OHEI Functional statement
- Serves as CMS’ focal point and champion for advancing interoperability, Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification national standards, and technology to reduce administrative burdens that accounts for the lived experiences of our customers to realize an integrated healthcare delivery system informed by and responsive to patients, the healthcare workforce, and customers of CMS programs
- Provides an accountable and sustainable network of resources and services to support efforts across the agency aimed at reducing administrative frictions and burdens for individuals enrolled in CMS’ programs, health care providers, clinicians, health plans and clearinghouses; advances interoperability across the health system, advances customer experience (CX) to inform policies and programs.
- Convenes and manages executive-level Healthcare Transformation Council and initiatives that foster collaboration and coordination across programs, including Medicare, Medicaid, CHIP, and Marketplace to inform policymakers on the healthcare experiences of CMS’ customers.
- Leads, coordinates, and supports cross-agency projects to achieve greater efficiencies and address avoidable burdens in CMS operations and those that affect the day-to-day activities of health care providers, clinicians, beneficiaries, health plans, and clearinghouses, through technology and innovation.
- Leads, coordinates, or supports cross-agency projects to advance the exchange of health information among health care providers, clinicians, beneficiaries, health plans, and clearing houses to achieve operational efficiencies and make data available to inform evidence-based decisions.
- Establishes recurrent and ongoing customer experience (CX) mechanisms to obtain customer insights and feedback, such as requests for information, listening sessions, onsite engagements, and social media analysis, etc., to inform CMS’ programs and programs.
- Establishes a Human-Centered Design Customer Experience (CX) strategy to inform policies and programs on the lived experiences of those who engage in healthcare and provides resources and services to support customer experience engagements.
- Provide national leadership in realizing an integrated healthcare delivery system informed by and responsive to patients, the healthcare workforce, and customers of CMS programs by working collaboratively across CMS to increase the visibility of and engage external stakeholders in CMS’ burden reduction efforts, adoption of national standards, and interoperability initiatives.
- Maintains a qualitative research repository, provides oversight and maintenance of the Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification, national standards, and interoperability efforts.
- Uses qualitative and quantitative methods to assess impact on customer experience (CX).
- Improve patient care, population health and the wellbeing of our healthcare workforce through policy, technology and public input by driving collaboration to create an effective healthcare system centered on the experience of our customers by infusing a customer-focused mindset throughout CMS’ policies and programs.
- Implements and supports the technologies, informatics and reporting, and innovative data- exchange tools for the Open Payments program. Develops strategic and operational plans for the necessary technologies and supporting tools required by the programs.
- Oversees the National Plan and Provider Enumeration System (NPPES). This includes release planning, requirements gathering, oversight of the appropriate helpdesks, and user acceptance testing of all enhancements to the system.
- Serves as the systems owner for National Plan & Provider Enumeration System (NPPES) and Open Payments Program.