APHSA Conference
To Cloud or Not to Cloud
Speaker’s Bio
Russell Nicoll is the Chief Information Officer
(CIO) for the TN Dept. of Intellectual &
Developmental Disabilities (DIDD), and serves
as the Director of the DIDD Information
Systems Division. Russell provides technical
leadership, vision, and experience in order to
identify and implement technological
solutions that support the agency’s goals of
maximizing operational efficiency and providing
individuals with intellectual and/or developmental
disabilities with an opportunity to lead healthy,
secure and meaningful lives.
Russell has more than 10 years of experience in the Healthcare IT field, and is
a graduate of Vanderbilt University in Nashville, TN.
TN Dept. of Intellectual &
Developmental Disabilities (DIDD)
The Department of Intellectual and Developmental Disabilities (DIDD) is the state agency
responsible for providing services and supports to Tennesseans with intellectual disabilities.
Serves more than 7,500 Tennesseans with intellectual disabilities.
Over 2,000 state employees along with 470 contracted community providers with more than 27,000
Support Professionals.
Annual budget of approximately $815m, utilizing federal and state funding systems along with various
DIDD offers several different types of programs for persons with intellectual disabilities.
Home and Community-based Waiver Services
Self-Directed Case Management Services
Family Support
More than 8,000 individuals currently on an active waiting list seeking services.
DIDD’s Business Case
For many years DIDD has struggled to upgrade its existing computer
information systems. These systems are used to track:
Recipient Demographic Data,
Service Planning and Case Management Information,
Service Authorization and Billing Information,
Incident and Investigations Data
Most of these systems were developed in an outdated software platform,
known as FoxPro, and in many cases were meant to be short-term solutions
that became permanent. As these legacy systems continue to age, the older
FoxPro applications are no longer being supported by our technology
partners; posing a risk to business continuity and increasing operational costs
for the Department.
DIDD will replace these legacy systems with a single integrated database
solution built on Microsoft’s Dynamics CRM framework.
On Premise Hosting Decision
For DIDD the decision to host the CRM solution on premise came down to two major
– Sensitivity of data
– Increased risk as a public entity
Ownership and Portability of Data
– Competitive bid process
– Control over infrastructure and administrative functions
Other factors that impacted this decision:
TN already has a centralized data center capable of hosting the CRM application.
Funding for the project was already available.
Previous Efforts & Lessons Learned
2004: Internal Development Effort – Project cancelled in 2008.
2010: Vendor Hosted COTS Solution – Project cancelled in 2011.
Factors that contributed to these failures:
- Lack of Project Management Expertise
- Lack of a Dedicated Project Team
- Lack of Stakeholder Involvement
- Poor Contract and Vendor Management
How will this project succeed, where other projects have failed?
Strategic Partnerships with Other State Agencies
Tennessee Business Solutions Methodology
Partnerships with Both Internal and External Stakeholders
External Partnerships – Microsoft & Mid-America
Consulting Group

similar documents