Bellese is opening a new office that is optimized for collaboration. Work areas are designed to support multiple, small and autonomous teams, to perform planning, research, software design and engineering. Break out rooms are available to each team to help facilitate design, conversations, retrospectives and planning.
To support multi-team collaboration of dependencies, a collaborative area has been design in a hub and spoke layout, to be in the middle of all the team’s areas to facilitate dependency conversations and planning across teams. The central area also provides visual indicators of multi-team collaboration, which is critical in any large project undertaking.
Technology has evolved and data processing of large amounts of data to support timely feedback of information needed for users to perform specific tasks has led to an increase implementation of data pipelines.
One of the key concepts of data pipelines is to enable near real-time processing of large amounts of data. The Bellese team is adopting this concept in the computation of quality measures for healthcare services provided by clinicians in hospital settings. As new data is generated on factors that impact the computation of quality measures, such as patient clinical values, services rendered by a clinician, or processes adopted by institutions to improve the quality of care for patients, data pipelines enable the process of such data in a near real-time manner to provide immediate feedback on overall quality to providers and quality improvement organizations.
Bellese’s core competencies are agile and lean engineering and project management with the focus of our contract work being in support of the Centers for Medicare and Medicaid Services (CMS). We have been working in partnership with the CMS Center for Clinical Quality and Standards Information Technology Group (CCSQ/ISG) since 2009 to develop nationally deployed application and we have been working to introduce and pilot agile methods, DevOps and cloud based infrastructure.
CMS has recently begun an agency-wide Agile transformation for systems and services development. This transformation was triggered in large part by the issues that CMS encountered during the implementation of the Marketplace in 2013. While implementation of agile methods had started in pockets within CMS such as CCSQ/ISG, there was only marginal progress made prior to the need for CMS to make substantive changes to ensure the Marketplace was successful.
As part of this agile transformation, CMS created the Agile Delivery to Execute Legislative Endeavors for Quality Related Initiatives (ADELE-QRI) Blanket Purchase Agreement (BPA). Bellese was one of six companies awarded this BPA based on our demonstrated abilities in agile delivery and in recognition of our ability to innovate within a government development environment. Bellese was awarded the Hospital Quality Reporting Task Order under ADELE-QRI in April, 2017.
The Centers For Medicare and Medicaid Services (CMS) created the Agile Delivery to Execute Legislative Endeavors for Quality Related Initiatives (ADELE-QRI) Blanket Purchase Agreement (BPA) as part of their agency-wide transition to more agile methods. Bellese was one of six companies awarded this BPA based on our demonstrated abilities in agile delivery and in recognition of our ability to innovate within a government development environment. Bellese was awarded the Hospital Quality Reporting (HQR) Task Order under ADELE-QRI in April, 2017.
The HQR suite of applications and reports has been implemented in support of Federally mandated programs that govern the quality of care provided in multiple hospital settings. HQR uses data submissions, claims, and other data sets to calculate and publicly report quality measures and scores, and to determine payment adjustments for more than 5,000 facilities. The HQR Task Order calls for the transformation of the current state of HQR, through focused process and technical improvement efforts to a simplified and improved state with the goal of providing timely and accurate quality measure information to providers through improved system functionality, architecture and user interaction.
The PQRS suite of applications and reports was implemented in support of federally mandated program that govern the quality of care provided by physicians and physician groups. The PQRS program is in its last year of operation and is being replaced by the Quality Payment Program (QPP). We will be working with CMS to complete the last year of PQRS operation and to decommission the PQRS applications. We look forward to working with CMS Center for Clinical Standards and Quality on this effort.
We are pleased to announce that Bellese Technologies has been awarded the Medicare Cost Estimator (MCE) task order under the ADELE-QRI BPA. The goal of the MCE is to help Medicare beneficiaries understand cost information and use the information when choosing a healthcare provider. In 2018, the MCE MVP will help beneficiaries compare Medicare payments and copays for certain procedures (Procedure Codes) in hospital outpatient departments and ambulatory surgery centers.
We are excited to partner with the CMS Office of Communications to provide an improved user experience with public-facing services for Medicare beneficiaries. Bellese will use a human centered design approach fronted with extensive user research to drive development of the user experience for MCE. Our solution will be built using agile and lean engineering techniques including implementation of DevOps, Continuous Integration/Continuous Deployment, and utilization of open source components and the AWS cloud.