ON-DEMAND WEBINAR

From incidents to insights: Strengthening Medicaid waiver oversight through smarter data-sharing

Learn how Delaware improves safety by connecting multiple state agencies to one incident management database 
Recorded April 23, 2026

Watch now

The CMS Access Rule is raising expectations for incident management, pushing state programs to go beyond compliance and deliver real improvements in safety. Learn how the state of Delaware is meeting the challenge when you watch this on-demand webinar featuring Katie Howe, Director of Program Integrity for Delaware’s Division of Developmental Disabilities Services. She will describe her work to bring together four state divisions under a single, unified incident management system. She’ll discuss how this data-driven approach has helped the state to:

  • Strengthen provider oversight 
  • Improve cross-agency coordination 
  • Support investigators and staff 
Katie will also explore how unified incident management has moved the state from reactive reporting to proactive oversight — while reducing the burden on an already stretched workforce. Yo will also hear from Liz Collins, Principal at Mercer Government, and Barbara Guglielmo, Senior Solution Architect at WellSky.

Watch now to see how reimagined incident management has helped to better protect people in Delaware.

What you'll learn

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Presenters

Katie Howe
Katie Howe

Director of Program Integrity
Delaware Division of Developmental Disabilities Services (DDDS)

Katie discovered her passion for supporting individuals with intellectual and developmental disabilities in 1998, working as an Employment Specialist with Delaware Elwyn. In 2001, she joined the Division of Developmental Disabilities Services (DDDS) as a Family Support Specialist, partnering with individuals and their families to help create meaningful visions and pathways for their lives and services. By 2017, Katie was promoted to Director of Program Integrity at DDDS. Since then, she has led significant improvements in the Division’s Reportable Incident Management System and strengthened provider accountability efforts to ensure individuals receive safe, high-quality supports while living fulfilling lives.

Elizabeth (Liz) Collins, RN, MSN

Principal, Specialty Consulting Sector
Mercer Government

Liz Collins has helped streamline government programs and improve the lives of individuals for over 20 years. As a Principal at Mercer, she works with state agencies to identify opportunities for improvement and develop unique solutions that address both the complex policies of state governments and the pressing needs of the people served. Before joining Mercer, she served as Administrator of the Maternal and Child Health (MCH) section of the New Hampshire Department of Health and Human Services.

Barbara Guglielmo
Barbara Guglielmo

Senior Solution Architect
WellSky

Barbara Guglielmo has more than two decades of experience supporting state and local health and human services agencies. In her current role, she works closely with government clients to design scalable, compliant solutions — translating complex program requirements into more effective system workflows. Barbara has deep expertise in incident management, data sharing, and cross‑agency coordination.

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About WellSky

WellSky is a technology company leading the movement for intelligent, coordinated care worldwide. Our next-level software, analytics, and services power better outcomes and lower costs for stakeholders across the health and community care continuum. In today’s value-based care environment, WellSky helps providers, payers, health systems, and community organizations solve tough challenges, improve collaboration for growth, harness the power of data analytics, and achieve better outcomes by further connecting clinical and social care.