Stewards of Change Institute
11th Annual National Symposium
June 13 – 14, 2016
#SOCI16
Innovation Showcase: Surmounting
Challenges in Health and Human Services
Moderator:
Gerry Pape, Senior Consultant, Stewards of Change
The Golden HHS Record:
Herb Quinde, Public Sector Director, US Dynamics , Microsoft
Maureen Ellenberger, Director, Veterans Relationship
Management at US Department of Veteran Affair (retired)
The Skinny on Agile:
Mike Wirth, Chief Architect, State Health and Human Service
Systems, CGI
James Payne, Judge (retired); Subject Matter Expert, Public
Consulting Group
The Quest for
the HHS Golden
Record
Herb Quinde – Microsoft Public Sector Director
Maureen Ellenberger - Veterans Relationship
Management at US Department of Veteran
Affair (retired)
• Microsoft County of Mecklenburg, NC Video
https://www.youtube.com/watch?v=7IZVLn2umQ0
Survey Question:
What is the one thing
that would improve
your social services
experience?
Answer:
Knowing who I am
when I call or visit an
office.
The Challenge in Service Delivery and Improved Outcomes
Human Services
Care Domain
Healthcare
Domain
Primary Care teams
Surgeons
Administration
Emergency
NursingOncology
Teachers
Family
Counselors
Pharmacy
Recipients
Community
Human Services
Care Domain
Medical Care
Domain
Primary Care teams
Surgeons
Administration
Emergency
NursingOncology
Teachers
Family
Counselors
Pharmacy
Community
Integrated Care
Domains
Primary
Care teams
Surgeons
Administration
Emergency
Nursing
Oncology
Teachers
Family
Counseling
Pharmacy
Community
No Wrong Door – Person-centric - "Golden Record"
Recipients
HHS
Golden
Record
Basic Data Elements Needed:
 Identity Validated (MPI)
 Demographic Information
 Enrollment Summary
 Programs Summary
 Services Summary
 Low Code App Dev – CRM/BPM
 = Data Liberation
A Sample Golden Record
10
11
A Sample Golden Record
12
13
Digital Transformation: Data-driven outcomes with reduced integration leveraging cloud and mobile
Dynamic and Integrated
Case Management
Recipient 360
LeadersCitizensWorkers
Rules Engine and
Workflow
Management
Single view of the
Citizen/Resident
Data-driven
Analytics
Rational
Document
Management
Cross Program
Collaboration
Customer
Engagement
Centers
$
Fraud, Waste,
Abuse Monitoring
$
• Make it easier for citizens
to engage with your
agency and services
• Empower agencies to
improve services with
direct citizen feedback
and key insights
• Provide secure citizen
centric information across
departmental agencies in
an applicable context
• Stop customizing core
systems and start
surfacing information in
an efficient, seamless, and
cost effective way
Being more responsive
Citizen 360° - The Data Continuum
A Vision for
State and Local Government
HHS
eGov JPS
Data Asset Data Asset Data Asset
The future is today
Dynamics Health
Dartmouth Hitchcock
Hospital Center Video
https://www.youtube.com/watch?v=x1XARd8Xo7M
Veterans Relationship Management
US Department of Veteran Affair (retired)
Common
Health Benefits
Memorials
Integration
Function
Authoritative
Data Core and
Associated Services
Military
Service
History
Identity
Demo-
graphic &
Socio-
Economic
Contact
ENTERPRISE BUSINESS
AND DATA INTEGRATION
Policy and
Governance
Institutionalizing enterprise capabilities to
enable VA to operate as one unified organization
Establish an
Enterprise
Business and
Data
Integration
function to drive
enterprise
capabilities
and outcomes
Institute VA-wide
policy, governance,
and procedures to
enable enterprise
business and data
integration
Authoritative
Data Core and
associated
services
THANK YOU
Questions:
Herb Quinde, Public Sector Director
herbertq@microsoft.com
Mobile: 703-864-6000
Maureen Ellenberger
melle2007@gmail.com
© CGI Group Inc. 2013
Stewards of Change
June 2016
Agile for Government
Separating myth from reality
IT Projects: The problem with the status quo
