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Technology-Enabled Collaboration and Communication The National Home and Community Based Services Conference, September 10-13, 2012
Copyright © 2012 Deloitte Development LLC. All rights reserved. 1
• Current Technology Trends in State Government
• Opportunities for Increased Collaboration and Communication
• Guidelines for Implementation
Agenda
Introductions
Copyright © 2012 Deloitte Development LLC. All rights reserved. 3
Introductions
• Bert Maier is a Director with Deloitte Consulting and has over 15 years of experience serving public sector clients.
• Meghan Sullivan is a Senior Manager in Deloitte Consulting’s State Government Health and Human Service Practice.
Evolution of HCBS Participant Engagement & Processes
Copyright © 2012 Deloitte Development LLC. All rights reserved. 5
Evolution of HCBS Participant Engagement
• Paper based processes
• Some computer tracking, mainly using Excel
• Moving toward targeted tracking systems.
• Web-based systems • Moving toward
integrated case management and self service .
• Technology enabling service delivery and more efficient self service
Katie Beckett
HCBS Waiver/Programs
Participant Directed Services
Increased Independence
Individualized Planning
States may provide
Medicaid to participants
with disabilities living at home
Individuals are able to receive services in the community, but
specific individual goals and
outcomes are not incorporated in
the planning process
Individual goals and outcomes
are the focus of service
planning.
Participants opt into programs which allow
them to determine who
provides services,
including being responsible for
staff management
and payments.
Participants facilitate the
management of their own services
with minimal direction from a
Service Coordinator.
Participants have more control and as a result more effective service
delivery.
Copyright © 2012 Deloitte Development LLC. All rights reserved. 6
Copyright © 2012 Deloitte Development LLC. All rights reserved. 7
Technology Adoption
0
100
200
300
400
iPod BlackBerry Netbooks iPhone iPad iPhone 4S
Days
Technology Adoption: Number of Days to Reach 1MM Units Sold1
~300 ~180 ~75 ~30
20102002 2002 2007 2007
~360
2011
~1
+
+
+
LowerPrices
Increased Mobility
Enhanced Usability
Evolved Connectivity
Technology Adoption Drivers
Continued investment and hardware/software innovation will result in increasingly powerful mobile devices and operating systems, fueling yet more citizen demand and
addressing the need for organizations to be more efficient and effective.
Inflection Point: In 2011, for the first time, the number of smart phones shipped globally exceed the number of PCs
Copyright © 2012 Deloitte Development LLC. All rights reserved. 8
Public Sector; Disrupted
Disruptive innovation challenges the standard
that “you have to pay more to get more”
In sectors of the economy where disruptive innovation is commonplace, consumers are accustomed to steady
price reductions and performance improvements over time —computing,
electronics, steel manufacturing, telecommunications.
Disruptive Innovation Business As
Usual
Traditional budget
cutting measures often result in “doing more of
the same with less”
In sectors with little or no disruptive innovation, costs and prices rise over time
--- Government, with double-digit cost increases from health care to education to
defense
Program Integrity & Services Quality Opportunities
Copyright © 2012 Deloitte Development LLC. All rights reserved. 10
Mobile Caseload Management
Mobile Plan & Service Information
Improves face-to-face meetings by providing relevant information
Access caseload from mobile device
Assist case managers in the field with directions, contact details,
and “street view” to quickly find a consumer’s home
Copyright © 2012 Deloitte Development LLC. All rights reserved. 11
Service Delivery Validation
Validate service delivery attributes such as time, location, and service provided
Reduce waste and increase accuracy through elimination of paper forms for service documentation
Perform targeted audits of outliers, increasing program integrity and reducing fraud
Copyright © 2012 Deloitte Development LLC. All rights reserved. 12
Video Conferencing
Copyright © 2012 Deloitte Development LLC. All rights reserved. 13
Gives at-a-glance understanding of caseload status, metrics, and level of compliance using status badges
Provides recommended actions based on case management goals specified by the organization Incentivizes behavior by engaging caseworkers and rewarding high levels of performance
Incentivized Caseload Management
Caseload Dashboard
Overall Compliance: 73%
5 calls this week 7 meetings this week
Consumer Contact Rate: 93%
Plan Status Summary
Approved
Week of 10/15/12
Pending
Draft
Only 7% away from the Silver Compliance Tier (80%)
Download the latest HHS podcast for bonus participation
Copyright © 2012 Deloitte Development LLC. All rights reserved. 14
Incentivized Plan Participation
Plan Participation Profile Week of 10/15/12
Recent Activities
Bronze Tier
6 of 11 Achievements
Recent Badges
Monday Tuesday Wednesday
Vision Therapy Appointment +5
Missed Appointment -3 pts
You’re only 5 achievements away from earning the Silver Badge! Why not schedule something?
Recommended Activities
Call a friend or relative
Go see a movie
+3
+2
Goal: Community Integration
Goal: Exercise
Take a walk outside +2
This Week
Hot Streak 3 consecutive
goals met
Copyright © 2012 Deloitte Development LLC. All rights reserved. 15
Vacancy Management / Referrals Current Process Flow
4 HCBS services to required return home upon hospital discharge:
3 of 4 services secured before discharge. Participant
relocated to a nursing facility until additional service can be arranged.
Copyright © 2012 Deloitte Development LLC. All rights reserved. 16
Vacancy Management / Referrals Future Process Flow
4 HCBS services to secure to return home upon hospital discharge:
All services secured before discharge. Participant returns home.
Copyright © 2012 Deloitte Development LLC. All rights reserved. 17
Guidelines for your Mobile Design Strategy
• Keep it Simple
• Start small and iterate
• Atomize your business process
• Rule of 3 – Design with the user in mind
• Know your target audience
• Lean startup
• Breakdown organizational silos
• Devices
• Keep all your ‘Channels’ integrated
Copyright © 2012 Deloitte Development LLC. All rights reserved. 18
Bert Maier Deloitte Consulting LLP Director Tel: (412) 402 – 5069 [email protected]
Meghan Sullivan Deloitte Consulting LLP Senior Manager Tel: (312) 486 – 1740 [email protected]
www.deloitte.com