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Highlights
of Change
Highlights
of Change
CountiesState AgenciesFederal Agencies MembersHealth Information
Organizations (HIOs)Public
Health Care Delivery
DELIVERY TRANSFORMATION
Payment Reform, Coordinated Care
Initiative
ExpandingMedi-Cal
to more individuals,Affordable Care Act
CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS)
Alignment withSeven Conditions
& Standards,MITA SS-A & Roadmap
Enhanced Federal Funding,
HIPAA ICD-10, 5010,
35C to 837
PAVE
“One Stop Shop”
Provider Enrollment Process
CA-MMIS,Claims Processing
Improvements
PROVIDERS
Fee-For-Service
to Managed Care,
CAPMAN
Health Benefit Exchange“Covered California”,Health Care Options
MEMBERS
Promote
Health Information
Technology
Agency Enterprise Architecture,
InteroperabilityProject
CALIFORNIA HEALTH &HUMAN SERVICES AGENCY
Enhanced
Program
Integrity
Consolidated Business
Processes,
Shared Services
BUSINESS
Agile IT Systems
Aligned with
Business Strategy
Common
IT Services
TECHNOLOGY
Health InformationExchanges,
Electronic Health Records
Paid Claims Encounters System,
Data Warehouse(MIS/DSS)
INFORMATION
Social & HumanServices DeliveryProvidersPartners Health Plan Carriers
Improved Quality
of Health Data for California
Enhanced Public Facing
Delivery Channels for
Easier Health Information Access
Efficient and Secure
Health Information Exchanges
Standards used to ensure
Safe and Effective Interoperability
of Health Information Organizations
Shared, Reusable
Technical Capabilities
Collaboration and Reuse
of Existing Assets
Dynamic Allocation
of Resources
Infrastructure as a Service (IaaS) thru
Virtualization and Cloud Enablement
Compliance and Security
Risk Reduction
Protection of Data Assets while having
the Right Data at the Right Time
for Service Delivery
Compliance and Security
Risk Reduction
Integration and Protection
of Information and Systems
DHCS TRANSFORMING AND INNOVATING TO ACHIEVE ITS COMMITMENTSTO OUR EMPLOYEES . . .
· Foster a healthy, positive and respectful work environment· Focus on communication, teamwork and effective decisions· Recognize and appreciate dedication, innovation and excellence· Provide opportunities for professional learning and growth
· Ensure a viable health care safety net· Effectively engage the public and our partners· Hold ourselves accountable for performance · Be prudent, responsible fiscal stewards of public resources
TO THE PUBLIC . . . TO THE PEOPLE WE SERVE . . .
· Improve the consumer experience with high quality health care· Treat the whole person by coordinating and integrating care· Improve health through effective prevention and early intervention· Develop effective, efficient and sustainable health care delivery systems
Employers
Effective, Efficient
and Sustainable
Health Care Delivery Systems
Delivery Systems
and Payment Strategies Designed
to Improve Quality and Outcomes,
Responsible Fiscal Stewardship
Improve and Maintain
Health and Well-Being
Address Quality, Population Health,
and Outcomes across Systems of
Care, Identify and Eliminate
Disparities in Health Outcomes
Communication,
Collaboration,
Teamwork and Effective
Decision-Making
Collaboration Strengthened across
DHCS, Trust Built by Empowering
People with Responsibility,
Improved Performance Management
ReducingHealth Care Costs
EnhancingHealth Care Programs
Improving the Healthof All Californians
DriveHealth Care Quality
Release 1.0 (5-17-2013)
Secured Infrastructure ArchitectureEncryption Security Policies & StandardsHealth Insurance Portability and Accountability Act (HIPAA)Risk-Based Security & Privacy FrameworkSECURITY & PRIVACY
Centralized Management & Monitoring Rapid Cycle Quality Improvement Analytics & ReportingMAINTENANCE & OPERATIONS Centralized Deployment, Configuration & Versioning
PORTFOLIO MANAGEMENT Project Management Program Management MITA AlignmentAgile Methodology
SOA Governance Information GovernanceGOVERNANCE Enterprise Governance IT Governance
Change Management
DYNAMIC WORKFORCE Integrity Service Accountability Innovation
Medicaid Information Technology Architecture (MITA) Maturity Levels 3-5