1. Remembering The Other “H” in HHS Daniel Stein September 12, 2014

2. Mrs. William: Case Details 48 year old homeless diabetic woman 3 hospitalizations in last 12 months Hard for her to regularly take medications Hard for her to have nutritious meals Has no identified family Needed Services Homeless Program Housing Stabilization Services Food and Nutrition Services Mental Health and Substance Abuse Hospital and Clinic Services Attribution: Montgomery County, MD; DHSS

3. Medicaid Serves 54 Million People… Human Services 100+ Million SNAP 44.7 M Development Disability 32.5M Head Start 1 M Unemploy- 8.4 M WIC 9.2M TANF 4.4M LIHEAP 4.9M Child Support 40 M Foster Care 500K Housing Assistance 4.9M

5. Early Innovators Akron, OH Camden, NJ Chautauqua, NY Vermont & Missouri Virtual Hub 1 Stop Centers Community Organization and Prevention Virtual Hub 1 Stop Centers Community Organization and Prevention Employ & Education Public Health Community Health Teams Oral Health, Specialty Medical Care and Hospitals Mental Health and Drug Abuse Primary Care Medical/ Health Homes Housing & Homeless Services Human services Accountable Care Communities

6. Architectural & Conceptual Models Driving Change National Human Services Interoperability Architecture Human Services 2.0 InterOptimability Overview Viewpoint I nformation Viewpoint Infrastructure Viewpoint Systems Viewpoint Business Viewpoint Capability Viewpoint Project Viewpoint