CHIEF INFORMATION OFFICER DEPARTMENT OF HEALTH AND HUMAN SERVICES

OFFICE OF THE

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Frank Baitman Chief Information Officer U.S. Department of Health and Human Services

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HHS IT challenges and requirements

Topics

•  HHS Priorities

• OCIO Priorities

• Domain Governance Approach

• Digital Government Strategy –  Shared Services

–  Department Wide Collaboration

–  Innovation Through Challenges

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CHIEF INFORMATION OFFICER DEPARTMENT OF HEALTH AND HUMAN SERVICES

OFFICE OF THE

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

Information Resource Management Principles

• Agents for Change

• Accountability

• Collaboration

• One Enterprise

•  Engender Trust

• Customer Service

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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.

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

7.  25 Point IT Reform Plan

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The HHS Domain Governance Approach

From

Organizational centric IT

investment management

Business driven management

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To

Shared Services Primary Focus Areas

1.  Human Resources Management

2.  Email 3.  Financial Management

4.  IT Security 5.  Identity and Access Management

Intra-Agency Service Center

(Dept. CIOs)

Inter-Agency LOBs / BCs

(Managing Partners)

•  Budget •  Financial

•  Geographic Info Systems •  Human Resources

•  Performance •  Security

HHS Commodity IT Priorities

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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

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Challenges & Opportunities In

cre

ase

d D

iffic

ulty

/ C

om

ple

xity

Vendor / Provider Lock in

Internal Agency Contracting Process

Inter-Agency Funding Transfers

Provider Investment Funding for Modernization

Executive Support

Business Case / Internal Agency Decision Process

Cost Savings Reinvestment /

Retention

Planning / Execution of Change

Service Level Agreement Negotiation

Strategic Sourcing Vehicles

Time Required to Resolve

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Yammer at HHS

•  Operating as one enterprise

•  HHS has begun to use the collaboration platform Yammer within the Department...

•  +200 Groups

•  +1200 Members

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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: http://challenge.gov

"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, 2011

http://www.whitehouse.gov/innovation/strategy

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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

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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.

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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

Apollo Abstraction layer Data Model

Drupal Content Management System Provider Website

Application

Database

Apollo Patient Website

Apollo Module Library

Apollo Theme Library

EHR Connect Layer

Data Handler

http://apollo.pinaxis.com/ 14

Empower citizens with Mobile Technologies

•  Increase productivity: •  Networking/Communication •  Document Review/Storage •  Ease of Use

•  Healthcare: •  Waiting Rooms •  Clinical Material •  Reference Material •  Electronic Communication

•  Field service: •  Mapping •  Schematics •  Data Collection •  Surveillance •  Help Desk

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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

http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm242295.htm

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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

http://www.cdc.gov/mobile/applications/cdcgeneral/promos/ipad_promo.html

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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

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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?

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CHIEF INFORMATION OFFICER DEPARTMENT OF HEALTH AND HUMAN SERVICES

OFFICE OF THE

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

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QUESTIONS ?

Frank Baitman Chief Information Officer U.S. Department of Health and Human Services www.hhs.gov/ocio