MESConference 2013

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MESConference 2013 2016-12-05T11:00:50+00:00

netlogx booth

A New Era in Medicaid

 

At netlogx we believe in challenging the status quo by carefully and deliberately assessing the risks inherent in complex enterprise information problems. If you are faced with complex challenges, we want to help, and then we want to inspire you to go further.

We look forward to attending the 2013 MESConference and
meeting you at our booth!

The annual Medicaid Enterprise Systems Conference (formerly known as the MMIS Conference) brings together thought leaders from the public and private sectors to share ideas and information related to Medicaid systems and initiatives. We are delighted to be attending the 2013 MESConference in beautiful Charleston and welcome the exciting opportunity to share ideas and initiatives.

Visit us at booths 25 and 26! Enter to win a Google Chromebook!


Our furniture for MESC 2013 has been purchased locally in Charleston and will be donated to My Sister’s House, a Charleston-based non-profit organization that provides relief for victims of domestic violence.

For more information on My Sister’s House and how to donate, please visit their website: mysistershouse.org

New legislative mandates continue to be introduced. You must find ways to comply, using your existing budget, staff, and systems.

ICD-10

PROBLEM: The new deadline for implementation of ICD-10 is 10/01/2014.+

netlogx has extensive experience with ICD-10 assessments in both the public and private sector. Our policy analysts can help you assess the impact to your policies and financials, assisting you with the development of your ICD-10 implementation plan. Once the plan is in place, our project managers can help you put that plan into action.

We have business analysts and data warehouse specialists who understand the business requirements and can assist you with: evaluating your reporting needs, developing reporting requirements, providing oversight during the change process, and assisting with the testing necessary to ensure that your reports meet your program needs.

Our Lean Six Sigma Master Black Belts can help you evaluate your current business processes and reengineer them to leverage your technology, while aiming to eliminate waste and increase productivity.

Our team of organizational change management experts can help your organization increase the probability of workplace success by preparing the organization, its leaders, and its people with the necessary confidence, skill, and support required by the desired business process changes.

We can provide IV&V services to help you monitor your implementation project, identifying risks and helping to mitigate those risks quickly.


HIXPROBLEM: The Health Insurance Exchange (HIX) is effective 01/01/2014. All of the final rules have not been published. HIX will impact the way you determine Medicaid Eligibility. It will impact the way you receive Medicaid Applications. It will have a significant impact on the way you report Medicaid eligibility.+

netlogx has policy analysts who specialize in Medicaid eligibility and health & human services. They are keeping abreast of the changing policies, continuing to analyze the impact this policy will have on your organization.

We have project managers who can help you manage your HIX implementation plan.

We have business analysts and data warehouse specialists who understand the business requirements and can assist you with: evaluating your reporting needs, developing reporting requirements, providing oversight during the change process, and assisting with the testing necessary to ensure that your reports meet your program needs.

Our Lean Six Sigma Master Black Belts can help you evaluate your current business processes and reengineer them to leverage your technology, while aiming to eliminate waste and increase productivity.

Our team of organizational change management experts can help your organization increase the probability of workplace success by preparing the organization, its leaders, and its people with the necessary confidence, skill, and support required by the desired business process changes.

We can provide IV&V services to help you monitor your implementation project, identifying risks and helping to mitigate those risks quickly.

Throughout the implementation process, your state SMEs will likely dedicate significant amounts of time to ensure that your implementation is successful. During this period, we can provide staff to “backfill” these state staff, ensuring that the current workload continues to be addressed. In addition, we can provide ongoing oversight of the current operations to ensure that current performance and Service Level Agreements continue to be met.


HIPAA Audits

PROBLEM: The Office for Civil Rights, in response to the requirements outlined in the Health Information Technology for Economic And Clinical Health Act (HITECH) has initiated periodic audits of covered entities and business associate compliance with the HIPAA Privacy, Security and Breach Notification Rules.+

netlogx has HIPAA and Security experts ready to help you conduct an audit. We can help you identify areas of risk and provide mitigation strategies to remediate those risks and issues now.

We can provide HIPAA training to ensure that your staff understand the requirements and are able to identify and mitigate HIPAA Privacy and Security risks quickly and efficiently.


