Vermont Information Technology Leaders, Inc. FY2018 Budget Review - - PowerPoint PPT Presentation

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Vermont Information Technology Leaders, Inc.

FY2018 Budget Review March 30, 2017

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Agenda

• FY18 Scope of Work - Steady State
• FY18 Out of Scope
• FY18 Budget Methodology
• FY18 Assumptions
• FY18 Budget
• Next Steps
• Request for Approval of FY18 Activities & Budget

FY208 Budget Presentation - March 30, 2017

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FY18 Scope of Work - Steady State

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FY18 Work Scope – Steady State

• VT Health Information Exchange (VHIE) Components
• Infrastructure
• Message processing and delivery
• Services (VITLAccess, VITLDirect, etc.)
• Connectivity
• Inbound and outbound interfaces
• Gateways
• Health Data Management (HDM)
• Infrastructure
• Data quality

▪ Limited data quality report ▪ Data quality dashboards ▪ Terminology Services ▪ Natural Language Processing

• Specialized interfaces (Immunizations)
• ACO data marts

FY208 Budget Presentation - March 30, 2017

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FY18 Work Scope – Steady State

• VITLAccess Implementation Projections
• 3 Hospitals
• 2 Large multi-site practices
• 2-3 Small multi-site practices
• 20 Independent provider (nursing homes, mental health, etc.)
• Security
• Network protection and monitoring
• Annual National Institute of Standards and Technology (NIST) security

assessment

• Audits
• Blueprint for Health Data Quality Sprints – Awaiting Scope of Work
• Technical Support
• Connectivity maintenance
• Client support for VITL services

FY208 Budget Presentation - March 30, 2017

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FY18 Work Scope – Steady State

• VT Department of Health – Awaiting Scope of Work
• Immunization validation
• Network to Network
• One VHIE connection to external network
• Corporate Administration

FY208 Budget Presentation - March 30, 2017

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FY18 Out of Scope

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Out of FY18 Scope

• Data aggregation – limited increase beyond 62%
• Interface acceleration
• Limited results delivery
• Limited remediation
• VITLAccess
• Limited expansion
• Health Data Management (HDM) Infrastructure

Improvements

• All-Payer ACO Model Technology Infrastructure
• Data Quality
• Dashboard expansion
• Terminology expansion
• Data extraction tools

FY208 Budget Presentation - March 30, 2017

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Out of FY18 Scope

• Network to network connections (limited to 1)
• VT Department of Health
• No automation improvements
• Outreach
• Summit
• No provider education
• No patient awareness
• Limited stakeholder engagement/feedback
• 42 CFR Part 2 (Substance Abuse Programs data)

FY208 Budget Presentation - March 30, 2017

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FY18 Budget Methodology

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VITL FY18 Budget Methodology

FY208 Budget Presentation - March 30, 2017

SOV Steady State Functions Technology Infrastructure Labor by Hours and FTEs HDM VHIE Connectivity Security Services Non Labor Technical Support Costed Work Packages Defined Scope of Work Price GMCB

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FY18 Assumptions

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FY18 Assumptions

• SIM/VHCIP concluded
• Steady state funded by State of Vermont and APD

contract

• Effective date: 7/1/2017
• Two contracts
• Performance based
• VITL at – risk
• No retroactive payments

FY208 Budget Presentation - March 30, 2017

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FY18 Budget

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FY18 Ongoing Cost Drivers

Funding Source Use DVHA VHIE and HDM Steady State plus 20% - 40% ongoing maintenance and support VHCIP / SIM (one-time projects)

• Interface Acceleration
• Home Health
• Telehealth
• ACO Gap Analysis & Remediation
• ACO Gateways
• Terminology Services
• Event Notification Services

APD (one-time projects) Project-specific development

• VITLAccess Onboarding
• Data Quality
• Provider Health IT Survey
• Interface Acceleration

20-40% 20-40%

FY208 Budget Presentation - March 30, 2017

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Year to Year Expense Comparison

FY208 Budget Presentation - March 30, 2017

$0 $1,000 $2,000 $3,000 $4,000 $5,000 $6,000 $7,000 $8,000 FY15 Actual FY16 Actual FY17 Projected FY18 Projected

Expenses (000)

Total Salaries Benefits Occupancy Technology Ed+Outreach (3rd Party) HIE Vendor Telecomm Consult, legal, acctg Insurance Travel Other

$7,292 $6,766 $6,999 $7,139

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FY18 Expense by Funding Source

FY208 Budget Presentation - March 30, 2017

Non-Public, $1,106 DVHA-VHIE, $4,602 DVHA-HDM, $1,431 DVHA, $6,033

Non-Public DVHA-VHIE DVHA-HDM

DVHA Expense Total Expense

Expense Breakdown (000)

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FY18 Total Expense and Personnel Expense

FY208 Budget Presentation - March 30, 2017 Non-personnel Expense, $3,145

Salary, $2,980 Benefits, $796 Payroll Taxes, $218

Personnel, $3,994

Expense Breakdown (000)

Non-personnel Expense Salary Benefits Payroll Taxes

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FY18 Total and Non-Personnel Expense

FY208 Budget Presentation - March 30, 2017 Personnel Expense, $3,994

Occupancy, $211 Technology, $1,349 Ed+Outreach (3rd Party), $25 HIE Vendor, $1,061 Telecomm , $74 Consult, legal, acctg, $211 Insurance, $105 Travel , $37 Other, $72

Non-Personnel, $3,145

Expense Breakdown (000)

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Year to Year FTE Comparison

FY208 Budget Presentation - March 30, 2017

$1,889 $2,121 $2,834 $3,044 $2,964 $2,880 $2,980 $88.2 $93.6 $90.9 $95.3 $95.3 $91.1 $94.3 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0 $0 $500 $1,000 $1,500 $2,000 $2,500 $3,000 $3,500 FY12 FY13 FY14 FY15 FY16 FY17 FY18

Y-T-Y FTE Comparison ($ in 000)

Base Salaries $ / FTE Full Time Equivalent (FTE)

Salary CAGR FY12 – FY18 1.12%

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Next Steps

• Incorporate the Blueprint for Health scope of work
• Incorporate VDH scope of work
• Adjust budget as necessary to reflect additional scope
• GMCB approval of VITL FY18 publicly funded Budget

and Activities

• Negotiate final price with DVHA
• Finalize contract drafts for submission to CMS by April

10, 2017

• DVHA to receive CMS approval by June 10, 2017
• Parties to execute two contracts by June 30, 2017

FY208 Budget Presentation - March 30, 2017

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Budget Request VITL requests that the GMCB approve its FY2018 publicly funded core activities and $6.0M budget

FY208 Budget Presentation - March 30, 2017

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Questions?

FY208 Budget Presentation - March 30, 2017