The District of Columbia Health Benefit Exchange Authority (DCHBX) is responsible for ensuring access to quality and affordable health care for DC individuals, small employers and Congress under the Patient Protection and Affordable Care Act (PPACA). IdeaCrew is helping the DCHBX build and operate its core mission technology systems, including: benefit enrollment, plan shopping, premium billing, notices, analytics and reporting. The IdeaCrew team supports the DCHBX enterprise with full-service technology strategic planning, business analysis, architecture design, system integration, cloud engineering & operation, software development and system testing. In 2015, IdeaCrew developed a new e-commerce Web site for the DCHBX, replacing the underperforming legacy system with a high-performance, reliable and scalable solution. The new Enroll application went live October 2015 on-schedule and helped the DCHBX achieve a highly-successful 2016 open enrollment period. Using open source software and shifting data center operations to the cloud, the Enroll application immediately reduced costs through elimination of expensive legacy system change orders and recurring maintenance fees, ultimately saving the DCHBX tens of millions of dollars. Following are IdeaCrew team highlights on the DCHBX project: 'Enroll' application implementation: IdeaCrew’s software team designed and developed a full-service Individual and Small Business Health Options Program (SHOP) Web site that enables individuals and employees to register and enroll benefits. The Enroll system additionally supports SHOP employer application & benefit design, and employee roster management by employer HR staff and brokers. Cloud infrastructure design and operation: IdeaCrew’s DevOps team architected and implemented a flexible, secure infrastructure to host DCHBX applications in the Amazon Web Services cloud. The infrastructure design enables software deployment with zero downtime, auto-scaling based on traffic load, real-time performance & error monitoring/recovery and automated deployment using Chef and related tools. Affordable Care Act API (ACApi) implementation: IdeaCrew’s system architects specified an open source technology architecture and associated data model/canonical vocabulary standard that enables interoperability and information sharing between HBX sub-systems and services. 'Glue Database' application implementation: IdeaCrew’s software team developed technology that initially tracked, and later mitigated, errors (duplication, missing/incorrect information, invalid transactions) introduced by upstream, Web-facing enrollment systems. The resulting system is now the reference enrollment database for the DCHBX. Premium Billing replacement: IdeaCrew led a tiger team of business stakeholders, system architects and software developers to implement a premium billing and remittance solution to replace a deficient system provided by an earlier system integrator. Given only a four-week timeframe, the tiger team on-boarded a new premium billing vendor, specified an enrollment information exchange protocol, developed software to transform DCHBX data into the exchange format, specified and instituted premium billing exchange with issuer trading partners, enabled electronic ACH funds transfer with the DCHBX bank and shut down the errant legacy system. EDI operations: working with HBX and trading partner subject matter experts, defined and authored Electronic Data Integration specifications and guidance documents for exchanging benefit enrollment and premium billing information. The guidelines are adaptation of the ASC X12 5010 specifications.
The District of Columbia’s Office of the Chief Technology Officer (OCTO) is responsible for developing, implementing, and maintaining the District’s technology infrastructure. OCTO’s mission includes developing major technology solutions to improve services to businesses, residents and visitors in all areas of District government. IdeaCrew played a key role helping OCTO implement DCStat and CapStat, two such enterprise programs that supported the District Office of the Mayor’s neighborhood services and public safety initiatives. The IdeaCrew team defined strategy, prepared funds-securing prototypes, led system design, software development, infrastructure implementation, and operations. At the time, crime, drugs and service requests were the District’s top citizen issues. Like many municipalities, the District faced challenges accessing and visualizing information effectively, anticipatively seeing patterns and tracking dynamic conditions in real time. The integrated technology solution to these challenges became the DCStat program. DCStat—both a technology system and business process—provides key, timely information that enables executive managers to be more data-driven, customer-focused and accountable. DCStat works by collecting data from the District’s 65-plus agencies, assimilates this into actionable intelligence and presents it real time using GIS maps, charts, reports, alert notifications, and executive briefings and dashboards. The system also drives DC Citywide data warehouse, which streams city operational data to the Internet. CapStat, a DHS-funded, cross-jurisdiction proof-of-concept grew out of the DCStat success. CapStat demonstrated the ability integrate public safety and emergency response data to aid in emergency situations across Washington, DC and the surrounding 17 counties in Virginia and Maryland that comprise the NCR. IdeaCrew designed CapStat to link separate and independent IT and emergency management systems using Enterprise Service Bus (ESB), SOA, GIS, enterprise search and interoperable Web service technologies. These technologies work together using a NIEM vocabulary standards to connect Emergency Operation Centers, move data between jurisdictions, transform data, perform search functions, provide intelligent routing, create seamless maps, send automatic alerts and query data feeds. The CapStat system success led to it becoming the reference architecture for the National Capital Region (NCR) Interoperability project. The DCStat program gained national attention, helping spawn the government open data movement and receiving industry recognition through the following awards: • NASCIO 2006 Outstanding Achievement in the Field of Information Technology in State Government • 2006 Best of Web, Government to Government • URISA 2005 Exemplary Systems in Government Award • 2005 Intelligent Enterprise Award