MITA 3.0

PROBLEM: In late June 2013, the Centers for Medicare and Medicaid Services (CMS) issued draft business process documentation for Eligibility and Enrollment. Very shortly, states will have 12 months to complete a MITA State Self-Assessment based on the MITA 3.0 Framework. +

As the scope of the MITA 3.0 SS-A is much larger than before, we strongly suggest that states start planning now.

netlogx has subject matter experts who have been working with the MITA Framework since its inception. We have a team of MITA SS-A experts ready to help you complete your MITA SS-A and help you to implement a methodology that will help you to maintain your SS-A over time.


Meaningful Use

PROBLEM: The ACA legislation that addresses Health Information Technology and Health Information Exchange has placed significant pressure on Medicaid agencies to do more without increasing budgets or staff.+

netlogx has grant and policy specialists who have worked with state agencies to facilitate establishment of quasi-governmental agencies responsible for statewide Health Information Exchange. These specialists have located grant funding and are currently working to ensure that states comply with all grant requirements.


Aging Technology and Increased Visibility

PROBLEM: Many Medicaid agencies continue to fulfill their requirements with aging technology. If you decide to replace your MMIS, how do you ensure that you select the best vendor for you and how do you ensure that your project is successful, on time, and on budget?+

When replacing your MMIS, a successful procurement and implementation starts with proper planning and project management.

netlogx has project managers who can help you manage your MMIS procurement projects.

We have business analysts and subject matter experts who understand the MMIS procurement process. They can assist you with the options and cost benefit analysis and with the development of your Advanced Planning Document (APD) funding requests. They understand the processes of the Medicaid Agency and can facilitate the development of clear and concise requirements.

We have procurement specialists who can assist you with writing RFPs and evaluation criteria to encourage vendor response and facilitate the proposal evaluation process. They can provide oversight and support throughout the procurement process from the release of the RFP through evaluation, selection, and contract execution.

This team of project managers, analysts, and SMEs can support your implementation project, ensuring that the original goals of the procurement are maintained and met through the implementation of the MMIS.

Special SMEs and analysts can support targeted areas of the implementation. For example, the data warehouse and claims specialists understand the business requirements and can assist you with: requirements validation with the vendor, user acceptance testing (to ensure that your requirements are being met), and overall oversight throughout the implementation.

Our Lean Six Sigma Master Black Belts can help you evaluate your current business processes and reengineer them to leverage your technology, while aiming to eliminate waste and increase productivity.

Our team of organizational change management experts can help your organization increase the probability of workplace success by preparing the organization, its leaders, and its people with the necessary confidence, skill, and support required by the desired business process changes.

We can provide IV&V services to help you monitor your implementation project, identifying risks and helping to mitigate those risks quickly.

Throughout the implementation process, your state SMEs will likely dedicate significant amounts of time to ensure that your implementation is successful. During this period, we can provide staff to “backfill” these state staff, ensuring that the current workload continues to be addressed. In addition, we can provide ongoing oversight of the current operations to ensure that current performance and Service Level Agreements continue to be met.


MMIS

PROBLEM: You aren’t able to replace your MMIS. How do you continue to meet the demands of the Medicaid Agency?+

Our Lean Six Sigma Master Black Belts can help you evaluate your current business processes and reengineer them to leverage your technology, while aiming to eliminate waste and increase productivity.

Our team of organizational change management experts can help your organization increase the probability of workplace success by preparing the organization, its leaders, and its people with the necessary confidence, skill, and support required by the desired business process changes.


Brain Drain

PROBLEM: As experienced Medicaid experts retire, it is often difficult to replace the expertise and knowledge that is lost with their departure.+

Our Lean Six Sigma Master Black Belts can help you evaluate your current business processes and reengineer them to leverage your technology, while aiming to eliminate waste and increase productivity.

Our team of organizational change management experts can help your organization increase the probability of workplace success by preparing the organization, its leaders, and its people with the necessary confidence, skill, and support required by the desired business process changes.

