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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
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.
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
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)
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”
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
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”.
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
www.m2msysonline.com

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Extended Medicaid IT Architecture (MITA) - Now with video at the end!

  • 1. www.m2msysonline.com © 2005-2007 M2MSys® LLC
  • 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