Executive Summary
State’s existing manage the State’s enterprise data integration and business analytics efforts
into an information utility for the State’s policy and
significant effort to ensure the advantages of the program make clear “what’s in it for them” to
OSC’s past data integration efforts which have been “scoped to success”, the
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 Workers’ Compensation Insurance Fraud and Employee Misclassification
collaboration with the Joint Legislative Committee on Workers’ Compensation workers’ compensation insurance State’s worker’s compensation insurance requirements. Phase 1 support employee misclassification and worker’s compensation fraud.
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the SHPNC’s analytics needs. Because the NC FACTS fraud analytics the State’s
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 Building consensus and agency “buy in” for the emerging GBICC initiative to ensure that
collected in an organization’s operational systems.
not fit the standard “IT” model for budgeting, analytics to support the State’s business needs.Government Business Intelligence Competency Center
Background
State’s existing
GBICC Activities
Worker’s Compensation Fraud and Employee
Worker’s compensation fraud and employee misclassification are closely related and both ’ ’ when employees inappropriately or fraudulently receive a worker’s compensation benefit,
Joint Legislative Committee on Worker’s Compensation Insurance ’’ them with worker’s compensation insurance coverage data,
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SHPNC’s analytics needs.
modifications related to new vendors associated with the SHPNC’s contract changes on
up Program to understand the State’s c specific training, university level programs, or a community’s Kprograms to provide greater parity among the State’s educational programs and offer ucation community’s analytics needs and to
The State’s data provide a rich repository of key information to enable strategic and protects the State’s data in several ways:
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 cannot randomly search or “data mine” information from the
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Health Plan’s data is incorporated into the NC FACTS repository for fraud analytics, the
of the program’s requirements, objectives, and of the program’s ’
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however, these standards can guide the State’s development toward enterprise
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the State meet the State’s established standards. Governance related to program
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business rules and knowledge as well as performing creative “what if” analysis to
Budget
Next steps
Building consensus and agency “buy in” for the emerging GBICC initiative to
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’sNC Financial Accountability and Compliance Technology Systems (NC FACTS)
Background
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to support one agency’s business needs will likely add value to fraud analysis Carolina’s
private partnership with the State’s a strong return on the State’s investment. The parties will coordinate efforts to report
State’s their duty to protect the privacy of “their” data with the need to share data to ensure that
Data Sharing and Analytics Activity
may realize “quick hits” based on verification of known business rules within the first Carolina’s integrated data is used in developing more sophisticated
the State’s
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 were receiving payments from the State’s
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time validation based on the “quick hit” analysis. For example, if
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Employees and Local Governments pension plans for North Carolina’s 850,000 public –
“court may order the suspension of any public assistance benefits that are being paid to the probationer from State or federal funds.”Challenges
hin the State’s fraud initiative.tency in operations across the State’s business areas. The Department of Some, but not all, of North Carolina’s State agencies have adopted an employee
language providing “whistle blower” proteteria are more specific leading to a reduction in the number of “false positive” cases. The feedback can also provide information to
payments and services. All analytic models must be flexible to ensure the State’s
Budget
program. These funds support OSC’s state project team staffing and expenses private partnership of this initiative, the State’s data integration vendor is required to
Assembly’s public/private partnership mandate, OSC negotiated Next steps
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Criminal Justice Law Enforcement Automated Data Services (CJLEADS)
Background
time, save money, and save lives. Since the project’s inception, the Office of the State Carolina’s criminal justice organizations to develop and implement the Criminal Justice Law
ly’s intent to serve criminal justice professionals and improve the safety of North Carolina’s citizens, CJLEADS has two primary objectives:
To provide an “offender watch” capability to alert criminal justice professionals when CJLEADS Statewide Operations
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 “ ” have conducted 755 classes for their
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DMV’s estimated agency’s int
Application Releases
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nding processes whenever the end user views the offender’s record. In addition,
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CJLEADS Database Upgrade
Future Application Enhancement
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interface to allow users access to federal and other states’ information via CJLEADS. th the State Bureau of Investigation, North Carolina’s CJIS –
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CJLEADS ChallengesSAS Hosted Solution
going operations, and protection of the State’s
Next Steps
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Appendices
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–Driver’s License Data
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