Transcript elTSS Pilot Planning Template National Disability Institute_10.21.15

National Disability Institute
Introduces Community Tyze
October 22, 2015
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Agenda
Introduction
Goal of Pilot
Tier Piloting
Activity to Pilot
Role of National Disability Institute in the pilot
Standards and Technologies Under Consideration
Logistics
Ecosystem
Defining Success
Resources/References
Introduction: Pilot Team
Name
Role
Email
Mary Lynn Revoir
Community Tyze Manager [email protected]
Serghei Spelciuc
Leader Technology
SergheiSpelciuc@saintelizab
eth.com
Mary Bryant
Business Capabilities
Team
MaryBryant@saintelizabeth.
com
Vetting Related to eLTSS Initiative
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Launched in 2010
3,000 Tyze networks exist across U.S. and Canada
100+ networks of individuals receiving CB Medicaid services
18 years as director of Medicaid HCBS provider supporting individuals with ID, DD, Brain
Injury, Physical Disabilities, Mental Health
• 20 years of IT development experience
• 20 years client management and technical implementation experience
Introduction: National Disability
Institute (NDI) and Community Tyze
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The mission of NDI is to drive social impact to build a better economic future for
people with disabilities and their families.
NDI affects change through public education, policy development, training,
technical assistance and innovative initiatives.
NDI offers Community Tyze, an innovative secured social networking tool for
individuals with disabilities and support systems.
Community Tyze supports self-directed services by the individual with a disability
or designated concierge
– Offers paid and natural network members the ability to exchange information with ease
and within a secured platform
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Community Tyze is currently being offered to individuals with disabilities by their
respective service providers in multiple states (CT, MN, IA, MI)
– Improving service coordination through increased communication and tracking progress
– Increasing the ability of service providers to easily expand their communication of
important educational information through specific communication tools built into
Community Tyze; enables opportunity to provide positive impact on the competencies of
natural support team
Pilot Introduction: Business Drivers
NDI actively supports an individual’s ability to self-direct services by easing the ability to
effectively coordinate long term supports and facilitate meaningful communication among
natural and paid supports.
– Self-directed, secure storage and controlled accessibility of important documentation
– Self-directed, controlled access & visibility to documented progress toward goal
achievement
– Self-directed, controlled access to scheduled activities & events
– Private, secure messaging for sharing information between parties
– Protected tools for safely expanding social participation and reducing social isolation
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Community Tyze Offers Story 2:
Sharing a Person-Centered eLTSS Plan
Today this solution offers the 7
triggers that are related to access,
view, review, and sharing of the
eLTSS plan.
Beneficiary System
• Trigger 1
• Trigger 2
LTSS/Service Provider System
• Trigger 7
• Trigger 16
eHR System
• Trigger 8
Case Management System
• Trigger 3
• Trigger 4
Pilot Workflow
Current Community Tyze Workflow
Desired Workflow After Pilot
Market education process
Community Tyze designated as State’s
Operating Standard for CB-Medicaid
Contract process
Contract process
Customization and launch
Customization and launch
Implementation to
individuals/beneficiaries
Implementation by CB-Medicaid
providers to CB-Medicaid recipients
eLTSS plan and progress accessed and stored in
Community Tyze by beneficiary and service providers
eLTSS plan and progress accessed and stored in
Community Tyze by beneficiary and service providers
Contracted agency provides Community Tyze as an
operating tool
Community Tyze utilized within State as operating
standard for all CB-Medicaid recipients 7
Piloting Tier 2
A Community Tyze pilot utilizing currently available technology achieves Tier II
by facilitating the following:
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Secure electronic sharing of individual eLTSS plan documents with selected,
invited network members
Allowing the opportunity to provide input on the shared document electronically
through comments associated with the posted file or through secure, private
messaging
Allowing visibility via shared electronic calendar to activities and events indicating
progress toward goals or indicating need for increased supportive assistance to
increase social interaction
Allowing secure yet collaborative electronic input from various paid supports
regarding current challenges and appropriate long-term support needs
Engages CB-LTSS stakeholders (providers, beneficiaries, advocates,
accountable entities and payers) to embrace a new way of achieving a higher
degree of self-direction
Post-pilot survey results will provide key input regarding the value of using a Tier
II solution today while the appropriateness of Tier III solutions are investigated
Community Tyze intends to pilot
following eLTSS elements:
• Community Tyze will pilot through the existing functionality of the
product to Access, View, Review Plan
• Community Tyze offers a platform where paid and natural
supporters can post information and data that would provide
knowledge needed to Update Plan
• Community Tyze is open to partnering with any TEFT grantee or
Non-TEFT provider
• Community Tyze is open to discussing potential API development
or single sign-on opportunity with an appropriate clinical system
in the future to move from Tier II to Tier III.