11%
Succeed
89%
Challenged or
completely failed
22
IT projects using waterfall approach
Standish Group – CHAOS Reports
$250b
Annual IT spend in
the United States
60%
Projects that
experience cost
overruns
29%
Projects that are
cancelled before
completion
189%
Average cost
overrun against
original budget
Agile methodology vs. waterfall
Iteration 1 Iteration 2 …is what agile
delivers
What you asked for
What waterfall
delivers
Miscommunication using waterfall:
Miscommunication using agile:
What you asked for or exceeds…
23
Lessons from Indiana's New
Statewide System- MaGIK
• Highest Level
• Vision / Goals
• Few Direct Reports
• Continuity -- Documentation
• Report Up
• Resolve Conflict
• Procurement
www.pcghumanservices.com | Stewards of Change 24
Since we are constantly adapting to change, agile means
we don’t have a plan
Agile projects are difficult to manage, because agile
methodology lacks structure
Agile doesn’t produce documentation, so there’s less
accountability for satisfying requirements
Common myths about going agile
25
There isn’t a government contract model that works
for procuring agile projects
1
2
3
4
Myth
Since we are constantly adapting to change,
agile means we don’t have a plan
1
Strategic
Planning
Project
Planning
Modular
Planning
Iteration
Planning
Daily
Planning
Planning in agile methodology
Strategic & Project Planning:
Agile doesn’t replace strategic planning, nor does it
replace project management methodologies (such as
P.M.I)
Modular Planning:
Agile seeks to take big IT projects and break them down
into smaller pieces. Modular planning organizes a big IT
project into functional modules that can provide stand-
alone business value.
Iteration Planning:
In agile, each module is built over a series of iterations.
Iteration plans are continuously refined in collaboration
with the business. Feedback is provided after each
iteration.
Daily Planning:
Planned work is tracked on a daily basis and shared with
stakeholders to promote transparency.
27
Agile projects are difficult to manage, because
agile methodology lacks structure
Agile projects are difficult to manage, because
agile methodology lacks structure
Myth 2
29
Organizing Agile Projects
Agile projects are difficult to manage, because
agile methodology lacks structure
Agile doesn’t produce documentation
Myth 3
Documentation using agile
Agile also introduces documents (or artifacts) that provide greater flexibility
and transparency.
31
Design Document vs. Product Backlog
• In agile, product backlogs replace unwieldy design
documents
• Product backlogs are easier to manage, enable
response to change, and capture more granular
acceptance criteria
Status Report vs. Burndown Chart
• In agile, burndown charts often supplement
the traditional status report
• Burndown charts provide greater
transparency into actual development
progress
Agile projects are difficult to manage, because
agile methodology lacks structure
There isn’t a government contract model that
works for procuring agile projects
Myth 4
Procurement Example: Integrated Solution
Module A
Project Planning
B C D E
Strategic
Planning
Umbrella Contract (IDIQ)
Task Order 1 T.O. 2 T.O. 3 T.O. 4 T.O. N
Task Order 1
Iteration 1
2
3
N
Fixed Price Component
Contingency (10-20%)
Deliverable 1
Deliverable 2
Deliverable 3
Deliverable N
Sprints
D
DI
$Y Fixed Price
$Y x Contingency %
$ Total Task Order
+
RFP
Comments?
Interoperability into the Future:
Recommendations for the Next Administration
Facilitators & Moderator:
o SOC Institute Consultants & Affiliates
o Faculty from Johns Hopkins Bloomberg
School of Public
o Health and Medicine, Federal, State, Local
Governments
o National Associations, Philanthropy,
Industry Partners
o Academia, Nonprofits
Poster Report Outs & Symposium
Closing

SOCI 11 - Day Two - Tuesday Afternoon - June 14, 2016

  • 1.
