donated Dental Program HIV/AIDS InsuranceAssistance Program
Obesity Prevention In Early LearningAnd Development
Programs Utilizing NAP SACC State Psychiatric In-Patient Services
Adult Community Placement MI Health Link Michigan HIV/AIDS Drug Assistance Program Office Of InspectorGeneral State Supplemental Security Income Supplementation Program
Adult Protective Services Early ChildhoodComprehensiveSystems Grant InternationalMedical GraduateProgram Oral Health Initiative STD Control And Prevention
Aging & Disability ResourceCollaboration Early Hearing Detection And Intervention Program Jail Diversion Oral Health Program
SubstanceAbuse Treatment: Designated Women'S Programs
(Federal Block Grant Above And Beyond Medicaid/CMH Funds)
Alzheimer's Disease SupportiveServices Program Early On Program Jail Diversion Mental Health Services (Non-CMH) PA 161: Public Dental Disease Prevention Program SubstanceUse And Addiction Services
Arthritis Program Education and Training Voucher Juvenile Justice Detention/SupportServices Partnership. Accountability. Training. Hope. SuddenUnexplained Infant Death
Autism Services Elder Abuse PreventionProgram Juvenile Programs Partnershipfor Health & Disability Supplemental Security Income
Birth Defects Education and OutreachProgram Employment And Training Program For FAP Recipients Legal Services Pathways to Potential Taking Pride In Prevention
Breast And Cervical Cancer Prevention And Treatment Program
Employment And Training Program: Employment-Support
Activities Local Health Services Perinatal and Infant Oral Health Teen PregnancyPrevention Initiave
BreastfeedingInitiative Empowering Older Adults Local Maternal & Child Health Program Perinatal Care System The Emergency Food AssistanceProgram
Cancer Prevention & Control Program Essential Local Public Health Services Local Maternal Child Block Grant Pharmacy Management TuberculosisControl Program
Cardiovascular Disease Prevention And Control
Family Center For Children And Youth With Special Health Care
Needs Long Term Care And Services
Pre/Inter-Conception Health Programming For Would-Be
Mothers University Workforce Development
Care Management Program Family IndependenceProgram Long Term Care Ombudsman Prenatal Smoking Cessation Program VARNISH! Michigan Program
Carry-Over NWD No Wrong Door Michigan Family PlanningProgram Long Term Care Services (NursingHome)
Prevention Direct Services: Child Care Expulsion Prevention
Program Vaccines for Children Program
Center For Forensic Psychiatry Family Preservation And Family Support: Families First Low-Income Home Energy AssistanceProgram Prevention Direct Services: Infant Mental Health Vital Records And Health Statistics
Child & Adolescent Health Center Program
Family Preservation And Family Support: Family Reunification
Program Maternal & Child Health Medicaid Outreach Preventive Services Vocational Rehabilitation
Child Welfare Licensing
Family Preservation And Family Support: StrongFamilies/Safe
Children Maternal & Child HIV/AIDS Program PREVNT grant Weatherizationassistance
Child InjuryPrevention (Michigan Safe Kids Program) Family Support SubsidyProgram Maternal Infant Early Childhood Home Visitation Initiative Program for All-Inclusive Care for Elderly WIC Project FRESH
Child Support Administration Federal Community Mental Health Services Block Grant Maternal Infant Health Program Project LAUNCH WISEWOMAN Program
ChildhoodLead Poisoning Prevention Program Fetal Alcohol SpectrumDisorder (FASD) Program MaternityOutpatient Medical Services Promoting School Health
Women, Infants, And Children (WIC) Special Supplemental
Nutrition Program
Children With Serious Emotional Disturbance Home &
Community Based Services Waiver Food AssistanceProgram Medicaid Protection And Advocacy Services Youth-In-Transition & Education & Training VoucherProgram
Children with Special Needs Fund Foster Care Guardianship AssistanceProgram Medicaid SubstanceAbuse Services Protect MiFamily
Children’sFoster Care Foster Grandparent Program Medical/Psychiatric Evaluations Public Health and Early On
Children’sProtective Services Gambling Disorder Services Medicare Buy-In/Savings Program Public Water Supply
Children’sTrust Fund Gettingto the Heart of the Matter in Michigan Program Mental Health Services For Special Populations
Purchase of Medical Services For ResidentsOf Hospitals And
Centers
Children'sSpecial Health Care Services Great Start Trauma-Informed System Mi Choice Race to the Top Early LearningChallenge
Children'sWaiver Program (CWP) Habilitation SupportsWaiver Michigan AbstinenceProgram Rape Prevention and Education Program
Chronic Disease And Injury Prevention Health Disparities and Minority Health Michigan Adolescent Pregnant & ParentingTeen Program Recoupment And Reconciliation
Chronic Kidney Disease Prevention Health Disparities Reduction - Maternal Child Health (MCH) Michigan Asthma Program Refugee Assistance Program