Throughout the implementation process, your state SMEs will likely dedicate significant amounts of time to ensure that your implementation is successful. During this period, we can provide staff to “backfill” these state staff, ensuring that the current workload continues to be addressed. In addition, we can provide ongoing oversight of the current operations to ensure that current performance and Service Level Agreements continue to be met.


Increased Visibility

PROBLEM: The Patient Protection Affordable Care Act (PPACA) legislation has polarized the nation and many have very strong feelings either for or against the legislation. Public interest is high and more people are watching the states as they prepare to implement the Health Insurance Exchange requirements of the ACA. Whether it comes from politicians, a polarized public, or even from the anticipated larger population of Medicaid recipients, this increased visibility for the State Medicaid agencies adds a layer of pressure to State staff.+

Our Organizational Change Management can help your organization prepare for these changes by increasing the probability of workplace success, supplying the organization, its leaders, and its people with the necessary confidence, skills, and support required to sustain the impact of increased publicity.


Audrey Taylor

Audrey Taylor

Audrey has served in the information technology discipline for over 25 years. Audrey founded netlogx, your trusted partner in mission critical information Risk Management services, in 1998. As Managing Partner, her unique skills extend into the areas of client relationship management, sales, and service delivery. As a consultant, she has focused on data and its provenance, providing organizations with practical and pragmatic approaches to understanding the key role data governance plays in leveraging data into actionable information. Currently, she leads the Indiana Enterprise Medicaid System Enterprise Data Warehouse Project for Family and Social Services Administration (FSSA) Office of Medicaid Policy and Planning.

 

Nick Taylor

Nick Taylor

Nick is a partner in netlogx and has served as an IT consultant in Business and Health Care industries for 30 years, specializing in Information Security Management with an emphasis on Project and Program Management, Security and Data Warehousing. Nick has extensive experience in state government and health care, in particular Health Insurance Portability and Accountability Act (HIPAA), Medicaid Management Information System (MMIS) and Health Information Exchanges (HIE) from the data and technology perspective, while enhancing information risk management services for these projects. Nick is currently leading the State of Michigan Healthcare Reimbursement Initiative inside the Michigan PMO.

 

Tom DiMartino

Tom-DiMartino-thmb

Tom has served as a consultant in the public sector IT industry for 30+ years, specializing in large-scale project management, system procurements, APD development, contract negotiation, technology planning, and system implementation of Medicaid Management Information System (MMIS), Child Support Enforcement Systems and Integrated Eligibility (TANF/SNAP/Medicaid) systems. He served as Senior Procurement Consultant for the states of Connecticut, Indiana, California, Alaska and Wisconsin. Tom has directed the Integrated Program Management Office for the State of Indiana Family and Social Services Administration (FSSA) and currently leads the Indiana Enterprise Medicaid System (EMS) MMIS Replacement Project for FSSA Office of Medicaid Policy and Planning.

 

Melissa Johnson

johnson-melissa-2

Melissa is a Business Consultant for netlogx with over 15 years of experience in social service programs. Previously, Melissa worked in the field of MITA Self Assessments (Medicaid and Behavioral Health) and performed various duties in support of MMIS implementations. Most recently, she was the ICD-10 Compliance Project Team Lead for the State of North Carolina DHHS.

 

Faye Makishima

faye-makishima

Faye is a Principal Consultant at netlogx with more than 26 years of experience working with Medicaid Management Information Systems (MMIS) and other health care payer information systems and programs, specializing in MMIS implementations, assessments/alternatives analysis, procurement, MITA Self-Assessment (SS-A), JAD facilitation, testing, training and policy analysis with emphasis on Medicaid and Medicare initiatives. Faye has performed multiple roles for private health insurance payers and providers in the State of Hawaii, ranging from provider relations, marketing, claims processing systems and statistical analysis to installation of an Electronic Medical Records (EMR) System.

 

Tara Morse

Morse-tara-thmb

Tara is a Project Manager for netlogx with over 20 years of experience in social service programs. She recently managed a Pharmacy Benefit Management transition from five vendors to one single source vendor for the Indiana Enterprise Medicaid System Enterprise. As a Business Analyst and Project Manager, she has proven to be a skilled and detail oriented value asset. Tara has served on both sides of state government, as a liaison between state vendors and state policy and business directors, and also as a consultant for the past 14 years.