    Stewards of ChangeInstitute 11th Annual National Symposium June 13 – 14, 2016 #SOCI16
  • 3.
    Innovation Showcase: Surmounting Challengesin Health and Human Services Moderator: Gerry Pape, Senior Consultant, Stewards of Change The Golden HHS Record: Herb Quinde, Public Sector Director, US Dynamics , Microsoft Maureen Ellenberger, Director, Veterans Relationship Management at US Department of Veteran Affair (retired) The Skinny on Agile: Mike Wirth, Chief Architect, State Health and Human Service Systems, CGI James Payne, Judge (retired); Subject Matter Expert, Public Consulting Group
  • 4.
    The Quest for theHHS Golden Record Herb Quinde – Microsoft Public Sector Director Maureen Ellenberger - Veterans Relationship Management at US Department of Veteran Affair (retired)
  • 5.
    • Microsoft Countyof Mecklenburg, NC Video https://www.youtube.com/watch?v=7IZVLn2umQ0
  • 6.
    Survey Question: What isthe one thing that would improve your social services experience? Answer: Knowing who I am when I call or visit an office.
  • 7.
    The Challenge inService Delivery and Improved Outcomes Human Services Care Domain Healthcare Domain Primary Care teams Surgeons Administration Emergency NursingOncology Teachers Family Counselors Pharmacy Recipients Community
  • 8.
    Human Services Care Domain MedicalCare Domain Primary Care teams Surgeons Administration Emergency NursingOncology Teachers Family Counselors Pharmacy Community Integrated Care Domains Primary Care teams Surgeons Administration Emergency Nursing Oncology Teachers Family Counseling Pharmacy Community No Wrong Door – Person-centric - "Golden Record" Recipients
  • 9.
    HHS Golden Record Basic Data ElementsNeeded:  Identity Validated (MPI)  Demographic Information  Enrollment Summary  Programs Summary  Services Summary  Low Code App Dev – CRM/BPM  = Data Liberation
  • 10.
    A Sample GoldenRecord 10
  • 11.
  • 12.
    A Sample GoldenRecord 12
  • 13.
    13 Digital Transformation: Data-drivenoutcomes with reduced integration leveraging cloud and mobile Dynamic and Integrated Case Management Recipient 360 LeadersCitizensWorkers Rules Engine and Workflow Management Single view of the Citizen/Resident Data-driven Analytics Rational Document Management Cross Program Collaboration Customer Engagement Centers $ Fraud, Waste, Abuse Monitoring $ • Make it easier for citizens to engage with your agency and services • Empower agencies to improve services with direct citizen feedback and key insights • Provide secure citizen centric information across departmental agencies in an applicable context • Stop customizing core systems and start surfacing information in an efficient, seamless, and cost effective way Being more responsive
  • 14.
    Citizen 360° -The Data Continuum A Vision for State and Local Government HHS eGov JPS Data Asset Data Asset Data Asset
  • 15.
    The future istoday Dynamics Health Dartmouth Hitchcock Hospital Center Video https://www.youtube.com/watch?v=x1XARd8Xo7M
  • 16.
    Veterans Relationship Management USDepartment of Veteran Affair (retired)
  • 17.
  • 18.
    Integration Function Authoritative Data Core and AssociatedServices Military Service History Identity Demo- graphic & Socio- Economic Contact ENTERPRISE BUSINESS AND DATA INTEGRATION Policy and Governance Institutionalizing enterprise capabilities to enable VA to operate as one unified organization Establish an Enterprise Business and Data Integration function to drive enterprise capabilities and outcomes Institute VA-wide policy, governance, and procedures to enable enterprise business and data integration Authoritative Data Core and associated services
  • 20.
