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Friday, April 6 • 8:00am - 8:45am
States of Implementation Roundtable 7: Universal Data Vision

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Following its strategic plan, the West Virginia Bureau for Medical Services (BMS), a division of the West Virginia Department of Health and Human Resources (WVDHHR), is in the midst of re-aligning its healthcare infrastructure to address the three-part strategic goal of better health, better care, and lower costs. An efficient and effective healthcare system must be built on three inter-related goals:

● Better health: West Virginians can reach improved health and productivity through a renewed focus on addressing the root causes of poor health including lack of preventive care, physical inactivity, and poor nutrition.

● Better care: West Virginians should always get the right care, in the right place, at the right time. Yet, there is widespread agreement that the health care system as currently structured results in both missed opportunities for care and the provision of unnecessary, and sometimes harmful, health care services.

● Lower costs: West Virginia can lower the total cost of health care per person throughout the system –including Medicaid, CHIP, Public Employees Insurance Agency (PEIA), and private insurance – by improving the efficiency of care and reducing waste and duplication.

With the growing availability of health data, West Virginia’s healthcare delivery is moving beyond individual care to population health management. Using technology and analytics, population health management shifts care from immediate treatment to predictive and preventive care. To this end, the Bureau is working toward implementing a Universal Data Vision consisting of comprehensive data structures into which data from many sources can be easily imported. A variety of modules (per CMS2392-F §433.111(h)) will be used to mine the data structures to perform analytics and generate reports, and BMS is in the midst of implementing its first module – a Quality Rating System (QRS) per CMS 2390-F§438.334. A Universal Data Vision facilitates the shift to predictive and preventive care.

Speakers
avatar for Ed Dolly

Ed Dolly

CIO, West Virginia Department of Health and Human Resources
Mr. Dolly has nearly 30 years of IT experience, with over 15 years of health IT experience. Mr. Dolly is a Certified Information Security Systems Professional (CISSP), Project Management Professional (PMP), and currently serves as the State of West Virginia's Coordinator for Health... Read More →
avatar for Nestor V. Figueroa

Nestor V. Figueroa

Principal / Co-Founder, Nagnoi
Over 20 years of experience building Data Analytics solutions for Fortune 500 corporations from a wide variety of industries such as Healthcare, Education, and Government.  Worked for nearly a decade as Principal Consultant in the iAnalytics Group of PricewaterhouseCoopers in New... Read More →
avatar for Bob Osburn

Bob Osburn

Molina Medicaid Solutions, Vice President of Strategic Solutions
With nearly four decades of healthcare experience, Mr. Osburn is highly knowledgeable in healthcare reform initiatives. He has a record of achievement and experience in both the provider and payer sectors while demonstrating proficiencies in establishing vision, enhanced organizational... Read More →
RV

Rodolfo Velasco

Healthcare Solutions Manager, Nagnoi
Mr. Velasco has over 10 years of leadership experience in the healthcare industry across various business areas and segments including Medicare, Medicaid and Commercial. As a Stars Rating Director in a Medicare Advantage (MA) organization managing more than 170,000 MA lives, Rodolfo... Read More →


Friday April 6, 2018 8:00am - 8:45am PDT
Key Ballroom 7-8 & Foyer