• Associated information entries housed in Community Tyze could
involve all of the eLTSS sub-domains from the FRM document and
the RTM document, noted in the individual eLTSS plan.
Community Tyze role in the
eLTSS pilot
• Beneficiary System
– Community Tyze is existing technology designed for the individual with
disability or designee to create and build a personal support network
– Community Tyze is portable and can move with an individual who
changes service providers
– Community Tyze increases engagement of natural supporters to
participate in support of the beneficiary’s goals/needs
• eLTSS/Service Provider System
– Community Tyze can securely store the eLTSS plan
– Community Tyze provides secure exchange of information among
invited paid and natural network members.
– Data is stored securely in Community Tyze. Secure messaging is utilized
to alert invited supporters to login to view new information available.
– Community Tyze houses input related to targeted goals for ease of
individuals and case managers to monitor progress
Standards Under Consideration:
• Tier 2
– Servers and Databases – CentOS, Nginx, Jetty,
Redis, PostgreSQL
– Email – SendGrid, ActiveMQ
– Frameworks – Spring, JMS, AngularJS, Backbone.js
– Standards and Protocols - RFC 5905, ISO 162622011, JavaScript, XHTML, XLS/XLSX/XLSM/, HTTPS,
IP, REST, SAML, SMTP, SOAP, TCP, TLS
Pilot Logistics:
• Timeline
- Presentation to TEFT grantees and larger community: October 22, 2015
- Identification of Partners/Providers: October - December 2015
- Provide orientation to Partners and participate in pilot activities: November 2015
– March 2016
- Completion of RTM: March 2016
- Completion of Pilots: April 2016
• Challenges
1. Open to additional Partners/Providers to further understand and explore the
emerging and value-added role Community Tyze can bring to the service delivery
system.
2. Must incorporate an investment of time for proper orientation of selected
individuals/beneficiaries on both the concept and merits of an electronic solution
as well as the technologies involved. Ensuring comfort with the pilot process is a
key factor.
3. Identifying service providers who trust the use of technology as a strategy for
service delivery and display a willingness to invest in a value-added product.
Pilot Ecosystem
• NDI invites and requests to join any current eLTSS providers
- NDI currently partners with providers in the states of Connecticut,
Minnesota, Iowa, and Michigan.
• As a Tier 2 solution, our product is not impacted by the service
provider back end system. We are experienced with the development
of applicable API’s and single sign on processes and would be willing to
consider a joint phase 3 pilot in the future.
• From a technology standpoint, NDI partners with Saint Elizabeth
Health Care to provide the Community Tyze network platform.
How do you define success?
• Community Tyze will be used successfully as a value-added tool:
– Supporting the goals of more than 500 individual networks
– Supporting adults supported by CB-Medicaid services in 10 states
• In post pilot surveys, Community Tyze end users would rate the
positive effectiveness of the tool at 80% or greater addressing:
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increased self-directed services
expanded support network
reduced isolation and increased social relationships
improved service coordination and achieved personal outcomes
• Supporting evidence from service providers indicate that
Community Tyze has positively impacted the cost of service
Helpful References
• Community Tyze website
www.communitytyze.com
• Robert Wood Johnson Foundation research
http://www.rwjf.org/en/research-publications/find-rwjf-research/2011/09/combatingisolation-and-loneliness-with-an-online-personal-netwo.html
• Donna Thompson testimonial video
Testimonial Video
Thank You for the Opportunity to Present.
Contact : Mary Lynn ReVoir, National Disability Institute
[email protected] / 563.568.7112