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New Hampshire poised to return HIX funding

A mandate of President Obama’s Affordable Care Act is on a track to rejection by the New Hampshire legislature, a state famous for its political independence and personal liberty. This is the most recent development in what has become the saga of New Hampshire’s health insurance exchange (HIX) planning. At the heart of the state’s drama are the substantive philosophical and political differences that plague our national dialogue. With an overwhelmingly Republican General Court, and a Democratic governor limited in power by the unanimously Republican Executive Council, the state government has been engulfed in the debate over federal mandates and health care reform.
 
After receiving $1 million in federal funding for HIX planning in 2010, the Democratically-led Department of Insurance released a request for proposals for the HIX Planning Project, and recommended awarding a $610,675 contract to Wakely Consulting. Per state law, the contract went to the Executive Council (five Republicans and the Democratic governor) for approval. After vigorous debate, the council rejected the contract, and the legislature voted to return all but $333,000 in planning funds. Now, even that sum appears to be in jeopardy.
 
The New Hampshire Senate is currently considering passing a measure that would return the remaining planning funds, and all but ensure a federal exchange be established if the ACA remains enacted in its current form. Of course, the impending Supreme Court decision may make this discussion a moot point, and therefore vindicate the judgment of New Hampshire Republicans and their decision to refuse federal HIX funding. In the months ahead, it is likely that many states will examine the concept of a health insurance exchange, independent of the ACA, and determine how to proceed if federal mandates and funding are no longer available.
 

In the meantime, those interested in HIXs should examine Deltek’s recent expert analysis of state action.

Predictive Policing: Improving Police Operations Overview

This week, Deltek released its Predictive Policing: Improving Police Operations report, which provides timely insight into this growing market. Predictive policing technology has emerged at the forefront of the public safety market, and governments are now looking for innovative ways to prevent crime more than ever before.
 
Deltek’s report highlights crime analytics technology solutions that have been implemented in various states and cities across the country, including New York state; Charlotte-Mecklenburg, N.C.; Memphis, Tenn.; and Los Angeles and Santa Cruz, Calif. The report also offers insight into implementation methods, how agencies budget and procure the technology, and how vendors and agencies can form partnerships to determine how a solution can be built to cater to an agency’s needs.
 
Analyst’s Take
 
Smaller departments are still lacking basic tools to facilitate a more proactive approach to crime. Therefore, they are looking to enhance current systems and integrate predictive solutions with existing technologies. Vendors can utilize the report to further understand what makes existing predictive policing solutions successful, and what future developments can be made from its implementation.
 
For a complete look at Deltek's Predicitve Policing report, go here.

LA Office Makes Recommendations To Streamline City’s Operations, Hopes To Reduce Shortfalls

In April, Los Angeles City Administrative Officer Miguel A. Santana submitted a report detailing the City’s budget outlook over the next several years. The report, titled “Four-Year Budget Outlook and Update to the Three-Year Plan to Fiscal Sustainability,” raises the possibility of bankruptcy for the City of Los Angeles in the near future if changes aren’t made, and calls for things such as new taxes, the privatization of certain city services, and potential layoffs to help curb increasing costs.
Overall, the report presents various issues and recommendations on how the City of Los Angeles can achieve fiscal sustainability over the next few years. The report’s intent is to “restore the City’s long-term financial health and sustainability, while continuing to address the most critical needs of residents.”
For the complete analyst perspective, go here.

Florida's New COO Hits Reset Button, Seeks to Repair State's Reputation for IT Turmoil

Deltek was pleased to join TechAmerica for the 2012 edition of “The CIO Speaks: Tech Days in Tallahassee” event. In a format similar to other half-day Deltek state and local events, the morning featured a keynote address by the State of Florida’s new Chief Operating Officer (COO), David Wilkins. He also serves as the Secretary of the Department of Children and Families (DCF). His speech was preceded by a two-hour panel with several agency CIOs who shared their visions with the statewide vendor community.
Wilkins opened his remarks with some elaboration on how DCF intends to overhaul its child protection investigative process with significant use of IT to improve accountability. He is also looking to modernize the case management system, which is too burdensome in its requirements for manual data entry at all points. In regard to mental health services, he’s seeking to implement more management information to improve overall performance.
 
