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This presentation describes M2MSys vision of the Medicaid IT Architecture (MITA). M2MSys believes that MITA (a CMS architecture), can take advantage of making use of a more BPM oriented architecture. For more details, visit us online - www,m2msysonline.com
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IntroductionThis presentation discusses the advantages of
implementing MITA within the scope of Business
Process Management (BPM) and the Social Service
Information System™ (SSIS) supported by a Social
Service Architecture (SSA).
MITA BPMSSIS™
SSAMITA Extended
Why MITA Extended? MITA Extended will enable a more in depth business alignment by
doing it at the departmental level and not just at Medicaid
Management. Starts with the end in mind.
MITA Extended places the core of the discussion around the
PROCESS. We believe that most of the discussion around MITA is
narrowly focused on SOA and not enough on the Process. MITA is
polarized around SOA.
MITA Extended utilizes the concept of a Social Service Information
System, supported by a solid Social Service Architecture, to seek a
better utilization of the resources and staff. It unifies efforts
around a common goal.
MITA Extended enforces that the CITIZEN and Service Providers
be at the core of the effort. Citizen centric.
Why Business Process Management?Business Process Management (BPM) is a MANAGEMENT philosophy built on over 100 years of lessons learned and solid scientific foundations. IT came of age in the mid 80s with the work of Harvard professor Michael Porter.
BPMBusiness Science
System Theory
Quality Management
ModelingBusiness Process
Redesign
Mathematics
SOA
SOA is just one of
the components
of BPM!
Why the Social Service Information System™?Medicaid is just one of the many services that modern Health and Human Service Departments need to provide those in temporary need of assistance. The SSIS is an information platform that manages ANY type of social service. The main principles of SSIS are:
Single-Point of Management
Leverage current systems
Increase accountability
Monitor results in realtime
Significantly increase efficiency and adaptability of HHSD
Reconnect social workers with citizens
Technically it is a process-oriented, realtime event-driven platform, built using COTS products which incorporates Unified Compliance (ITIL, HIPAA, etc)
CMS MITA Blueprint
MITA Enterprise Service Bus
Technical Services
Business Services
Forms
Management
System
External Data
Exchange Hub
ServicesEDI Gateway
Process
Claims
Verify
Provider
Credentials
Enroll
Provider
MMIS 2007 - MITA Compatibility with State-Wide Architectures
Avoiding “Islands of Automation”
Access
Services
CommunityHealth and Human Services Department
MITA Extended
Social Service Information System
HHS StaffProcess OrientedHealth and Humans Enterprise Services Bus
Social Service
ManagersRealtime Reporting
Business
Activity
MonitoringMedicaid #NMedicaid #2
Medicaid #1
Process Virtual Machine
NO
WRO
NG
DO
OR
Pro
cess P
orta
l
Process
Modeling
SOABack Office
Application
Back Office
Application
Tech StaffITIL, HIPAA, etc
Meta Trading
Partner
Management
Eligibility
Social Service Partners
Citizens
M2M
G
ate
way
Intelligent
Assets
Computer
Systems
Summary MITA is a methodology that will allow governments
increase efficiency Medicaid Management and thus
decrease the per-transaction cost .
MITA Extended is a ZERO COST implementation
methodology that uses proven approaches to
significantly increase the advantages introduced by
MITA.
MITA Extended is HOLISTIC by nature and thus is
able to bring to the for front of Health and Human
Services the delivery of very important HHS
concepts like “NO WRONG DOOR”.
M2MSys® Free Consultation M2MSys® is a developer of next generation Health
and Human Services solutions using COTS cognitive-
event-driven information platforms,
M2MSys® assists its government and healthcare
customers significantly reduced their per-
transaction cost.
Schedule your FREE consultation today!
404-388-6744
www.m2msysonline.com
