Information Systems and Technology Services – positioned for effectiveness, productivity, and scalability

• Leadership experience appropriate for where you want to go
• Strategy Definition, Review and Planning to achieve corporate objectives
• Organization Structure to effectively support the business plan
• Staffing - the right resources in the right roles
• Financial Management – Budgeting, Purchasing, Contracting, Reporting, Analysis, ROI calculation, Total Cost of Ownership Analysis
• Business Process/Policy/Procedures for quality & reliability
  1. Application Software Management – selection, implementation, integration, upgrades
  2. Knowledge Management & Business Intelligence
  3. Quality Assurance
  4. Security
  5. Utility Services
  6. Customer Support
• Infrastructure for productivity, cost-effectiveness, and scalability
  1. Computing
  2. Telecommunications
  3. Information Systems
  4. Data Bases/Data Warehouse
• Real-Time HealthCare Enterprise
• Emerging Technologies applied to HealthCare
• Outsourcing Strategies and Vendor Management
• Information Systems Integration/Dis-integration on merger or spin-off
• New product/new program/new market growth/expansion/readiness

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Business Intelligence/Knowledge Management

• Data Warehouse for Business Analysis and Decision Support
• On Line Analytical Processing (OLAP)
1. Executive Information Systems/Dashboard
2. Management Information & Decision Support Systems
• Reporting – Management & Regulatory
• Corporate Performance Management
• Real-Time HealthCare Enterprise

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Performance Management

• Enterprise or Operational Department Reporting Strategy (includes process, frequency, etc.)
• Business Intelligence Strategy Alignment
• Vendor Selection
• Performance Metrics Definition (Scorecard, KPI)
• Data Quality Assurance
• Accountability and Incentive Systems

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Portfolio/Program/Project Management

• Enterprise Opportunity Portfolio Management
  1. Opportunity Identification
  2. Prioritization
  3. Capacity Planning
  4. Work Scheduling
• Workflow Management
• Program/Project Management Methodology and Tools
• Process Performance Measurement
• Quality Assurance
• Accountability & Incentive Systems
• Program Management Office
• Six Sigma and Project Management Integration

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Publicly Funded Health Care

• Medicaid
  1. TANF
  2. SCHIP
  3. SSI
  4. Related Programs
  5. States as Customers
  • Medicaid Population Differentiators
  • Member Services
  • Medical Management
  1. Regulatory Compliance
• Medicare
• CMS as a customer
• Medicare Population Differentiators
• Member Services
• Medical Management
• Regulatory Compliance
• Administrative Optimization
• Integrating with State and/or Federal Systems
• New program Implementation & Operationalization Strategies

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Sarbanes-Oxley – Regulatory Reporting

• Business Process Controls – Assessment, Design & Reporting
• Documentation of Policy & Procedures
• Business Partner Data Management and Controls Assessment
• Compliance Audits

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Business Continuity & Recovery Planning and Management

• Business Continuity Planning and Preparation
• Disaster Recovery Planning
• Disaster Management/Business Continuity Execution
• Business Restoration/Recovery Management
• Supplier Contract Review and Negotiation

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E-Health Related to Disease Management

• Member/Patient Services
• Services Information
• Administrative Transactions
• Education
• Provider Services
• Services Information
• Administrative Transactions
• Education
• Communication with current and prospective
• Customers
• Owners
• Business Partners
• States – Markets
• Legislators
• E-Health Supported Disease Management
• Supply Chain Management
• Content Management

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Operational Impact Assessment

• Mergers and Consolidations
• Spin-offs
• Market Expansions/Growth
• New Products

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Payer/Provider Integration

• Eligibility Verification
• Referral & Authorization Management
• Reimbursement Processing
• Revenue Cycle Management
• Outsourced Service Integration
• Case Management
• Provider Practice Support
• Electronic Health Record
• Privacy and Security

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Electronic Health Record/Electronic Medical Record/Clinical Patient Record

• Clinical and Administrative components of the EHR
• EHR Products and Services
• Implementation Strategies
• EHR and HL-7

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Quality Assurance

• Quality Assurance as an Organization Function
• Data Quality
• Process Quality
• Measurement Systems & Performance Management

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