UNIQUELY KENTUCKY

1 Cabinet Health and Family Services for

Department of Aging & Independent Living Commission for Children with Special Health Care Needs Department of Medicaid Services Office of Health Policy Department of Community Based Services Department for Behavioral Health, Developmental & Intellectual Disabilities Department of Public Health Department of Family Resource Centers and Volunteer Services Department of Income Support Various Agencies

Medicaid SNAP TANF MMIS HIE Child Support Child Welfare Behavioral Health WIC Various Programs

Various Initiatives Electronic Case File Enterprise Identify Management MMIS System Modernization Health Benefit Exchange Enterprise Healthcare Analytics

Department of Family Resource Centers and Volunteer Services How do we connect our various agencies and programs to deliver a DATA DRIVEN SERVICE DELIVERY MODEL ? Department of Aging & Independent Living Department of Medicaid Services Office of Health Policy Department of Income Support Medicaid SNAP TANF MMIS HIE Child Welfare Behavioral Health WIC Electronic Case File Enterprise Identify Management MMIS System Modernization Enterprise Healthcare Analytics Department of Community Based Services Department for Behavioral Health, Developmental & Intellectual Disabilities Commission for Children with Special Health Care Needs Child Support Health Benefit Exchange

SNAP 1 Unified Technology Unified Citizen Portal Unified Provider Portal Department of Family Resource Centers and Volunteer Services Department of Aging & Independent Living Department of Medicaid Services Office of Health Policy Department of Income Support Medicaid SNAP TANF MMIS HIE Child Welfare Behavioral Health WIC Electronic Case File Enterprise Identify Management MMIS System Modernization Enterprise Healthcare Analytics Department of Community Based Services Department for Behavioral Health, Developmental & Intellectual Disabilities Unified Worker Portal Commission for Children with Special Health Care Needs Child Support Health Benefit Exchange Interoperability Integrated Case ManagementA Data Driven Culture

Department of Aging & Independent Living Commission for Children with Special Health Care Needs Department of Medicaid Services Office of Health Policy Department of Community Based Services Department for Behavioral Health, Developmental & Intellectual Disabilities Medicaid SNAP TANF MMIS HIE Child Support Child Welfare Behavioral Health WIC What are the expected benefits? Electronic Case File Enterprise Healthcare Analytics Department of Income Support Enterprise Identify Management Department of Family Resource Centers and Volunteer Services MMIS System Modernization Health Benefit Exchange Cost Management  Identify high cost areas and improvement opportunities  Understand cost drivers and minimize variations  Manage capacity and variation in utilization Outcomes Management  Benchmarking clinical outcomes and identifying improvement opportunities  Understanding causality of outcomes  Identifying best-practices for improvement Network Management  Understand better the network and information management requirements  Clear assessment of ROI on network investments to connect various healthcare stakeholders Providers / Laboratories / Pharmacies  Monitor and report quality of care  Understanding and benchmark clinical outcomes  Identify drivers of care quality for future improvement Care Management Organizations  Identify and monitor high-risk populations  Design more impactful disease management programs and monitor efficiency

What we’ve accomplished to date – Laid a strong foundation for CHFS’ Vision June 2013 Implemented KY Online Gateway Enterprise Identify Management July 2013 Procurement process underway for MMIS System Modernization Sept 2013 Implemented Enterprise Electronic Case File; Fulfillment Services Sept 2013 Procurement process underway for Enterprise Healthcare Analytics Oct 2013 Implemented KY Health Benefit Exchange Nov 2013 Program Delivery redesign underway Behavioral Health & Medicaid Waiver

Enterprise Electronic Case File Implemented Enterprise Electronic Case File Fulfillment Services September 2013 What we have planned for the future – Enhance and expand on existing foundation April 2014 Connecting to MDM – KHIE, Child Welfare, Child Care Assistance June 2014 Implement Advanced Health Care Analytics (APCD/KHIE) Sept 2014 Implement Waiver Management Application Dec 2014 Implement EMR Behavioral Health Public Health Depts (link thru KHIE) Oct 2015 Implement Additional Human Services Programs Dec 2015 Implement New MEMS

CHFS’ Vision: Be Data Driven to Achieve Real Measurable Outcomes Citizen Portal Provider Portal EMR Worker’s Portal External Partner Enterprise Service Bus * Notification Service * Security Framework * Rules Engine * Document Mgmt * *Master Data Mgmt * Data/Fraud Analytics * Kentucky Enterprise Framework KENTUCKY CITIZEN INFORMATION