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Interoperability Micro Summit: Requirements, Roadmaps and RFPs

Event Date: 9/18/2020

Event Overview


 

Interoperability: Requirements, Roadmaps and RFPs

In this highly participatory workshop-style session, Alliance member health plans dig into their approach to achieving Interoperability.  Each attending health plan will be sharing details with the group, so that we can compare our interpretations of the requirements, gain a shared understanding of definitions, and accelerate development of our roadmaps to success.


Event highlights

This virtual micro summit is designed to be highly valuable and efficient. We’ll kick off at 10:30 AM CT and wrap promptly at 2:30 PM CT. During that time, summit attendees will:

  • Learn how other health plans are interpreting the requirements and have the opportunity to test their own assumptions with their Alliance colleagues
  • Examine the roadmaps other health plans have developed, what milestones they are striving to reach, and the timeline they are striving to maintain
  • Discuss learnings from Alliance health plans' RFP efforts and gauge how your health plan's progress and approach compares to that of your peers. 

Powered by plan-to-plan sharing and detailed reference materials provided by each participating health plan, this micro summit is designed to accelerate your implementation plan development and vendor selection in support of Interoperability.


What is it

An intentional micro-summit focused on creating opportunities for Alliance members to convene for thoughtful discussions around Interoperability. These sessions will produce tangible and specific initiatives working for fellow health plans across the country. 


A new staple in the Alliance programming calendar as part of our Interoperability Learning Collaborative.



Who should attend

Executive stakeholders in strategic planning along with teams responsible for processes and procedures within Interoperability compliance, legal, information technology, risk management and vendor management. Those with responsibilities for medical management, quality management, and informatics departments will also find this summit informative.


 

Thank you to our event sponsors


Platinum


Silver


Bronze


Sponsor

 


 

Thank you to our event sponsors


Platinum


Silver


Bronze


Sponsor

 



 

Thank you to our event sponsors


Platinum


Silver


Bronze


Sponsor

 


Agenda

AGENDA AT A GLANCE

All times listed are central time. For a printable, detailed agenda visit the Documents tab.


Friday, September 18, 2020

10:30 AM

Welcome and overview of the day

10:35 - 11:40 AM 

Interpreting the rule: Working session to arrive at a common understanding of the requirements and definitions of terms, and what the critical updates are telling us

11:50 - 1:00 PM

Building a successful road map for Interoperability compliance: Timelines and budgets that achieve the seemingly impossible

1:10 - 2:20 PM 

When and how to use RFIs, RFPs, and RFHs (requests for help!) to select the right partners

 

 
Special Events

Alliance Members will all participate in "Show and Tell" 

The September 18th Interoperability Micro summit is a “true workshop,” which means that each session is designed to maximize learning from all participants, and not just a single presenter.

 

CHOOSE YOUR TOPICS

All Alliance member health plans are part of the faculty for this workshop-style session.  Each health plan will share their perspective on one of three topics:

  1. Walk through your health plan road map a/or project plan
  2. Explain how your health plan is interpreting requirements and your working definitions
  3. Share what you have learned from your RFP process 

When health plan employees register, we'll ask you to share your first and second preference.  Then an Alliance staffer will reach out to your team to confirm your role and line up next steps.

 

COMPLETE YOUR PRE-WORK (DUE SEPTEMBER 11TH)

To make this event as successful as possible, each attending organization should complete the following no later than September 11th:

Complete your Micro Summit Pre-work. Get your instructions here!
Convert all files into the requested format
Name all files using the file name convention
Upload each document separately to the Alliance’s secure portal

Note: Each attending organization should complete this pre-work packet. (If a team of co-workers are attending together, only one packet is required per organization.)

 

WE'RE HERE TO HELP

Have questions? We're standing by to help!  Email us.

 

 

 

 

Documents
9/17/2020

IU Health CMS Interoperabilty Rule Statement of Understanding
This was discussed at the Interoperability Micro Summit, September 17, 2020.

9/17/2020

SelectHealth Interoperability and Patient Access
This was discussed at the Interoperability Micro Summit, September 17, 2020.

9/17/2020

SummaCare CMS Interoperability Project Proposal
This was discussed at the Interoperability Micro Summit, September 17, 2020.

9/17/2020

Presentation: Interpreting the rule: Working session to arrive at a common understanding of the requirements and definitions of terms, and what the critical updates are telling us
During this work session health plans will share their perspective on key aspects of the rule with the goal of establishing some common understanding and definitions. Experts will also participate and provide their working definitions.

9/17/2020

Presentation: Building a roadmap for Interoperability compliance: timelines and budgets that achieve the seemingly impossible
In this session, you will hear how health plans have developed their Interoperability roadmap by constructing their Interoperability teams, developing a phased approach with timelines and deliverables, setting the budget and engaging and coordinating with multiple resources to deliver the solution.

9/17/2020

Presentation: When and how to use RFIs, RFPs, and RFHs (requests for help!) to select the right partners
Whether you are just starting your RFP process or are further along in your decision, there will be helpful insights to enhance your journey. We will review examples of RFIs and RFPs and hear suggestions from the vendors themselves on how to improve the process.

9/14/2020

AGENDA: Interoperability Micro Summit: Requirements, Roadmaps and RFPs
Join your Alliance peers for this highly participatory, virtual workshop focused on the requirements and definitions, road map development and RFP progress health plans are making on their path to interoperability. All participating health plans have pre-work to complete, and each organization will take a turn sharing out their approach. Weâ??re convening from 10:30AM â?? 2:30PM CT on September 18th.