Gov. Rick Scott asked Wilkins to take his experience from DCF and apply it statewide as the state’s first COO.  He is currently touring the agencies to determine what sorts of enterprise initiatives should be undertaken. A key question will be where to house certain initiatives and how to cost share and guarantee return on investment. Human resources systems and strategic sourcing are likely to be two of the highest priority initiatives. Real estate management is also a top target for streamlining.
 
As far as specific IT initiatives go, he is looking at desktop consolidation. CAD consolidation and fleet management are tier two targets for savings.  They are working on the math to prove the savings in each of these cases and invite any assistance on that. Many of the existing systems can’t provide the data they need to get at basic costs metrics for existing processes.
For the complete analyst perspective, go here.

 

Opportunities beyond the portal: The importance of call centers in the insurance exchange initiative

States such as Oregon, Washington, and Nevada, that have either completed or are currently engaged in contracting for their health insurance exchange portal, will have opportunities for vendors to get involved in, particularly with call centers and consumer assistance. These types of contracts are an integral component to the insurance exchange initiative. Customers must be able to navigate through the portals and painlessly seek assistance if problems occur in their purchasing process. Under the Affordable Care Act (ACA), states are required to have toll-free telephone numbers to assist consumers and small employers in all phases of the exchange portal. If consumers are unable to compare and purchase plans with ease, meaningful use (a term coined by David Blumenthal) will be at stake. For that, states realize the importance of consumer assistance in their exchange initiatives.
 
Numerous states have expressed interest in contracting for insurance exchange call centers, including the following: Missouri, West Virginia, Nevada, Kentucky, Ohio, IllinoisWashington, CaliforniaIdaho, Maryland, Tennessee, Arkansas, Arizona, District of Columbia, Oregon, Pennsylvania, Rhode Island, and Delaware.
 
To learn more about insurance exchanges, download a copy of Deltek’s recent report, “Evolving Health Insurance Exchanges,” here. As always, be sure to follow Deltek’s Health Care and Social Services team on Twitter @GovWin_HHS and LinkedIn to get expert analysis of health IT initiatives across state and local government entities

National Public Safety Telecommunicators Week: Dispatch Technologies

This time last year, Deltek Analyst Kristin Howe blogged about technologies that allow public safety telecommunicators to do their jobs at the highest level. Technologies detailed included 911 systems, computer-aided dispatch (CAD) systems, records management systems (RMS), geographic information systems (GIS), and automatic vehicle location (AVL) systems. All of these technologies play vital roles in public safety telecommunications, but major changes underway for 911 systems are sure to change the face of public safety.

 

Next generation 911 (NG911) is the next advancement in 911 technology. When using a basic 911 system, dispatchers do not have access to the phone number or location from which someone is calling; therefore, they must use a radio system to alert the appropriate emergency responders. Enhanced 911 routes the call to the closest public safety answering point (PSAP), where the dispatcher has automatic access to the caller's phone number and location. NG911 is a technology that upgrades or updates 911 calling services to be able to handle more than just voice calls. With the added capability of NG911 at PSAPs, dispatchers will have the ability to receive text messages, videos and pictures.

 

The National Emergency Number Association (NENA) identified the need to advance 911 systems in 2000, and has been working on developing requirements, standards, and information for NG911 ever since. Currently, NENA estimates NG911 standards and requirements will be completed by Q4 2012. Without standards, it is hard for NG911 to really take off because governments cannot write specifications for the technology, and vendors cannot develop a system that is NG911-compliant. Despite the current lack of formal standards, NG911 is desired by governments that want to upgrade or replace their antiquated systems and reap the highly-touted benefits of next generation technology.

 

Deltek Analyst Evan Halperin recently authored a report on the NG911 market that covers the key similarities and differences between NG911 projects at the state and local levels. In addition, the report delves into the Deltek database and provides further insight into the differences between state and local projects. Further, the report includes analysis surrounding the budget and financing for NG911 projects, a vendor landscape overview, and related grant information.

 

Analyst’s Take

 

Dispatch technologies allow public safety telecommunicators to do their job, and the biggest change to their array of technologies in the near future will most likely be next generation 911. It will open up the doors for telecommunicators to receive more forms of media such as video, texts, and pictures. That ability will be priceless for public safety agencies in times of emergency and crisis. Once requirements and standards are fully developed, and funding is granted for NG911, agencies will pursue the technology more aggressively. However, just because standards and requirements are not complete does not mean agencies aren’t pursuing NG911 yet. Deltek is currently tracking more than 50 state and local government NG911 projects. Deltek is also tracking nearly 300 dispatch technology projects.

