UNIQUELY KENTUCKY
1
Cabinet for
Health and Family Services
Commission for
Children with Special
Health Care Needs
Office of
Health
Policy
Department of
Medicaid
Services
Department of Aging
& Independent
Living
Various
Agencies
Department of
Public Health
Department
of Income
Support
Department of
Family Resource
Centers and
Volunteer Services
Department for Behavioral
Health, Developmental &
Intellectual Disabilities
Department of
Community Based
Services
WIC
Child
Welfare
Medicaid
HIE
MMIS
TANF
Various
Programs
SNAP
Child
Support
Behavioral
Health
Electronic
Case File
Various
Initiatives
Enterprise
Healthcare
Analytics
Enterprise
Identify
Management
Health
Benefit
Exchange
MMIS System
Modernization
Commission for
Children with Special
Health Care Needs
Office of
Health
Policy
WIC
Department of
Medicaid
Electronic Services
Case File
Child
Welfare
Medicaid
Department of Aging
& Independent
Living
MMIS
Enterprise
Healthcare
Analytics
SNAP
HIE
How do we connect
our various agencies
and programs to
deliver a
DATA DRIVEN SERVICE
DELIVERY MODEL?
Health
Benefit
Exchange
Department of
Family Resource
Centers and
Volunteer Services
Child
MMIS System Support
Modernization
Department for Behavioral
Health, Developmental &
Intellectual Disabilities
Behavioral
Health
TANF
Enterprise
Identify
Management
Department
of Income
Support
Department of
Community Based
Services
Commission for
Children with Special
Health Care Needs
Office of
Health
Policy
WIC
Department of
Medicaid
Electronic Services
Case File
Child
Welfare
Medicaid
Department of Aging
& Independent
Living
MMIS
Enterprise
Healthcare
Analytics
SNAP
Health
Benefit
Exchange
Department of
Family Resource
Centers and
Volunteer Services
Child
MMIS System Support
Modernization
HIE
1
Unified Technology
Unified Citizen Portal
Integrated
A Data Interoperability
Driven
Case
Management
Culture
Unified
Worker Portal
Unified Provider Portal
Department for Behavioral
Health, Developmental &
Intellectual Disabilities
Behavioral
Health
TANF
Enterprise
Identify
Management
Department
of Income
Support
Department of
Community Based
Services
Commission for
Children with Special
Health Care Needs
Office of
Health
Policy
WIC
Department of
Medicaid
Electronic Services
Case File
Child
Welfare
Medicaid
Department of Aging
& Independent
Living
MMIS
Enterprise
Healthcare
Analytics
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Department of
Family Resource
Centers and
Volunteer Services
Child
MMIS System Support
Modernization
TANF
What are the expected
benefits?
Network
Management
Providers
CareOutcomes
Management
Cost
/ Laboratories
Management
Management
Organizations
/ Pharmacies
SNAP
Health
Benefit
Exchange
HIE
Identify and
Monitor
high
andmonitor
cost
report
areas
quality
high-risk
andof
improvement
care
populationsopportunities
Understand
better
the outcomes
network and
Benchmarking
clinical
andinformation
identifying
Understanding
Design
Understand
morecost
impactful
and
drivers
benchmark
disease
and minimize
management
clinical variations
outcomes
programs and
management
improvement requirements
opportunities
Identify
monitor
Managedrivers
efficiency
capacity
ofand
carevariation
quality for
in utilization
future improvement
Clear
assessment
of ROI on
Understanding
causality
of network
outcomesinvestments to
connect
various
healthcarefor
stakeholders
Identifying
best-practices
improvement
Department for Behavioral
Health, Developmental &
Intellectual Disabilities
Behavioral
Health
Enterprise
Identify
Management
Department
of Income
Support
Department of
Community Based
Services
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
Nov 2013
Program Delivery redesign underway
Behavioral Health & Medicaid Waiver
Implemented KY Health Benefit Exchange
What we have planned for the future –
Enhance and expand on existing foundation
Enterprise Electronic Case File
April 2014
June 2014Enterprise Electronic Case File
Implemented
Connecting to MDM –
Implement
Advanced
Health Care
Fulfillment
Services
KHIE, Child Welfare, Child Care Assistance
Analytics (APCD/KHIE)
September 2013
Sept 2014
Dec 2014
Implement Waiver Management
Implement EMR Behavioral Health
Application
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
Worker’s Portal
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Enterprise Service Bus
External
Partner
* Notification Service * Security Framework * Rules Engine * Document Mgmt *
*Master Data Mgmt * Data/Fraud Analytics *
Kentucky Enterprise Framework
KENTUCKY CITIZEN INFORMATION
External
Partner