    THANK YOU Questions: Herb Quinde,Public Sector Director herbertq@microsoft.com Mobile: 703-864-6000 Maureen Ellenberger melle2007@gmail.com
  • 21.
    © CGI GroupInc. 2013 Stewards of Change June 2016 Agile for Government Separating myth from reality
  • 22.
    IT Projects: Theproblem with the status quo 11% Succeed 89% Challenged or completely failed 22 IT projects using waterfall approach Standish Group – CHAOS Reports $250b Annual IT spend in the United States 60% Projects that experience cost overruns 29% Projects that are cancelled before completion 189% Average cost overrun against original budget
  • 23.
    Agile methodology vs.waterfall Iteration 1 Iteration 2 …is what agile delivers What you asked for What waterfall delivers Miscommunication using waterfall: Miscommunication using agile: What you asked for or exceeds… 23
  • 24.
    Lessons from Indiana'sNew Statewide System- MaGIK • Highest Level • Vision / Goals • Few Direct Reports • Continuity -- Documentation • Report Up • Resolve Conflict • Procurement www.pcghumanservices.com | Stewards of Change 24
  • 25.
    Since we areconstantly adapting to change, agile means we don’t have a plan Agile projects are difficult to manage, because agile methodology lacks structure Agile doesn’t produce documentation, so there’s less accountability for satisfying requirements Common myths about going agile 25 There isn’t a government contract model that works for procuring agile projects 1 2 3 4
  • 26.
    Myth Since we areconstantly adapting to change, agile means we don’t have a plan 1
  • 27.
    Strategic Planning Project Planning Modular Planning Iteration Planning Daily Planning Planning in agilemethodology Strategic & Project Planning: Agile doesn’t replace strategic planning, nor does it replace project management methodologies (such as P.M.I) Modular Planning: Agile seeks to take big IT projects and break them down into smaller pieces. Modular planning organizes a big IT project into functional modules that can provide stand- alone business value. Iteration Planning: In agile, each module is built over a series of iterations. Iteration plans are continuously refined in collaboration with the business. Feedback is provided after each iteration. Daily Planning: Planned work is tracked on a daily basis and shared with stakeholders to promote transparency. 27
  • 28.
    Agile projects aredifficult to manage, because agile methodology lacks structure Agile projects are difficult to manage, because agile methodology lacks structure Myth 2
  • 29.
  • 30.
    Agile projects aredifficult to manage, because agile methodology lacks structure Agile doesn’t produce documentation Myth 3
  • 31.
    Documentation using agile Agilealso introduces documents (or artifacts) that provide greater flexibility and transparency. 31 Design Document vs. Product Backlog • In agile, product backlogs replace unwieldy design documents • Product backlogs are easier to manage, enable response to change, and capture more granular acceptance criteria Status Report vs. Burndown Chart • In agile, burndown charts often supplement the traditional status report • Burndown charts provide greater transparency into actual development progress
  • 32.
    Agile projects aredifficult to manage, because agile methodology lacks structure There isn’t a government contract model that works for procuring agile projects Myth 4
  • 33.
    Procurement Example: IntegratedSolution Module A Project Planning B C D E Strategic Planning Umbrella Contract (IDIQ) Task Order 1 T.O. 2 T.O. 3 T.O. 4 T.O. N Task Order 1 Iteration 1 2 3 N Fixed Price Component Contingency (10-20%) Deliverable 1 Deliverable 2 Deliverable 3 Deliverable N Sprints D DI $Y Fixed Price $Y x Contingency % $ Total Task Order + RFP
  • 34.
  • 35.
    Interoperability into theFuture: Recommendations for the Next Administration Facilitators & Moderator: o SOC Institute Consultants & Affiliates o Faculty from Johns Hopkins Bloomberg School of Public o Health and Medicine, Federal, State, Local Governments o National Associations, Philanthropy, Industry Partners o Academia, Nonprofits
  • 37.
    Poster Report Outs& Symposium Closing