Delaware Client Information System DCIS II

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Delaware Client Information SystemDCIS II
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Mission Statements

• DHSS - To improve the quality of life for
  Delaware's citizens by promoting health and
  well-being, fostering self-sufficiency, and
  protecting vulnerable populations
• DSS - The mission of the Division of Social
  Services is to provide, either directly or
  through coordination, an integrated system of
  opportunities, services, and income support which
  will enable Delaware's most disadvantaged
  individuals and families to maintain or move
  toward independence.
• DMMA - The mission of the Division of Medicaid
  Medical Assistance is to improve health outcomes
  by ensuring that the highest quality medical
  services are provided to the vulnerable
  populations of Delaware in the most cost
  effective manner.

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Department of Health and Social Service

• Division of Child Support Enforcement
• Division of Developmental Disabilities Services
• Division of Long Term Care Residents Protection
• Division of Management Services
• Division of Medicaid Medical Assistance
• Division of Public Health
• Division of Services for Aging and Adults with
  Physical Disabilities
• Division of Social Services
• Division of State Service Centers
• Division of Substance Abuse and Mental Health
• Division for the Visually Impaired
• Office of the Chief Medical Examiner

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Cash AssistanceFood StampsMedical Assistance
SCHIP Pregnant Women Children and
Families Adult ExpansionChild Care
Employment Training
Department of Healthand Social Service (DHSS)
Division ofSocial Services(DSS)
Medical Assistance Nursing Home HCBS
Waivers Dual Eligible's SSI Related
Chronic Renal Disease Breast and Cervical
CancerFood Stamps for DMMA Recipients
Division Medicaidand Medical Services(DMMA)
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History of DCIS II
1996 FAMIS/DCIS IET MIS, CCMIS
2005 DCIS IIChild Care ET added
August 1998 Generic workers for Cash, FS, CC, MA
ET
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99
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December 1998 DCIS IIRules based system for
Cash, FS, MA
2005 ASSIST Web based application for services
1996 Specialty workers for each type of benefit
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Caseload Changes
2006
1998
FS AGs 29,371Cash AGs 5,236MA AGs 66,095CC
AGs 10,444Cases 61,415Cases/SSW 309
FS Cases 17,464Cash Cases 7,832MA
Cases 24,098CC Cases 4,887Cases 31,139Cases
/Worker 174
Long Term Care and SSI Related MA excluded
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Purpose of the Redesign
Pre Generic WorkerStaff
Generic WorkerStaff

• One worker for all programs with the exception of
  LTC workers

• Cash/FS social workers
• Medicaid social workers
• ET social worker
• Child care social worker
• LTC social worker

Clients
Clients

• Visited different social workers for each program
• Social workers could be located at different
  sites
• Same information/verification provided to several
  social workers.

• Visit one worker for all programs
• Information provided once

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DSS RedesignPath to Generic Worker

• Job Reclassification
• Forms redesign
• Procedure Redesign
• Site capacity issues
• Caseload redistribution
• Staff relocation based on specialty and need
• Generic worker training
• Pilot
• Administrative redesign

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Job Reclassification

• Submit Job Analysis Questionnaire (JAQ) to state
  personnel office
• Keep pay grade comparable
• Some staff promoted to new classification
• Social worker to senior social worker/case
  manager based on length of service
• Data entry technicians became social service
  technicians
• Typists and other clerical groups

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Forms Redesign

• Specific program applications into a single
  generic application
• All supporting verification forms
• Standardized client communications

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Procedure Redesign

• Eliminate photocopying of permanent verification
  at every redetermination/reapplication
• No wrong door implemented
• Front desk procedures simplified

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Site Capacity

• Open new office locations
• Added new pools
• Better area coverage
• Closer to client base

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Caseload Redistribution

• Weighting of case types
• Balance case distribution by number and weight
• Distribution to location by zip
• Phased in by pool

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Staff Relocation

• Number of staff per site based on caseload
• Supervisor and Social Worker specialist at each
  site
• Volunteers 1st
• Mandatory change
• Pool/unit size more uniform

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Generic Worker Training

• Senior Social Workers
• Training outside of specialty
• Shadowing

• Supervisor
• Team Building
• Managing Change
• Training outside of specialty

• Social Service Technician
• Client relationship skills
• Customer Service

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Administrative Redesign
Purpose - Redesign administrative work, such as
infrastructure, to deliver more effective support
to service delivery and add bullets consolidate
contracts, fiscal function, data reporting, etc
place people with required skills in right job to
make decisions assure information to make
decisions more accessible put technology and
support systems in place to assist administration

• Shifting all field operations under one Deputy
  Director
• Shifting policy and planning units under a second
  Deputy Director

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Current System Views
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Current System Views
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Current System Views
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Current System Views
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Current System Views
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Current System Views
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Current System Views