1. STATE CIO LEADERSHIP IN HEALTHCARE TRANSFORMATION Healthcare IT Connect Summit March 23 rd, 2015 Ron Baldwin, CIO, State of Montana Mike Wirth, Special Advisor on eHHR Integration, Virginia Department of Health and Human Resources Sean Pearson, Deputy Cabinet Secretary, New Mexico Human Services Department Chris Clark, Executive Director of the Office of Administrative and Technology Services (OATS), State of Kentucky

2. Shifting the focus from the building… Architect – someone who plans, designs, and oversees the construction of buildings.

3. …to the city Urban planner – someone who focuses on optimizing the effectiveness of a community’s land use and infrastructure.

4. The next generation of healthcare systems must leverage… Interoperability Modularity Security and Privacy Big Data Analytics Frameworks Enterprise Architecture Shared Services Components

5. It’s in the architecture, enterprise architecture that is.

6. The next generation of healthcare system projects will be done with… Agile development Agile project management Less customization More configuration Less time Less Cost Less Risk

7. Agile = iterative and incremental = demonstrated results early and often

8. Our healthcare IT mission as HIT leaders, should we choose to accept it: Help increase… access to healthcare quality of healthcare overall health of citizens self-service for patients and providers coordination of healthcare While decreasing… cost of healthcare cost of healthcare systems fraud, waste and abuse incidence of chronic conditions number of un/under-insured

9. Question #1 for our panelists As new integrated eligibility systems have been completed in your state, do you see opportunities to leverage their components and architecture for healthcare systems?

10. Question #2 for our panelists MMIS replacement is underway or planned in many states. How do you think the next generation of MMIS should to be procured and built in order to meet expectations for the next generation of health care?

11. Question #3 for our panelists Initiatives like Medicaid expansion, while increasing coverage, can be seen as costly and risky to already strained state budgets. What can IT do to reduce these risks and contain costs?

12. Question #4 for our panelists Has the integration of human service and healthcare systems been used in your state to align health care coordination with public assistance? If so, what level of integration have you seen yield results?

13. Question #5 for our panelists How has governance and project management been used to ensure success of integrated HIT projects?