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MITA: MANUAL Information Technology Architecture

Friday, February 5, 2016

When CMS released the final specifications for MITA 3.0 I’m sure they never intended for the SS-A or other compliance reports to be completed manually. Certainly the emphasis was on technology and not on manual labor. But, here we are. States pay research firms millions of dollars to come in and evaluate their As-Is condition, set goals for modernization, and determine where they want to be (technically) in the next five years (the To-Be condition). The problem is, the data is useless as soon as it is submitted to CMS. It can’t be used in downstream activities and therefore, A WASTE OF TAXPAYER DOLLARS!

The leading MMIS Research, IV/V, and PMO vendors who are hired to “modernize” the MMIS Enterprise: perform the SS-A; record the data in a simple spreadsheet; charge millions of dollars for the work; and leave the State with no method to use the data in downstream activities. The To-Be condition that the State paid millions for cannot be used in the APD, RFP, Deployment Tracking, or for Certification. Why, you ask? Well, it’s simple. The longer they stay on the job, the more they get paid. If you have to use the data in downstream activities, you have to pay again.

Vendors in the MMIS market spend millions of dollars on fancy booths at trade shows to tout their expertise and yet invest nothing in technology that would make MITA, HITECH, NHSIA, SAMHSA, and other federal guidelines helpful and cost effective.  

It doesn’t make sense that these vendors won’t invest in technology and it doesn’t make any sense for States to use our taxpayer dollars to just go through the motion of seeking Federal approval. It’s like building an airplane out of bricks! It may be pretty but it definitely won’t fly. 

Written by:
Wayne Cooper

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