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CMS Idea Factory

Welcome to CMS Idea Factory. Here you can contribute your ideas for the future of our agency. First time users: Please enter your CMS email address to create a profile. You will receive an email requesting confirmation. Repeat users: Please enter your CMS email address to login. You will then be prompted to enter your password. After login, please choose a forum from the list on the right of the default forum page. Then search to see if your idea has already been submitted. If it hasn't, you can submit it for discussion or vote.

2010 Idea Factory Pilot

This page is the default forum for CMS employees. It shows the November 2010 pilot results. To access another forum, chose from the list of forums under “Give Feedback” in the far right column of this page.

Results from 2010 pilot

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  1. Give CMS employees instant messaging to save time and resources

    Implement an internal instant messaging system throughout CMS. By utilizing this technology a lot of time and resources could be saved that is otherwise taken up walking to peoples cubes, unnecessarily using e-mail server space for quick questions.

    88 votes
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      planned  ·  13 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
    • Manager selection

      Ensure that individuals have essential knowledge, leadership, and "people" skills before promotion to management. Create quarterly evaluation process so that employees can give feedback on current managers without fear of consequences.

      86 votes
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        under review  ·  25 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
      • Institute a "reverse PMAP" to evaluate manager performance

        When almost every employee in a certain area has similar concerns with a particular manager, it usually goes unnoticed (more like ingnored) unless there's a "big stink" that causes higher management to pay attention. Allow the employees to have some impact on a manager's performance eval. Some managers may not realize how their employees view them, and they may not care until it actually has the potential to affect their evaluation...

        82 votes
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          under review  ·  19 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
        • Lose weight and ease back pain (Otherwise known as "option of a sit-stand workstation")

          Sitting is recognized by health professionals as one of the most problematic positions in which to spend most of our days. Yet, that is how many of us spend our workday, commute, etc. Here is just one short article about how prolonged sitting can impact your health: http://www.webmd.com/fitness-exercise/news/20100119/prolonged-sitting-boosts-bad-health. Giving employees the option of a height-adjustable workstation would allow employees to sit or stand, at will, throughout the work day. This is a feasible, cost-effective way to improve employee health.

          79 votes
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            under review  ·  23 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
          • Enable WiFi throughout the campus

            WiFi access throughout the campus would allow staff to make better use of their laptops and take them to meetings.

            67 votes
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              started  ·  4 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
            • Audit claims data using fraud detection software which is used widely the private insurance industry

              Audit/screen claims data for suspect fraud every month using a fraud detection software that will identify unbundling of codes, inappropriate procedures for age and/or sex and other common fraudelent practices. This strategy is widely used by the private health insurance industry.

              67 votes
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                8 comments  ·  Fraud and Abuse  ·  Flag idea as inappropriate…  ·  Admin →

                CPI is implementing the National Fraud Prevention Program, a comprehensive strategy to leverage existing systems by integrating the data and new tools in innovative ways. An important aspect of this strategy is partnering with the private sector to learn about their capabilities. CPI issued a request for information in the winter of 2011 on best practices from the private sector, and has used that information to develop solicitations for contractors to adapt those solutions to the Medicare program.

                Additionally, a contract will be awarded to begin the development of a risk scoring model that will screen claims and providers based on effective predictive models.

              • Implement a strategic, integrated approach to employee communications

                Employee communication is a process of exchanging information and creating understanding and behaviors that reinforce the agency's vision, values, and culture and increase employee morale, productivity, performance and retention. Rather than being an afterthought or using the current every-component-for-themselves approach, it should be a planned part of the management of CMS and align with our mission, vision and strategic objectives. We have benchmarked best practices at the top places to work in the Federal government. Let's implement the structures and processes we know are critical to achieving effective and efficient employee communication outcomes.

                55 votes
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                  16 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →

                  The Internal Communications Workgroup presented its final report to senior leadership (OOM, OC, OA) on January 13, 2012. All present agreed on the need for a strategic, coordinated approach to internal communications, but there are no FTEs available for this work at this time and neither OOM nor OC expressed interest in owning it. The workgroup was requested to continue to work on the various recommendations, looking for quick wins (which we explained are never that quick). In particular, there was interest in more widely disseminating information that is already available, piloting SnapComms, improving the CMSNet home page content, and fleshing out the internal communications “audit.” Aryana asked that OA be kept informed of our activities.

                • Add an interview step to provider enrollment.

                  Utilize outstationed CMS financial staff to conduct onsite interviews of new providers or those flagged/suspect to validate their legitimacy (performing in a business-like manner, can demonstrate the capability to provide their services, known and/or respected members of the medical or business community in their area).

