Human Services Systems Status & Upgrade Planning

(1)

INFORMATION TECHNOLOGY FOR MINNESOTA GOVERNMENT

Human Services Systems

Status & Upgrade Planning

July 15, 2015 Thomas Kine MN.IT Services @ Department of Human Services

(2)

• MN.IT Central and MN.IT @ DHS Organizational Structure

• DHS IT Governance Structure

• Major DHS Projects – Systems Modernization

• MN.IT @ DHS – County Coordination and Collaboration

(3)

MN.IT Services @ Department of Human Services

3 07/15/2015

Employed in technology since 1975

Contractor at DHS starting in 1993 working on SSIS

Employee at DHS for approximately 10 years

Systems Architect

Development Supervisor

SSIS Division Director

Microsoft Application Division (MAD) Director

About 60 technical staff in division

(4)

History

 In 2011, OET's enabling statute was amended to consolidate the

management of all information technology systems, budgets, services and resources under OET, significantly increasing the organization's responsibilities.

 In April, 2012 the Office of Enterprise Technology announced a

name change to MN.IT Services.

 The expanded organization now encompasses over 2100 staff

(5)

5 07/15/2015

(6)

MN.IT provides three critical functions:

 MN.IT offers a catalog of more than 100 IT services and provides

technical support to the State of Minnesota's executive branch and to other customers in Minnesota government.

 MN.IT's state IT planning and investment oversight role includes

portfolio management and contract approvals. We provide an

enterprise view of State IT activity that highlights opportunities for collaboration and helps state leadership prioritize investments.

(7)

7 07/15/2015

(8)

(9)

(10)

(11)

(12)

MMIS MAXIS PRISM ISDS (Curam) SSIS DCT Operations

(13)

(14)

(15)

15 07/15/2015

 Enterprise Architecture Board (EAB)

 Sets overall direction for IT in the agency

 Chuck Johnson is the Chair

 Financial Architecture Domain Team (FADT)

 Controls IT spending for the agency

 Alex Kotze is the Chair

 Business Architecture Domain Team (BADT)

 Provides DHS business guidance to systems development

 Chaired by Greg Poehling

 Data Architecture Domain Team (DADT)

 Provides DHS business guidance to systems development

 Chaired by Kath Hoglund

 Technical Architecture Domain Team (TADT)

 Sets technical standards and provides technical guidance

 Chaired by Will Cragoe

 Integrated Service Deliver System Steering Team (ISDSST)

 Focused on Systems Modernization (Curam) issues

(16)

(17)

MN.IT Services @ Department of Human Services 17 07/15/2015 Connecture Curam Financial Management MMIS Enrollment System of Record (ESOR) Insurance Carriers Federal Services Data Hub State and Other Data Resources Integration Layer Enrollment Data MinnesotaCar e Billing Eligibility Data Enrollment Data Information Verification from IRS, SSA, Experian & DHS:

- Household Information - Native American Origin - Disability Decisions - Citizenship

- Health Insurance Benefits Info

- Disability Decisions - Citizenship & Immigration

Status

- Spousal Support - Death

(18)

Subject: News clips for Saturday, July 11, to Monday, July 13, 2015

MNsure tech issue creates renewal backlog of 180,000 cases

By Christopher Snowbeck, Star Tribune

The state is continuing to struggle with public health insurance renewals through the MNsure system, and officials say the problem has now grown into a backlog that includes 180,000 cases.

http://www.startribune.com/backlog-of-renewals-at-mnsure-now-at-180-000-cases/313349301/

State could cancel health coverage for 60,000

By Mark Zdechlik, MPR

The Minnesota Department of Human Services plans to cancel state subsidized health coverage for 60,000 Minnesotans if they do not respond to requests for information.

http://www.mprnews.org/story/2015/07/10/mnsure-health-coverage

Technical glitches cause MNsure renewal backlog to rise to 180,000

By Adem Uren, Bring Me The News

A technical glitch at MNsure has led to a backlog for 180,000 people whose health insurance has not automatically renewed.

(19)

19 07/15/2015

Subject: News clips for Tuesday, July 14, 2015

Citing renewal backlog, Republicans call for MNsure oversight hearing

By Christopher Snowbeck, Star Tribune

After word last week of a big backlog in public health insurance renewals in MNsure, Republicans want a legislative oversight committee to begin talking about fundamental changes for the state’s health insurance exchange.

http://www.startribune.com/citing-renewal-backlog-republicans-call-for-mnsure-oversight-hearing/314712871/

Republicans renew calls to dismantle MNsure

By Mark Zdechlik, MPR

Two Republican members of the Minnesota House on Monday renewed calls to dismantle the state's online health insurance website and send Minnesotans to the federal health insurance exchange.

http://www.mprnews.org/story/2015/07/13/mnsure

Minnesota Republicans Call For An End To MNsure

By news staff, WCCO

ST. PAUL, Minn. (WCCO) — Minnesota Republicans are calling for an end to Minnesota’s online health care exchange.

http://minnesota.cbslocal.com/2015/07/13/minnesota-republicans-call-for-an-end-to-mnsure/

Additional MNsure glitches fuel political debate on agency's future

By David Montgomery, Pioneer Press

With yet another embarrassing glitch for the technology behind Minnesota's embattled MNsure agency, policymakers are debating whether the best way forward is incremental improvements or a more radical restart.

