This presentation describes M2MSys vision of the Medicaid IT Architecture (MITA). M2MSys believes that MITA (a CMS architecture), can take advantage of making use of a more BPM oriented architecture.
For more details, visit us online - www,m2msysonline.com
2. Introduction
This presentation discusses the advantages of
implementing MITA within the scope of Business
Process Management (BPM) and the Social Service
Information System™ (SSIS) supported by a Social
Service Architecture (SSA).
SSIS™ MITA
MITA BPM
SSA Extended
3. Why MITA Extended?
MITA Extended will enable a more in depth business alignment by
doing it at the departmental level and not just at Medicaid
Management. Starts with the end in mind.
MITA Extended places the core of the discussion around the
PROCESS. We believe that most of the discussion around MITA is
narrowly focused on SOA and not enough on the Process. MITA is
polarized around SOA.
MITA Extended utilizes the concept of a Social Service Information
System, supported by a solid Social Service Architecture, to seek a
better utilization of the resources and staff. It unifies efforts
around a common goal.
MITA Extended enforces that the CITIZEN and Service Providers
be at the core of the effort. Citizen centric.
4. Why Business Process Management?
Business Process Management (BPM) is a
MANAGEMENT philosophy built on over 100 years of
lessons learned and solid scientific foundations. IT
came of age in the mid 80s with the work of Harvard
professor Michael Porter.
Modeling
Business
Quality
Process
Management
Redesign
SOA is just one of
System
Theory
Mathematics the components
of BPM!
Business
Science BPM SOA
5. Why the Social Service System ? ™
Information
Medicaid is just one of the many services that modern Health
and Human Service Departments need to provide those in
temporary need of assistance. The SSIS is an information
platform that manages ANY type of social service. The main
principles of SSIS are:
Single-Point of Management
Leverage current systems
Increase accountability
Monitor results in realtime
Significantly increase efficiency and adaptability of HHSD
Reconnect social workers with citizens
Technically it is a process-oriented, realtime event-driven
platform, built using COTS products which incorporates Unified
Compliance (ITIL, HIPAA, etc)
6. CMS MITA Blueprint
Technical Services
Forms External Data
Management Exchange Hub EDI Gateway
System Services
Access MITA Enterprise Service Bus
Services
Business Services
Verify
Process Enroll
Provider
Claims Provider
Credentials
MMIS 2007 - MITA Compatibility with State-Wide Architectures
Avoiding “Islands of Automation”
7. MITA Extended
Community
Health and Human Services Department
Social Service Information System Business
Tech Staff
Activity ITIL, HIPAA, etc
Monitoring
NO WRONG DOOR
Medicaid #N
Citizens
Process Portal
Medicaid #2
Medicaid #1 Eligibility
Meta Trading
Partner
Social Service
Management
Social Service Partners Managers
Realtime Reporting
Gateway
Computer Process
M2M
Systems
Process Virtual Machine Modeling
Intelligent HHS Staff
Assets
Health and Humans Enterprise Services Bus Process Oriented
Back Office SOA Back Office
Application Application
8. Summary
MITA is a methodology that will allow governments
increase efficiency Medicaid Management and thus
decrease the per-transaction cost .
MITA Extended is a ZERO COST implementation
methodology that uses proven approaches to
significantly increase the advantages introduced by
MITA.
MITA Extended is HOLISTIC by nature and thus is
able to bring to the for front of Health and Human
Services the delivery of very important HHS
concepts like “NO WRONG DOOR”.
9. M2MSys® Free Consultation
M2MSys® is a developer of next generation Health
and Human Services solutions using COTS cognitive-
event-driven information platforms,
M2MSys® assists its government and healthcare
customers significantly reduced their per-
transaction cost.
Schedule your FREE consultation today!
404-388-6744