                  43 votes
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                    4 comments  ·  Fraud and Abuse  ·  Flag idea as inappropriate…  ·  Admin →

                    CPI recently implemented the requirement that certain providers will undergo site visits, announced and unannounced, prior to enrollment. The provider types are identified in CMS-6028-FC, and include DMEPOS suppliers, Home Health Agencies, Community Mental Health Centers and Ambulance Providers. CMS also has authority to perform a site visit at any time on any provider if there is reason to suspect fraudulent or illegitimate behavior that is best confirmed by an on-site visit.

                    CPI is considering innovative solutions to conducting site visits like the suggestion to use CMS Staff in the regional offices. CPI just concluded a Request for Information on Site Visits and is currently evaluating responses.

                  • Dramatically Increase Pre-Payment Review

                    Especially in high-risk areas (i.e. Miami and L.A) pre-pay reviews should become the standard. It would be time consuming and pricey for CMS to implement. However, the ROI would likely be remarkable as billions of dollars of fraud, waste and abuse would be saved (or never paid). There are far too many unscrupulous providers in certain areas of our country. Pre-payment reviews would not only save us from paying their fraudulant claims, it would also help us to identify and punish these individuals.

                    38 votes
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                      4 comments  ·  Fraud and Abuse  ·  Flag idea as inappropriate…  ·  Admin →
                    • Start a COTR - Contract Specialist issues forum to discuss CMS-relevant cases from both viewpoints.

                      Right now, must training is a one way conversation from OAGM to COTR's. Yet training courses have consistently been filled with questions that would be more easily resolved if contract specialistis and contracting officers were involved in the discussion. CO's & CS's can learn from COTR's in terms of improved processes AND better trained COTRs.

                      37 votes
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                        planned  ·  4 comments  ·  COTR Training  ·  Flag idea as inappropriate…  ·  Admin →
                      • Plan for overhauling the Selection, Development & Oversight of CMS Leadership

                        My suggestion really incorporates many previous suggestions into a larger plan for redesigning the selection, training and oversight of management within CMS. Year after year, we get our survey results which show that we are one of the worst federal agencies to work for, despite having one of the highest grade structures in the federal workforce. Management gathers and tries to determine what employees want or what perks can be provided to obtain better survey results—making CMS one of the “best places to work.” There isn’t anything wrong with this, except that the focus of the conversation is always what…

                        28 votes
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                          started  ·  10 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
                        • 27 votes
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                            planned  ·  1 comment  ·  COTR Training  ·  Flag idea as inappropriate…  ·  Admin →
                          • 23 votes
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                              started  ·  8 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
                            • Compress work schedule

                              Don't charge employees an hour or 2 for Holidays when on a compress work schedule. CMS is the only agency that does this.

                              23 votes
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                                under review  ·  4 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
                              • 22 votes
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                                  planned  ·  7 comments  ·  COTR Training  ·  Flag idea as inappropriate…  ·  Admin →
                                • Clearly define the roles for the COTR and the GTL and train them each accordingly

                                  Clearly define the roles and responsibilities for both the COTR and the GTL so that each are clear. Train the COTR's and GTL's according to the defined division of work.

                                  19 votes
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                                    planned  ·  0 comments  ·  COTR Training  ·  Flag idea as inappropriate…  ·  Admin →
                                  • Redesign training that is more case-study based of the top 5 types of contracts a PO will encounter.

                                    Redesign training that is more case-study based of the top 5 types of contracts a PO will encounter.

                                    19 votes
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                                      planned  ·  4 comments  ·  COTR Training  ·  Flag idea as inappropriate…  ·  Admin →
                                    • Pursue excellence, the Malcolm Baldrige National Quality Award for Service Organizations.

                                      Performance excellence standards begins with Leadership and a model. The Baldrige model has worked for other government agencies, hospitals, schools and businesses. Why not give it a try?

                                      19 votes
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                                        under review  ·  10 comments  ·  Best Places to Work  ·  Flag idea as inappropriate…  ·  Admin →
                                      • Compile fraud profiles based on data pulled from CMS/IRS/state Medicaid etc. and use to ID new fraud

                                        Pull data from across platforms, including 1-800-Medicare, mymedicare.gov, IRS data, state Medicaid and other claims. Create profiles from known fraud cases and use new data to inform and pursue potential cases of fraud.

                                        18 votes
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                                          0 comments  ·  Fraud and Abuse  ·  Flag idea as inappropriate…  ·  Admin →

                                          CPI is working to develop just these types of fraud profiles both for individuals and for the identification of new schemes. The National Fraud Prevention Program is designed to incorporate lessons learned on an on-going basis through a continual feedback loop in the analytics.

                                        • 16 votes
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                                            started  ·  7 comments  ·  COTR Training  ·  Flag idea as inappropriate…  ·  Admin →
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                                          2010 Idea Factory Pilot

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