Colorectal Cancer Early Detection Program
Healthy Homes/Home Lead Abatement And Other
Environmental Services Michigan Community Service Commission Refugee Grant
Community Mental Health Medicaid Services Healthy Kids Program
Michigan Domestic And Sexual Violence Prevention And
Treatment Board Retired and Senior VolunteerProgram
Community Mental Health -Non-MedicaidServices Healthy Michigan Plan Michigan Essential Health Provider Program Runaway And Homeless Youth Services
Community Mental Health Services Programs Hearing And Vision ScreeningAnd Services Michigan Fetal Infant Mortality Review Program Safe Delivery
Community Residential and Support Services Perinatal HepatitisB PreventionUnit Michigan Health and Wellness 4x4 Initiative Safe Sleep
Community Resource Program HIV/AIDS Prevention And Testing Program Michigan HIV Dental Program School Wellness
Community Services HIV/AIDS Care Michigan Maternal Mortality Surveillance Program School-Based Services
Community Services Block Grant HIV/Aids Support Services Michigan Million Hearts Initiative Senior Centers
Community SubstanceUse Prevention,Treatment And Recovery
Programs
Home And Community-Based Waiver For Children With Serious
Emotional Disturbances Michigan Medicare/Medicaid AssistanceProgram Senior Community Service and Employment Program
Community Ventures Home Help Services
Michigan Model For Health ComprehensiveSchool Health
Education Senior Companion Program
CoordinatedSchool Health Home Visiting Initiative Michigan Rehabilitative Services Senior NutritionProgram
Crime Victim Assistance Program Homeless Assistance Programs Michigan Tobacco Control Program Senior Respite Care
Crime Victim Rights Services Program Homes for the Aged Michigan Youth OpportunitiesInitiative Senior VolunteerServices
Crime Victims Compensation Hospice MIChild Sexual Assault Forensic Exam (SAFE) Program
Dental Programs For PersonsWith developmental Disabilities HousingAnd Support Services Migrant Affairs Sexually Transmitted Disease
Dental Services: Healthy Kids Dental IDEA, Federal Special Education National Family Caregiver Support Program ShapingPositive Lifestyles And AttitudesThrough School Health
FTE’s- 15,576.5
Gross- $24,841,836,800
GF - $4,374,548,300
Federal - $17,880,902,200
Other - $2,586,386,300
68. A Vision for Integrated Service Delivery
P u t t i n g p e o p l e f i r s t , w i t h t h e g o a l o f h e l p i n g a l l M i c h i g a n d e r s l e a d
h e a l t h i e r a n d m o r e p r o d u c t i v e l i v e s , n o m a t t e r t h e i r s t a g e i n l i f e .
Today: Program Focus
Limited supports that focus
on a finite segment
Siloed service delivery that
does not solve the root
problem
Program focus
Tomorrow: Person Focus
Providing well-rounded, localized
and targeted support to
maximize results
Transactional and enrollment
focused
Government and
communities collaborating
to serve customers better
Person focus
Holistic, proactive, and
preventative approach focused
on outcomes
Overloaded case workers
Case workers focusing on
people to improve outcomes
Manual processes that add
layers of duplication
Highly automated, streamlined
with self-service capabilities
69. Integrated Service Delivery Strategy
MDHHS’ Integrated Service Delivery strategy includes five major
components, each contributing to the overarching vision.
• Integrated Service Delivery Portal
– Goal: Bring a diverse set of supports, services and benefits together in a unified customer experience.
• Person-Centric Services Modules
– Goal: Develop shared technology modules that can be used across systems and processes.
• Universal Caseload Management
– Goal: Manage casework more efficiently based on function, helping local office staff members achieve
a more balanced, manageable workload.
• Contact Center Development
– Goal: Employ a new customer engagement and contact approach tasked with reducing calls to
caseworkers through automated systems, providing information and resolving case issues in real time.
• Technology Infrastructure Modernization
– Goal: Consolidate and improve a number of critical technology components that facilitate more
responsive experiences for caseworkers and customers in addition to better connections between
systems.
P u t t i n g p e o p l e f i r s t , w i t h t h e g o a l o f h e l p i n g a l l M i c h i g a n d e r s l e a d
h e a l t h i e r a n d m o r e p r o d u c t i v e l i v e s , n o m a t t e r t h e i r s t a g e i n l i f e .
70. Integrated Service Delivery Concepts
Core Components
• Customer Dashboard
• Holistic Needs Assessment
• Supports and Resources Engine
• Success Plan
• Holistic Intake and Application
• Service Approach Segmentation
• Coach/Partner Customer Management
P u t t i n g p e o p l e f i r s t , w i t h t h e g o a l o f h e l p i n g a l l M i c h i g a n d e r s l e a d
h e a l t h i e r a n d m o r e p r o d u c t i v e l i v e s , n o m a t t e r t h e i r s t a g e i n l i f e .
