california innovation – california dreaming
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California Innovation – California Dreaming
ISM 2013
Agenda
• Overview of the Personal Duress Alarm System (PDAS) project
• Overview of the Case Management Information Payrolling System (CMIPS) II Project
• Questions and discussion
2
MEET THE PANEL
PDAS ProjectDolly MatteucciExecutive Director, Napa State Hospital
California Department of State Hospitals
Jamie MangrumDeputy Director/Chief Information Officer
California Department of State Hospitals
CMIPS II ProjectMichael J. Sylvester IIAssistant Director and Department Chief Information Officer
Los Angeles County Department of Public Social Services
John LoganProject Director, Case Management Information and Payrolling (CMIPS) II Project
California Health and Human Services Agency – Office of Systems Integration
Facilitator: Brian Russon, Microsoft
Personal Duress Alarm System (PDAS) Project
Personal Duress Alarm System (PDAS) Project at
Napa State Hospital
PDAS Project Overview• History & Background• What is the new PDAS?• How does the new PDAS work?• Conclusion
History• Napa State Hospital opened its doors on November 15,
1875 • 136 years old• Napa State Hospital is licensed for 1362 beds
83% are in-house / forensic17% are civil
• There are three Levels of Care (LOC) at Napa State HospitalSkilled Nursing Facility (SNF) Acute Psychiatric Intermediate Care Facility
• Napa State Hospital employs 2300 staff• Napa State Hospital sits on 420 developed acres
History
Background
The objective of the project was to improve safety at NSH and all State Hospitals by implementing a Personal Duress Alarm System (PDAS).
Key Benefits:• Areas within the STA are covered by the alarm system• Incident response times reduced• Immediate notification to responders• Accurate location of incidents anywhere on campus• All employees receive an alarm for signaling alerts
What is the new PDAS?
• The solution is a Real Time Location System (RTLS).
• This PDAS utilizes a Wi-Fi network integrated with the hospital’s existing data network.
• Employees will use a Wi-Fi ID tag they can activate in a duress situation to trigger alerts.
What is the New PDAS?The new PDAS components are:
• Wireless Access Points
• Wireless LAN Controllers
• Location Tracking Server
• Radio-frequency identification (RFID) tags
• Beacons
What is the new PDAS?
• The hospital campus is divided into zones with zone names clearly marked throughout the campus.
• All zones and tags appear on the system monitoring stations.
• When an alert is triggered, the zone where the tag alarm was triggered will appear on tags located in that zone only.
What is the new PDAS?
• The PDAS utilizes maps of the entire hospital campus that are viewed on a monitor screen.
• The ID tags appear on the maps based on the tag wearer’s physical location.
This screenshot shows a portion of a building map that would be viewed by PDAS administrators/dispatch staff. You can see the icons representing different types of staff. The remainder of the building has been erased on screenshots for security reasons.
This screenshot shows a portion of a building map that would be viewed by PDAS administrators/dispatch staff. You can see the icons representing different types of staff. The remainder of the building has been erased on screenshots for security reasons.
Building #
This is a screenshot of a tag event that has been activated. Note the staff member’s image and last name, their location both visually on the map as well as text.
This is a screenshot of a tag event that has been activated. Note the staff member’s image and last name, their location both visually on the map as well as text.
LASTNAME
LASTNAME
LASTNAME
LASTNAME
LASTNAME
LASTNAME
Zone nomenclature
Zone nomenclature
Zone nomenclature
Zone nomenclature
Zone nomenclature
Zone nomenclature
Map #
Map #
Map #
Map #
Map #
Map #
Building #
Building #
Building #
Building #
Building #
Building #
This is a screenshot within the system that shows critical information such as type of staff, location, and PDAS ID tag battery life.
This is a screenshot within the system that shows critical information such as type of staff, location, and PDAS ID tag battery life.
How does the new PDAS work?• When a PDAS tag is pulled, an alert message is sent to
the Location Tracking Server via the Wi-Fi network. • A text message alert and the location information are
delivered to dispatch, security personnel, and other hospital staff.
• The staff member receives an acknowledgement that their call for help has been received.
• The location information that is sent to security personnel and staff corresponds to the mapped zone signs.
Conclusion
• With the new PDAS, staff can trigger a duress alarm from anywhere on campus, and receive help quicker than ever before.
• Responders are able to locate staff with increased accuracy.
• Staff will receive text messages alerting them to nearby staff under duress so bring help.
• PDAS facilitates enhanced response evaluation.• Ultimately, the PDAS has enhanced worker and
patient safety.
CMIPS II Project
Case Management Information and Payrolling System
CMIPS II Project
• Overview of the IHSS Program • Background • Overview of CMIPS II project
Overview of the IHSS ProgramThe In-Home Supportive Services (IHSS) program provides personal care domestic services to aged, blind or disabled individuals in their own homes. The purpose of the program is to allow these individuals to live safely at home rather than in costly and less desirable out-of-home placement facilities.
440,000 IHSS Service Recipients 450,000 IHSS Service ProvidersApproximately $4 billion payroll annually – the state
acts as the payroll agent for recipients
BackgroundCalifornia Office of Systems Integration
(OSI)• Project Management agent on behalf of the California
Department of Social Services (CDSS) for some of California’s largest Human Services automation efforts
CDSS is the project sponsor for theCMIPS II Project
OSI, in partnership with CDSS and the 58 California counties has managed the project from inception to implementation
Background
Complex Stakeholder Relationships• CDSS• 58 California Counties• State and Federal Control Agencies, State Legislature• The County Welfare Directors Association• Labor unions• Advocacy Groups • Insurance companies
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CMIPS II Project Overview
Replaces a 25 year old legacy system
Incorporates New Features: • Standardization of evaluations• Security (roles, permissions)• Enhanced audit ability• Fraud detection and prevention• Case Worker notes• Case management driven by business rules • Centralized, automated timesheet data capture
CMIPS II Project Overview
Unique Integration of Custom Off the Shelf products – Case Management and Payroll – first time tried
CMIPS II System, $432 Million Budget, Incorporates: • System development and integration,• County implementation costs, • Data center costs, • State staffing, • Consultant contracts, • Oversight contracts
CMIPS II Project Overview
Collaboration with Stakeholders
• What Worked WellConsensus build starting at team level, County
Partners, Associations, Customers, Executive Stakeholders
• What didn’t Work so WellUnions, Advocate Groups, Health Benefit
Managers lost focus between design and implementation
CMIPS II Project Overview
Implementation Methods (both good and bad)• Pilots and Waves
Good - trial by fire, feedback loop for improvements, build momentum
Bad - extended schedule, increased risk of change during implementation
• Overlap Approach
Crashed the schedule, starting off with no room for slip
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CMIPS II Project Overview
Training• Classroom• Train the trainer • Webinars
Outreach• Diverse stakeholder groups• Challenges with timely and relevant communications• Challenges ensuring stakeholder buy-in during the life
of the project
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Questions?
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