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

Vermont Information Technology Leaders, Inc. FY2018 Budget Review March 30, 2017 1

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 2

FY18 Scope of Work - Steady State 3

FY18 Work Scope – Steady State • VT Health Information Exchange (VHIE) Components o Infrastructure o Message processing and delivery o Services (VITLAccess, VITLDirect, etc.) • Connectivity o Inbound and outbound interfaces o Gateways • Health Data Management (HDM) o Infrastructure o Data quality ▪ Limited data quality report ▪ Data quality dashboards ▪ Terminology Services ▪ Natural Language Processing o Specialized interfaces (Immunizations) o ACO data marts FY208 Budget Presentation - March 30, 2017 4

FY18 Work Scope – Steady State • VITLAccess Implementation Projections o 3 Hospitals o 2 Large multi-site practices o 2-3 Small multi-site practices o 20 Independent provider (nursing homes, mental health, etc.) • Security o Network protection and monitoring o Annual National Institute of Standards and Technology (NIST) security assessment o Audits • Blueprint for Health Data Quality Sprints – Awaiting Scope of Work • Technical Support o Connectivity maintenance o Client support for VITL services FY208 Budget Presentation - March 30, 2017 5

FY18 Work Scope – Steady State • VT Department of Health – Awaiting Scope of Work o Immunization validation • Network to Network o One VHIE connection to external network • Corporate Administration FY208 Budget Presentation - March 30, 2017 6

FY18 Out of Scope 7

Out of FY18 Scope • Data aggregation – limited increase beyond 62% o Interface acceleration o Limited results delivery o Limited remediation • VITLAccess o Limited expansion • Health Data Management (HDM) Infrastructure Improvements o All-Payer ACO Model Technology Infrastructure • Data Quality o Dashboard expansion o Terminology expansion o Data extraction tools FY208 Budget Presentation - March 30, 2017 8

Out of FY18 Scope • Network to network connections (limited to 1) • VT Department of Health • No automation improvements • Outreach o Summit o No provider education o No patient awareness o Limited stakeholder engagement/feedback • 42 CFR Part 2 (Substance Abuse Programs data) FY208 Budget Presentation - March 30, 2017 9

FY18 Budget Methodology 10

VITL FY18 Budget Methodology GMCB Price Costed Work Packages Labor by Hours and Non Labor FTEs Technology Infrastructure Defined Scope of Work Technical VHIE HDM Connectivity Security Services Support SOV Steady State Functions FY208 Budget Presentation - March 30, 2017 11

FY18 Assumptions 12

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 13

FY18 Budget 14

FY18 Ongoing Cost Drivers Funding Source Use DVHA VHIE and HDM Steady State plus 20% - 40% ongoing maintenance and support • Interface Acceleration VHCIP / SIM • Home Health (one-time • Telehealth projects) • ACO Gap Analysis & Remediation • ACO Gateways 20-40% • Terminology Services • Event Notification Services APD Project-specific development • VITLAccess Onboarding (one-time 20-40% • Data Quality projects) • Provider Health IT Survey • Interface Acceleration FY208 Budget Presentation - March 30, 2017 15

Year to Year Expense Comparison Expenses (000) $8,000 $7,292 $7,139 $6,999 $6,766 $7,000 $6,000 $5,000 $4,000 $3,000 $2,000 $1,000 $0 FY15 Actual FY16 Actual FY17 Projected FY18 Projected Total Salaries Benefits Occupancy Technology Ed+Outreach (3rd Party) HIE Vendor Telecomm Consult, legal, acctg Insurance Travel Other FY208 Budget Presentation - March 30, 2017 16

FY18 Expense by Funding Source Expense Breakdown (000) Total Expense DVHA Expense DVHA-VHIE, $4,602 Non-Public, DVHA, $6,033 $1,106 DVHA-HDM, $1,431 Non-Public DVHA-VHIE DVHA-HDM FY208 Budget Presentation - March 30, 2017 17

FY18 Total Expense and Personnel Expense Expense Breakdown (000) Salary, $2,980 Non-personnel Personnel, Expense, $3,145 $3,994 Benefits, $796 Payroll Taxes, $218 Non-personnel Expense Salary Benefits Payroll Taxes FY208 Budget Presentation - March 30, 2017 18

FY18 Total and Non-Personnel Expense Expense Breakdown (000) Ed+Outreach (3rd Party), $25 HIE Vendor, $1,061 Personnel Technology, $1,349 Expense, $3,994 Non-Personnel, $3,145 Telecomm , $74 Consult, legal, acctg, $211 Insurance, $105 Occupancy, $211 Travel , $37 Other, $72 FY208 Budget Presentation - March 30, 2017 19

Year to Year FTE Comparison Y-T-Y FTE Comparison ($ in 000) $3,500 50.0 $3,044 45.0 $2,980 $2,964 $3,000 $2,880 $2,834 40.0 $2,500 35.0 $2,121 30.0 $2,000 $1,889 Salary 25.0 CAGR $1,500 FY12 – FY18 20.0 1.12% 15.0 $1,000 10.0 $500 5.0 $93.6 $90.9 $95.3 $95.3 $91.1 $94.3 $88.2 $0 0.0 FY12 FY13 FY14 FY15 FY16 FY17 FY18 Base Salaries $ / FTE Full Time Equivalent (FTE) FY208 Budget Presentation - March 30, 2017 20

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 21

Budget Request VITL requests that the GMCB approve its FY2018 publicly funded core activities and $6.0M budget FY208 Budget Presentation - March 30, 2017 22

Questions? FY208 Budget Presentation - March 30, 2017 23