Core Concepts
• Outcome Orientation
• Single Point of Contact
• Customer Empowerment
• Improved Customer Experience
• Cohesive Connections
• Analytical Insights
• Partner Collaboration
• The integrated service delivery portal will
bring a diverse set of services and benefits
together in a unified customer experience
• The portal will include services provided
directly by MDHHS in addition to those
offered by community organizations
• The portal will be built on top of and across
MDHHS’ large core systems to bring now
disparate information and processes
together in a streamlined platform
• The portal will guide customers through a
holistic process which assesses needs,
connects the customer with supports that
address those needs and develops a plan
aimed at improving a customer’s overall
stability
71. Blueprint For Health
• Michigan received a State Innovation Model cooperative agreement from
CMS to test delivery and payment system changes
• Michigan’s State Innovation Model is a simultaneous effort on two fronts:
– Implementing payment policies, innovative models, infrastructure
improvements and information technology investments
– Developing coordinated communication and stakeholder engagement
processes that assesses these policies and investments to determine
effectiveness and scale up what works
• Michigan’s State Innovation Model (SIM) strategies include:
– Patient Centered Medical Home
– Accountable Systems of Care
– Community Health Innovation Region
– Health Information Exchange / Health Information Technology
– Collaborative Learning Network
– Stakeholder Engagement Committee Structure
P u t t i n g p e o p l e f i r s t , w i t h t h e g o a l o f h e l p i n g a l l M i c h i g a n d e r s l e a d
h e a l t h i e r a n d m o r e p r o d u c t i v e l i v e s , n o m a t t e r t h e i r s t a g e i n l i f e .
72. Data Share – Template &
Automation
Data Security – Classification &
Business Glossary
360 Degree View of Citizen –
Identify & Location
Decision Support & Analytics
Open Data & Transparency
Departmental Data
Management
Translating ED 2013-1 into actionable objectives
Enterprise Information
Management Elements
EIM - Program Overview – Background and Objectives
Core Directive Attributes
• Organizational Processes
• Data Sharing
• Business Glossary
• Identity Master
• Location Master
• Analytics
P u t t i n g p e o p l e f i r s t , w i t h t h e g o a l o f h e l p i n g a l l M i c h i g a n d e r s l e a d
h e a l t h i e r a n d m o r e p r o d u c t i v e l i v e s , n o m a t t e r t h e i r s t a g e i n l i f e .
73. EIM Program Elements
There are 6 key elements, or work-streams, that guide the EIM program.
ORGANIZATIONAL PROCESSES
• Key roles (Chief Data Steward)
• Responsibilities
• Org Model and Principles
DATA SHARING
• Secure environment to deliver a
“share first” capability across the
enterprise
BUSINESS GLOSSARY
• Creation and management of
enterprise business vocabulary
• Speaking the same language
IDENTITY MASTER
• Centralized service for the
identification of individuals
across state interactions
LOCATION MASTER
• Centralized service for location
data that leverages addresses and
geographical information
ANALYTICS
• Skills, processes, and tools to
enable data-driven insights and
decision making.
P u t t i n g p e o p l e f i r s t , w i t h t h e g o a l o f h e l p i n g a l l M i c h i g a n d e r s l e a d
h e a l t h i e r a n d m o r e p r o d u c t i v e l i v e s , n o m a t t e r t h e i r s t a g e i n l i f e .
74. Examples of Data Sharing Initiatives
Care Connect 360
Michigan Care Improvement Registry
Health Information Exchange
Pathway – MDHHS Success coaches in schools
Child Welfare case management with State Courts
Administrative Office
Early Childhood Data Governance
Behavioral Health Consent Form
P u t t i n g p e o p l e f i r s t , w i t h t h e g o a l o f h e l p i n g a l l M i c h i g a n d e r s l e a d
h e a l t h i e r a n d m o r e p r o d u c t i v e l i v e s , n o m a t t e r t h e i r s t a g e i n l i f e .
75. Where We Stand: Today’s Complex System
P u t t i n g p e o p l e f i r s t , w i t h t h e g o a l o f h e l p i n g a l l M i c h i g a n d e r s l e a d
h e a l t h i e r a n d m o r e p r o d u c t i v e l i v e s , n o m a t t e r t h e i r s t a g e i n l i f e . 77
81. RINSE AND
REPEAT
Public assistance programs
aren’t designed to ensure
programs and services
address beneficiaries’
barriers to self-sufficiency.
83
82. by 2020
on a public assistance program in New Mexico
Over 50%
84
tomorrow
83. HHS
2020 The Roadmap to the Future of Health
and Human Services in New Mexico
85