9/11/2020

SummaCare Interoperability Road map
The internal project plan or road map SummaCare created to chart their course to meet Interoperability requirements in 2021, created for the September 2020 micro summit.

9/11/2020

SummaCare: Interoperability Project Executive Summary
An executive summary of SummaCare's approach to achieve Interoperability, created for the September 2020 micro summit.

8/19/2020

PRE WORK for Health Plans attending Sept 18 Interoperability micro summit
Instructions for health plans attending the Sept 18, 2020 Interoperability micro summit. This pre-work is due on September 4th and is required from each participating health plan team. Questions? Contact the Alliance staff for help! info@healthplanalliance.org

Attendees

Below is a list of all delegates registered to date for this event

  • Becky Erbe
  • ALLIANCE GUEST
  • Chief Business Development Officer at GPO HEALTH
  • Vera Tolbert
  • ALLIANCE GUEST
  • Clinical Compliance Auditor at Health Partners Plans
  • Ann Bain
  • ALLIANCE MEMBER
  • Compliance Coordinator & Privacy Officer at Avera Health Plans (DAKOTACARE)
  • Jessica Bilius
  • ALLIANCE MEMBER
  • Director of Regulatory Compliance at Paramount Health Care
  • Lisa Carlson
  • ALLIANCE MEMBER
  • Chief Operating Officer at Avera Health Plans (DAKOTACARE)
  • Michele Crissman
  • ALLIANCE MEMBER
  • Director - Compliance and Privacy/Attorney at Avera Health Plans (DAKOTACARE)
  • Chris Distel
  • ALLIANCE MEMBER
  • Compliance Coordinator at SummaCare
  • Erick Edtl
  • ALLIANCE MEMBER
  • Compliance & Privacy Officer at Samaritan Health Plans
  • Marisa Ellis
  • ALLIANCE MEMBER
  • Senior Compliance - Medicaid/CHIP at SelectHealth
  • Glenn Hamburg
  • ALLIANCE MEMBER
  • Chief Information Officer at Western Health Advantage
  • Tracy Jones
  • ALLIANCE MEMBER
  • Compliance Coordinator at SummaCare
  • stephani keyser
  • ALLIANCE MEMBER
  • Compliance Integrity Analyst III at Samaritan Health Plans
  • Mohsin Khan
  • ALLIANCE MEMBER
  • Manager - PMO at IU Health Plans
  • Kevin Kirby
  • ALLIANCE MEMBER
  • Director of IS at Central Health Plan of California
  • Chris Kulik
  • ALLIANCE MEMBER
  • Staff Attorney at IU Health Plans
  • Eileen Lederle
  • ALLIANCE MEMBER
  • Project Analyst at Physicians Health Plan
  • Jesse Liddell
  • ALLIANCE MEMBER
  • Government Programs Manager at SelectHealth
  • Annette Marcath
  • ALLIANCE MEMBER
  • Chief Information Officer at Health Alliance Plan (HAP)
  • Sarah Miller
  • ALLIANCE MEMBER
  • Sr. IT Systems Analyst at SummaCare
  • John Pecina
  • ALLIANCE MEMBER
  • Strategic Business Analyst at CHRISTUS Health Plan
  • Leslie Pels-Beck
  • ALLIANCE MEMBER
  • Chief Operations Officer at Sharp Health Plan
  • Elizabeth Ray
  • ALLIANCE MEMBER
  • Privacy Program Manager at Network Health
  • Amy Renshaw
  • ALLIANCE MEMBER
  • Director, Compliance and Legal Support at HealthTeam Advantage
  • Celeste Richards
  • ALLIANCE MEMBER
  • Vice President - Managed Care at Alliant Health Plans
  • Tim Riley
  • ALLIANCE MEMBER
  • Chief Information Officer at Network Health
  • Melissa Rusk
  • ALLIANCE MEMBER
  • Director, Claims and BPO Operations at SummaCare
  • Irina Shikin
  • ALLIANCE MEMBER
  • Sr. Regulatory Auditor at Health Alliance Plan (HAP)
  • Coleman Smith
  • ALLIANCE MEMBER
  • Director, Clinically Integrated Systems at Aspire Health Plan
  • Katie Studer
  • ALLIANCE MEMBER
  • Director, Customer Experience at Avera Health Plans (DAKOTACARE)
  • Kimberly Swanson
  • ALLIANCE MEMBER
  • Vice President, Quality and Clinical Integration at Network Health
  • Sheila Van Gorden
  • ALLIANCE MEMBER
  • Business Relationship Manager at Sentara Health Plans (Optima)
  • Nancy Weber
  • ALLIANCE MEMBER
  • Clinical Integration Program Manager at Network Health
  • Rusty Wyrick
  • ALLIANCE MEMBER
  • Chief Information Officer at CommunityCare
  • Teresa Younkin
  • ALLIANCE MEMBER
  • Lead Analyst at Geisinger Health Plan
  • Kyle Brew
  • SPEAKER
  • Head of Product - Health Plans at 1upHealth
  • Bob Hoover
  • SPEAKER
  • Vice President at Change Healthcare Consulting
  • Brian Cox
  • SPONSOR
  • Senior Product Manager, TriZetto Connected Interoperability at Cognizant
  • Arun Ganesan
  • SPONSOR
  • Managing Partner, Healthcare at Cognizant
  • Kevin Lynch
  • SPONSOR
  • Manager, Product Innovation at Inovalon, Inc
  • John Zuziak
  • SPONSOR
  • Practice Director, IT Risk Management at Change Healthcare Consulting
Speakers