 

Of the more than 300 active dispatch projects Deltek is tracking, more than half of them are related to CAD systems, which makes it the most popular dispatch technology governments are seeking. There are roughly 180 active CAD-related projects in Deltek’s database. Localities are responsible for about 150 of those projects, with a total estimated value of approximately $580 million, or around $4 million a project. There are roughly 30 active state government CAD-related opportunities with a total estimated value of $250 million, or about $8 million a project. State government CAD projects are worth double the amount of local government projects because of their increased size and demand. Vendors may need to decide if it is worth putting the majority of their effort into a state government project, or if it is worth pursuing multiple local government opportunities to reach the same potential value.

Kansas’ KLER System: improving agency reporting

The Kansas Highway Patrol (KHP) developed the Kansas Law Enforcement Reporting (KLER) system, an integrated data solution combining field reporting, records management, electronic ticketing and court management functionalities. The main goal behind its development is to provide local law enforcement agencies with information-sharing capabilities for the electronic submission of reports.

 

KLER is a customized application that allows law enforcement agencies to share information electronically and complete reports more efficiently, as many local departments lack electronic reporting technology and don’t have the budgetary means to obtain it. The KLER system allows all agencies across the state to access the system at little to no cost. The system will be free for local police departments for two years, followed by a small annual fee for concurrent licenses. The system was initially used as part of a program for obtaining crash reporting data across the state, and has since expanded with the addition of three software components provided through vendor partnerships. 

 

Analyst’s Take

 

The ability to share data across departments has become more prevalent as departments seek to be more proactive in providing safer and smarter public safety measures. As agencies look to make their current solutions better with fewer resources, it is likely that they will be looking to develop their own integrated data solutions. Vendors looking to get into the public safety market should keep an eye on the need for integrated data solutions as they may offer an opportunity to partner with existing technology providers.

 

 

National Public Safety Telecommunicators Week: PSAP Consolidation

Despite National Public Safety Telecommunicators Week coming to a close, one thing that will remain open is the consideration of public safety answering point (PSAP) consolidation. As many state and local governments continue to struggle with growing deficits and no way to close their budget gaps, legislators must look at all aspects of their government to determine where costs can be cut. Governments, big and small, manage their own 9-1-1 dispatch centers that require manpower, up-to-date dispatching software, and proper funding for maintenance. These costs, along with the pressure to find funds to pay for necessary services, lead many localities to consider dispatch consolidation.

 

In short, dispatch consolidation requires several towns or cities in a close geographic proximity to develop a partnership (which usually requires memoranda of understanding [MOUs]) by which costs can be divided, and the savings for each locality will increase over time. The reasons for these types of consolidations are typically cost-related. Oftentimes, a locality does not have the funds to upgrade its obsolete computer aided dispatch system, or even to run the dispatch center altogether. While the cost benefits of consolidation can be significant over time, the initial hurdles to move toward consolidation are often difficult to navigate. There are typically many individuals or towns that are opposed to consolidation, which makes the task more difficult. Other times, the consolidation process could be smooth, but when new facility is up and running, it fails. This leaves a trail of wasted time and tax dollars, in addition to a loss of trust in government.

 

Within the Deltek database, we are tracking a number of consolidated dispatch projects, many of which started with a dispatch study. Western Springs, Illinois, issued a formal solicitation for a consolidation study for the possibility of developing a shared facility. Western Springs, La Grange and La Grange Park are interested in possibly sharing costs and equipment in a single dispatch center. While many consolidation projects bring together small cities within a county into a single dispatch facility, oftentimes even smaller towns require a similar task because one locality – as in this case with La Grange Park – does not operate with a computer aided dispatch/records management system (CAD/RMS), or cannot afford to upgrade its existing system. It is important for vendors providing implementation equipment to work with agencies and ensure that the localities are able to handle the added burden of covering a larger area with more citizens.

 

Analyst’s Take:

 

While PSAP consolidation is something that many state-level agencies are requiring of their smaller localities, there is always going to be resistance among government officials and taxpaying citizens. It is important for all towns, cities and counties involved to ensure that a well-thought-out plan is developed, ideally by a professional consultant who can provide a variety of cost and technical details. Reducing the number of PSAP locations, even by just a few in more scarcely populated areas, could increase those dispatch facilities’ ability to upgrade to newer technologies in the future, such as next generation 911 (NG911). Vendors must be cautious when providing their reports to local governments, as those agencies may not be as enthusiastic about consolidation, and will need strong convincing.

