HHS IT challenges and requirements

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1 OFFICE OF THE CHIEF INFORMATION OFFICER DEPARTMENT OF HEALTH AND HUMAN SERVICES U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HHS IT challenges and requirements Frank Baitman Chief Information Officer U.S. Department of Health and Human Services 1

2 Topics HHS Priorities OCIO Priorities Domain Governance Approach Digital Government Strategy Shared Services Department Wide Collaboration Innovation Through Challenges 2

3 OFFICE OF THE CHIEF INFORMATION OFFICER DEPARTMENT OF HEALTH AND HUMAN SERVICES U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES è Transform Health Care è Implement the Recovery Act è Promote Early Childhood Health and Development è Help Americans Achieve and Maintain Healthy Weight è Prevent and Reduce Tobacco Use è Protect the Health and Safety of Americans in Public Health Emergencies è Accelerate the Process of Scientific Discovery to Improve Patient Care è Implement a 21st Century Food Safety System è Ensure Program Integrity and Responsible Stewardship 3

4 Information Resource Management Principles Agents for Change Accountability Collaboration One Enterprise Engender Trust Customer Service HHS CIO Vision HHS transparently delivers information, accessible health care, and support services to citizens from a foundation of reputable leaders in expert, nimble information resource management that fosters innovation while providing reliability, availability and appropriate security of sensitive information. 4

5 NIMBLE INFORMED EXPERT 1. Comprehensive Asset Inventory 2. HHS-wide Roadmap 3. Cloud First and Shared First 4. Security for Digital Government 5. Customer Service 6. Workforce Development Point IT Reform Plan 5

6 The HHS Domain Governance Approach From Organizational centric IT investment management To Business driven management 6

7 Shared Services Primary Focus Areas HHS Commodity IT Priorities Intra-Agency Service Center (Dept. CIOs) 1. Human Resources Management Financial Management 4. IT Security 5. Identity and Access Management Inter-Agency LOBs / BCs (Managing Partners) Budget Geographic Info Systems Financial Human Resources Performance Security 7

8 Shared Services at HHS Consistent and efficient shared services orchestration: Identify/Plan - Find existing / plan new services Prioritize - Development services based on budget Build Follow a monitored development process Validate - Ensure reliability and share-ability Publish Make services visible and searchable Monitor - Ensure performance as required 8

9 Challenges & Opportunities Increased Difficulty / Complexity Strategic Sourcing Vehicles Internal Agency Contracting Process Cost Savings Reinvestment / Retention Executive Support Inter-Agency Funding Transfers Planning / Execution of Change Business Case / Internal Agency Decision Process Vendor / Provider Lock in Provider Investment Funding for Modernization Service Level Agreement Negotiation Time Required to Resolve 9

10 Yammer at HHS Operating as one enterprise HHS has begun to use the collaboration platform Yammer within the Department Groups Members 10

11 Innovation through Challenges America COMPETES Reauthorization Act of 2010 Provides Federal departments and agencies with a clear legal pathway to plan and execute challenges and competitions, and specifically authorizes the use of appropriated funds for these purposes. Stimulate innovation: "The first step in winning the future is encouraging American innovation. None of us can predict with certainty what the next big industry will be or where the new jobs will come from. Thirty years ago, we couldn t know that something called the Internet would lead to an economic revolution. What we can do -- what America does better than anyone else -- is spark the creativity and imagination of our people. " President Barack Obama, January 25,

12 Active HHS Challenges Stop Bullying Video Challenge ($3,000) - HRSA Challenge to Identify Audacious Goals in Vision Research and Blindness Rehabilitation ($100,000) - NIH Managing Meds Video Challenge ($7,500) - ONC The Million Hearts Risk Check Challenge ($125,000) ONC We challenge you! +300 Challenges available on challenge.gov 54 HHS challenges 12

13 Blue Button Mash Up Challenge Make personal health information more usable and meaningful for the individual consumer or patient Develop an app that makes the best use of Blue Button downloaded personal health data and combines it with other types of data. The app must be able to garner high patient engagement rates. 13

14 EHR Accessibility Module Challenge Launched on Jan. 30, 2012 Goal was to create and test a module or application that makes it easy for people with disabilities to access and interact with the health data stored in their EHRs. The winning team, Pinaxis, created Apollo, a fully accessible Internet portal that will allow patients to interact with any provider s existing EHR system over the Web. Apollo s patient portal is designed to enhance the user experience for patients. Provider EHR Application Database Provider Website Apollo Patient Website Apollo Abstraction layer Data Model EHR Connect Layer Drupal Content Management System Apollo Module Library Data Handler Apollo Theme Library 14

15 Empower citizens with Mobile Technologies Healthcare: Waiting Rooms Clinical Material Reference Material Electronic Communication Increase productivity: Networking/Communication Document Review/Storage Ease of Use Field service: Mapping Schematics Data Collection Surveillance Help Desk 15

16 Mobile Technologies at HHS US Food and Drug Administration (FDA) approved the first diagnostic radiology app for use in viewing medical images to make diagnoses using Apple's ipad and iphone 16

17 Mobile Technologies at HHS Centers for Disease Control and Prevention (CDC) ipad App: Health information at their fingertips It features important health articles, popular journals, timely updates and access to social media to coincide with important health concerns and events throughout the year 17

18 Find a Health Center Checkups when you're well Treatment when you're sick Complete care when you're pregnant Immunizations and checkups for your children Dental care and prescription drugs for your family CDC Fetal Alcohol Spectrum Disorders Alcohol consumption data by state Individualized pages for different users women, families, health care providers, educators, and partners Access to free materials on alcohol use and pregnancy and FASDs 18

19 HHS IT Budget Challenges & Opportunities HHS IT Budget $7B approximate annual IT budget 10% IT Budget Reduction Required by 2014 How can you help? How will you save me money? Can you do what I need done for less? 19

20 OFFICE OF THE CHIEF INFORMATION OFFICER DEPARTMENT OF HEALTH AND HUMAN SERVICES U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES QUESTIONS? Frank Baitman Chief Information Officer U.S. Department of Health and Human Services 20

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