tee also seeks to offer guidance to an agency that is poised to take center stage in transforming the nation’s health care system. At the same time, it must be recognized that CMS’s expanding roles will focus unprecedented attention on its ability to handle new responsibilities effectively.

Chapter 2 urges the development of a comprehensive strategic technology plan at CMS and presents conceptual underpinnings that emphasize the importance of a strategic technology plan that fully recognizes and addresses the centrality of IT as CMS plans to meet its challenges and opportunities. Chapter 3 provides a framework for re-envisioning CMS business and information ecosystems and a meta-methodology for conducting incremental, phased transitions of needed components. Chapter 4 describes the cultural, organizational, technical, and management prerequisites for CMS’s transition to an even more capable, nimble, and adaptable agency that uses IT effectively in support of its mission. Chapter 5 discusses the centrality of data to nearly all of CMS’s current and future work and describes several ways in which the data and information collected by CMS are used extensively within the agency for a variety of analytic purposes.



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