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.
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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 votesThe 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.
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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 votesCPI 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.
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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 votesCPI 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.
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Create an Employee Viewpoint Survey Panel or Task Force
Create a voluntary Employee Viewpoint Survery Taskforce or Panel where members could come together regularly and come up with ideas for expanding on ways to improve the CMS workplace.
The panel could use various tools (like the CMS Idea Factory, internal surveys, etc.) to elicit ideas (and build upon them) from the workforce on making CMS a better place to work.
The next steps necessary would be for the panel to present these suggestions to management and allow management to implement some of these suggestions. Once employees see that they really do make a difference and have a voice, we…
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23 votes
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Have HR in Baltimore schedule individual appts. 1st come1st served via video, 1 day per RO per month
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13 votes
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11 votes
Referred to the Employee Suggestion Program.
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6 votes
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