 

Tina Smith

tina-smith

Tina joined netlogx as a Project Coordinator with more than twenty years of experience in insurance, training, consulting and compliance. Previously, Tina worked in the field of commercial insurance, public health policy and compliance, and application software training and consulting. Tina is currently working in a dual role as a Deputy Project Manager and Project Coordinator on a Healthcare Reimbursement Initiative for the State of Michigan. She also functions as a Business Analyst assisting with a Business Process Re-engineering project in Michigan. In the private sector, Tina is working with multiple hospital networks conducting ICD-10 Readiness Assessments and leading the charge to rollout enterprise wide ICD-10 training. Tina has the skillset and intuitive sensibility to add a needed dynamic to the teams she supports.

 

Scott Van Dyke

van-dyke-scott

Scott is a Project Manager at netlogx with over 20 years of experience in managing, implementing and finding technology solutions in a customer-facing environment. In his previous positions, Scott worked in the management consulting field, concentrating on manufacturing and healthcare. Most recently, he was a Senior Product Marketing Manager for a large software and services company, focused on providing business continuity and disaster recovery solutions for Windows Server environments.

 

Diane Walton

diane-walton

Diane is a Project Consultant at netlogx with experience as a paralegal in the legal departments of large healthcare and medical technology product development companies focusing on litigation, compliance, regulatory affairs and grant management. Diane is currently serving as the Grant Coordinator for Indiana Health Information Technology, Inc. with responsibility for compliance reporting, recordkeeping and managing the budget for a multi-million dollar federal grant supporting health information exchange with multiple subcontracts.

 

Conference Information:

You can meet with all our netlogx team members at booths 25 and 26. Follow all of the happenings during the conference at www.mesconference.org

The following is a list of sessions featuring netlogx team members:

SUN 1:00 pm to 2:30 pm — Security 01

Description:
Although with HIPAA and HITECH, the healthcare industry has some of the toughest privacy and security regulations, they are about to be severely tested by the changes in Information Technology.

Not only is the rapid adoption of Cloud services muddying the waters, the move to allow individuals to use their own devices in the work environment (BYOD) and the demise of the PC in favour of devices such as tablets, smartphones and google’s chromebook will push these regulations and security measures to the breaking point. It is simply not good enough to threaten fines, it is vital that the industry recognize this situation and begin to solve the problems now, not once they are out of control.

This presentation will explore some of the likely consequences of these changes as well as positing potential remedies and coping strategies.

netlogx Speaker: Nick Taylor

TUE 8:00 am to 9:00 am — HIT/HIE 02

Description:
As states struggle within government constraints to build a Health Information Exchange (HIE) or Health Insurance Exchange (HIX), leveraging a public/private sector consortium provides a viable solution to quickly achieve progress toward meeting Federal and State goals. The panel will discuss Indiana’s success in designating a non-profit organization to lead the State’s efforts toward establishing a state-wide HIE through collaboration with five private-sector Health Information Organizations (HIO’s). Join us while we share the steps necessary for creating a consortium from the ground up, including defining the governance structure and securing funding sources.

netlogx Panelists: Tom DiMartino, Audrey Taylor, Diane Walton

TUE 10:45 am to 11:45 am — MITA 04

Description:
The State of Michigan embarked on their MITA 3.0 State Self-Assessment (SS-A) planning in the fall of 2010 with a strategy to incorporate the MITA framework beyond the Medicaid Enterprise. Michigan began a long journey creating an organizational plan to complete their SS-A while developing a self-sustaining model to maintain the SS-A over time and operationalize it beyond the minimal requirements. Learn about Michigan’s vision to develop a Business Process Management (BPM) Center of Excellence as we share our successes and challenges.

netlogx Panelists: Faye Makishima, Melissa Johnson

THU 8:00 am to 9:00 am — Operations 02

Description:
As seasoned State Medicaid experts continue to retire, States struggle to fill the gaps. Do the states turn to the vendor community for assistance? Or, do they invest in the future through knowledge transfer and training? Join us for a discussion on the approach Michigan has taken to investing in the next generation of Medicaid experts.

netlogx Panelist: Scott Van Dyke

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