 

Subscribers have access to the full article, here

National Child Abuse Prevention Month - Oregon

April brings the observance of National Child Abuse Prevention Month. As such, Deltek’s Health Care and Social Services team saw this as the perfect opportunity to highlight child welfare reform initiatives occurring nationwide. Stay tuned for related blogs throughout the month!
Deltek kicked off National Child Abuse Prevention month with a look at Oklahoma and Nebraska. Another state in the news – unfortunately,not for the best reasons – is Oregon. The Oregon Department of Human Services’ new child welfare system, OrKids, has suffered serious glitches over the past few months. The $40 million computer upgrade combined seven legacy computer systems in one, Web-based system, partially paid for by federal dollars. Although administration has stated these glitches have not put children in danger, local leaders have cited cases were DHS contracts are backlogged to community services providers, and caseworkers are finding it difficult to use the system. Another issue is the system’s lack of ability to pull together reports that show how the child welfare system is functioning. Surprisingly, the system remains on budget as the current vendor works with the state to fix these issues.
In the news, it seems like only health and human services agencies are reported as installing broken and failing large-scale systems, but it’s actually happening across many verticals. It makes sense, though. If a company implements a new email system that fails, workers simply cannot access emails for a short period of time. If a human services agency fails even one family with a computer glitch, children can go hungry, or abuse can occur.
More and more, states are taking the incremental approach to system upgrades, even if on paper it may seem to take longer. Having a well-tested product in place with training along the way seems much more efficient than the chance of a major overhaul backfiring. Many states have unfortunately found themselves in a position where lack of training and glitches mean caseworkers remain on the legacy system (or choose to use the legacy system) as errors occur in the new, expensive system.
Deltek subscribers can check out the Child Welfare Vertical Profile for a closer look at child welfare programs on a state-by-state basis. Make sure to follow us on Twitter @GovWin_HHS and  LinkedIn to be the first to get updates on the latest from the Deltek Health Care and Social Services team!

NIGP and CIPS Lead Collaborative Effort to Develop Principles and Practices for Public Procurement

Guest blog by Candace L. Riddle, Standards of Practice Manager at NIGP: The Institute for Public Procurement.
 
In late March 2012, NIGP: The Institute for Public Procurement and the UK Chartered Institute of Purchasing and Supply (CIPS) jointly announced the release of 10 Global Public Procurement Practices. As part of a larger shared initiative to define and formalize global professional standards for government procurement officials, these 10 standard practices provide high-level guidance across the following procurement activities: Strategic Procurement Planning; Performance Management; Performance Measurement; Performance Metrics; Use of Cooperative Contracts; Transparency; Risk Management; Ethical Procurement; Development of a Procurement Policy Manual; and Performance-Based Contracting.
 
Public entities at all levels of government perform many of the same procurement activities, yet their methodologies and outcomes differ as each entity’s practices have been defined based on their unique operating environments.  With a reference of formalized standard practices, established through the collaboration of public sector professionals around the world, agencies will have an authoritative resource that defines professional standards of practice across critical public procurement functions.
 
As political leaders draw increasing scrutiny and voter pressure to demonstrate fiscal responsibility, procurement professionals must ensure that they maximize the value of every tax dollar.  U.S. governments spend a combined 7 trillion dollars, Canadian governments spend 360 billion dollars, and U.K. governments spend more than 500 billion pounds. Consistent and professional procurement practices across governments can positively impact the effective expenditure of public funds.
 
The Practices for Public Procurement are founded upon the Values of Public Procurement necessary to preserve the public trust, protect the public interest, and ensure fairness for the public good. Those values are: Accountability, Ethics, Impartiality, Professionalism, Service, and Transparency. To date, the Values and Guiding Principles have garnered the support of more than 100 organizations globally.
 
NIGP and CIPS will continue to jointly develop and release additional practices while maintaining an ongoing review process to ensure that the body of practices remains relevant and supports the needs of government procurement practitioners over time. Public procurement professionals, stakeholders (e.g. government accountants, vendors), and the public are invited to join in the development process through commenting on the practices as they are released.
 
If you would like more information on the project or information on how to get involved, you may contact Candace Riddle, NIGP Standards Manager at criddle@nigp.org

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