(20)

(21)

21 07/15/2015

Usability issues for county workers

Duplicative work – Mnsure and MAXIS eligibility

Duplicate Person Master Index (PMI) numbers causing

problems with counties using DHS State Master Index (SMI)

Takes large amount of time and focus for DHS technical

(22)

2011 Legislature mandated DHS evaluate an integrated service delivery system

DHS business, technical, and county business staff

participated in an RFI process

Curam selected as product besting meeting needs of

DHS and counties

(23)

23 07/15/2015

http://archive.leg.state.mn.us/docs/2013/mandated/130797.pdf

(24)

Social Enterprise Management Platform – Commercial-Off-the-Shelf (COTS) product for Human Services

Pre-built modules for various Human Services functions

Cúram Business Intelligence and Analytics

Cúram Child Welfare

Cúram Income Support for Medical Assistance

Cúram Income Support

(25)

25 07/15/2015

Highly customizable

Extensible using Curam as a development platform

Intelligent Evidence Gathering

Rules Engine

Workflow

Etc.

Client portal

(26)

Re-validated by DHS business and counties in 2014

2 Instance installation planned – MNsure and DHS

Continuing dialog with other jurisdictions implementing

Curam

North Carolina

Washington, D.C.

Arkansas

(27)

27 07/15/2015

MN.IT writing a federal Advance Planning Document

requesting funding for next 2 years:

Licensing (Provider Management)

Triage and Screening

OnLine Application

Data Management (Data Warehouse)

(28)

Cons

Complex architecture

Scarce and expensive resources

Pros

Integrated solution

Uniform, modern interface

(29)

29 07/15/2015

MMIS COBOL on the mainframe for recipient, service

authorization, etc.

 Approximately 30 million lines of code

Oracle/WebSphere for claims

Federal Advance Planning Document (APD) submitted

requesting funding for modernization:

 Smaller sub-systems migrate to the server platform - Provider,

Reference, and Letters

 Gap analysis on PA/SA

 Feasibility study on a Third Party Liability product for case

management from Michigan

 Evaluation of product that analyzes COBOL code and helps

(30)

Avatar Electronic Health Record

Upgrade to the latest Avatar version (underway)

 Improved pharmacy management

 Care coordination

 Billing compliance (ICD10)

2016 DCT plans to implement

 Health information exchange for integrated consumer healthcare

 Client funds banking

(31)

31 07/15/2015

Project Manager on board

Making progress in planning

Current plan is to centralize:

 Database

 Application Servers

 Client Application using Citrix

Planning on maintaining footprint in county with server:

 ODBC proxy

(32)

Rationalizing architecture

Implementing IBM Enterprise Service Bus across

agency

 MFT could extend functionality into the counties

 Potentially federate disparate EDMS systems

Master data management & Health Information

Exchange (HIE) interfaces

 TEFT and Southern Prairie Community Care

 Personal health record

(33)

33 07/15/2015

Vulnerable Adult – Centralized Entry Point (VA-CEP)

 Contracted call-center handling reports of suspected abuse and

neglect

Mobile Licensing Compliance Monitoring

MnCHOICES/MnSPA

 Universal needs assessment

Background Studies

(34)

State systems impact county workers

County systems have dependencies on DHS systems

SMI for client indexing

Web-services access to DHS systems

SSIS for a variety of uses

MN.IT @ DHS technical initiatives impact county

information technology

SSIS centralization

(35)

35 07/15/2015

 Ann Sessoms – IT Ops Manager

 Deb Tibstra – Java Division Dir

 Deb Bokhorst – Natural Div Dir

 Joel Hooker – COBOL Div Dir

 Anna Lattu – App Support Div Dir

 Tom Kine – MAD Div Dir

 Christ Lancrete – Hennepin

 Corey Survis – F/M

 Scott Jara – Dakota

(36)

Technical Impacts

Business Impacts

Different staff/purposes?

General IT issues

 Data center footprint (SSIS servers)

 Firewalls

 Etc.

(37)

MN.IT Services @ Department of Human Services 37 07/15/2015 Human Services IT Collaborative (HSITC) Gary Sprynczynatyk – McLeod County Stephanie Radke – Dakota County Corey Survis – IT Coordinator – F/M

(38)

(39)

Thomas Kine

[email protected]

651-431-4755