Transmittal Letter (rfp 1)

Assigned Project Staff (RFP 4.2.5.4)

Project Team Roles and Experience

John Thurman is FOX’s Director of Consulting Services and an MMIS and HIPAA subject matter expert. He has 30 years of information technology experience that includes significant project management experience on complex mainframe, client server, and web-enabled applications. This experience includes utilizing translator software for the creation of a paperless claim processing, case management, disease management and the provider authorization process for an HMO. He has 21 years of health care systems and operations experience, which encompasses experience as a Chief Information Officer with hospitals, teaching medical centers, provider practices, HMOs, State Government, and clearinghouses. Mr. Thurman’s responsibilities have included evaluation of business systems and software; analysis and review of business processes, procedures, policies, legislation, budgets, and contracts; workflow and process analysis, both within and between organizations; and the development of business impact analysis reports, risk management plans, contingency plans, gap analyses, risk analyses, and feasibility studies.

Mr. Dahlen is a solutions-oriented Project Manager with a proven record of effectively managing management information resources demonstrated through 20 years of combining cross-functional, cross-technology experience in the design, staffing, budgeting and delivery of advanced systems and applications. He has extensive knowledge and success in developing and integrating technologies to support a broad range of operating, financial and organizational needs. He also is proficient in formulating a strategic vision and providing tactical implementation for enterprise infrastructure. Mr. Dahlen has a strong background collaborating between technical staff, internal/external customers and contractors, as well as facilitating clear communication. He is a skilled manager and motivator, able to direct multiple tasks effectively and master innovative software and tools. Mr. Dahlen also identifies problems in the initial stages of projects and can execute quick, effective resolutions.

Ms. Klein is a Project Management Professional (PMP) with over 30 years of experience in the healthcare industry. As a FOX HIPPA specialist for government agencies, she has coordinated activities to comply with HIPAA requirements and analyzed system requirements and business practices to ensure continuity of remediation efforts. Prior to joining FOX, Ms. Klein was the HIPAA Project Manager for the Montana Department of Public Health and Human Services. She is considered a national HIPAA expert and served as National Medicaid representative to the ASC X12N standards setting committee and several other national committees. She provided frequent testimony and national presentations regarding Medicaid preparation for HIPAA compliance and has also been responsible for all aspects of HIPAA privacy compliance, having served as the HIPAA Privacy Officer for the Department of Public Health and Human Services. Ms. Klein has worked with numerous state and county agencies in assessing and remediation of systems to implement the HIPAA transactions and code sets.

Dr. Harris-Salamone is a Senior Consultant specializing in covered entity, privacy, security, and policy and procedure analyses for public and private healthcare organizations. She has developed many HIPAA training programs and materials and has provided training to many state agencies. Her expertise includes organizational learning, change and development, and group dynamics. Her medical informatics background, coupled with degrees in Higher and Continuing Education, Public Administration, and Psychology, gives her a unique perspective on the organizational aspects of change and development as healthcare organizations strive to implement the HIPAA rules and regulations. She has conducted evaluation research related to rural health care issues with regard to telemedicine, electronic medical records, and the use of the Internet by elderly for health care. She contributes this expertise to the American Medical Informatics Association (AMIA), where she is an active member and currently serves as the incoming Chair for the People and Organizational Issues (POI) Working Group. AMIA is a nonprofit 501(c)(3) organization dedicated to developing and using information technologies to improve health care. The POI working group is dedicated to studying the concepts revolving around human technologies, cultural issues, cultural change, organizational and human engineering.

As an NPI subject matter expert (SME), Dr. Harris-Salamone will conduct interviews and analyze Medicaid policies and business processes for NPI gaps and impacts. She will work with the technical experts to ensure system remediation is coordinated and complimented with the remediation efforts for policies and business processes. Dr. Harris-Salamone will lead the development for the Medicaid Policies and Business Process deliverables.

Jacob Thomas, NPI and MMIS Subject Matter Expert

Tenure with FOX: 2 years, 3 months

Mr. Thomas possesses a unique ability to understand complex business rules and has a solid knowledge of TSO/ISPF, JCL, COBOL II, CICS, DB2, SQL, VSAM and other mainframe, AS/400 and PC based tools and software. He also has experience with packaged vendor software installation and support including McKesson HBOC’s ClaimCheck/ClaimReview, and with HIPAA 837 transactions and code sets, including forward and backward mapping. Mr. Thomas has excellent interpersonal communication skills and is capable of handling client’s requirements and discrepancies on a deadline. He is also skilled at working collaboratively with team members to achieve common goals while maintaining responsibilities and commitments, and works efficiently in both team and independent environments. Mr. Jacobs also has recent experience as a member of the Noridian project team that is implementing the MMIS system for the IME. Consequently, he is very familiar with the Iowa MMIS.

Mr. Kumar has extensive experience analyzing existing information systems and developing technical requirements for new or enhanced systems. His qualifications include expertise in all aspects of HIPAA, creation of bridge application programs, and programming. He is also a skilled Business Analyst and has more than five years of project and team leadership experience working with large-scale project implementation and planning. Mr. Kumar has recent experience working as Technical Analyst for a FOX MMIS project, experience which will be very valuable for this project.

Ms. Shump is a highly experienced expert in the design, development, implementation, and operation of large-scale MMIS and other healthcare systems. Ms. Shump also served as a Business Analyst on the FOX Systems project team that conducted the Iowa Medicaid Enterprise (IME) procurement, so she is very knowledgeable of the Iowa MMIS. In addition, she has acted in the project management and designer role on numerous Medicaid projects across the country including Georgia, Alaska, Delaware, West Virginia, Louisiana, Tennessee, New Mexico, and Oregon.

Ms. Hole-Curry is an attorney and a Regulatory Compliance Expert Inc. with outstanding experience interpreting state and federal regulations, including HIPAA and Medicaid requirements. She currently provides compliance consulting, subject matter expert assistance, policy development, and deliverable review for key state, local, federal and private industry projects. Prior to joining FOX, she was the legal authority for the Washington Department of Social and Health Services, responsible for department-wide technical assistance, policy development, and tool development for the implementation of HIPAA regulations. In this position she developed assessment tools; authored policy and decision support papers; coordinated statewide HIPAA activities; and briefed administration, department, legislative and executive leaders. Ms. Hole-Curry also has experience planning and overseeing implementation of short- and long-term guidelines and strategies for regulatory compliance. In addition, she is an expert in contract law and has served as a contracts attorney for several state agencies.