DATA SHARING ACROSS AGENCIES AND JURISDICTIONS: IMPROVING PREPAREDNESS AND OUTCOMES CHARLESTON COUNTY, S.C. JANUARY 23, 2015
GOAL: TRIPLE AIM 2.0 Improved Health and Wellness for the Population Better Lower Cost Services for per Capita Individuals 2
Knowledge Management Advances in Live Well San Diego Nick Macchione, M.S., M.P.H., FACHE Director, Health and Human Services Agency County of San Diego
SAN DIEGO COUNTY • 3.2 million people • Board of Supervisors, elected by District • 5 Business Groups: Health and Human Services Agency (HHSA) Land Use and Environment Group Public Safety Group Community Services Group Finance and General Government • 2010 Census: White – 48 % – Hispanic – 32% – Asian – 11% – African-American – 5% – San Diego County: Native American – 1% – 4,200 square miles 8
OUR FRAMEWORK 9
INTEGRATED SERVICES ACROSS THE LIFESPAN Drivers: Vision/Strategy Service Delivery Financing Workforce P3 in Action Children / Youth Adults Older Adults • We Can’t Wait • Behavioral Health / • Aging Summit Primary Care • Positive Parenting • Community Care Integration Summit Program Transition Program • Bridges to Recovery • Kickstart • Passport to Healthy • In-Home Outreach Aging Team Community Behavioral Primary Based Health Social Care Services Services 10
SHARED BELIEF Resources Healthier Individuals & Services Community Factor: Client’s capacity to self-serve, ability to manage needs Reduce Clinical Demand for Electronic Service Resources Delivery Information & Services Exchange is the Improve vehicle used to share Health, patient and customer Safety & Partner medical information among Equity and social Outcomes providers to facilitate service professionals for care and services. Community person-centered Prevention service 11
WHAT IS THE KNOWLEDGE INTEGRATION PROGRAM (KIP)? To support the County’s Live Well San Diego strategy, HHSA launched the Knowledge Integration Program, which includes: Service delivery improvements to support person-centered, strengths-based, and trauma-informed practice using integrated information, and An electronic information exchange for County health, social service, behavioral health, physical health, and probation data. 12
5 FUNCTIONAL CAPABILITIES KIP WILL IMPLEMENT NEW TECHNOLOGIES AND POLICIES TO ELECTRONICALLY PERFORM 1. Look-up, Search and Query 2. Referral Management 3. Collaborative Service Delivery 4. Notifications and Alerts 5. Population-Based Shared Analytics 13
ELECTRONIC INFORMATION EXCHANGE Portal User can access Consent available information about their customer via Portal. County customer Exchange makes choice Analytics & BI about allowing Secure Central Decisions can their information Hub allows be made using to be shared, for customer data to collective better service. be exchanged data. between existing systems. Source: thinknook.com 14
AB109: INITIAL PILOT POPULATION FOR KIP What services are needed? The Knowledge Integration Program How should we prepare ? (KIP) will provide the technology and process re-engineering to support: County staff team work. Client access to information. Analytics for monitoring, forecasting and resource allocation. Impact of Expanded Medi-Cal: Manual data match among 17 County systems Majority of AB109 offenders will be newly provided a point-in-time portrait of this population. eligible. Most BHS services eligible for It took one month to compile this report. reimbursement HHSA is working closely with Public Safety 15 15 to ensure access to Medi-Cal.
INTEROPERABILITY – STARTING LOCALLY Community Information Exchange County of San Diego – Regional 2-1-1 San Knowledge Diego Wellness Integration Program San Diego Health Connect – Information Exchange 16
DISCUSSION Questions for the Panel General Discussion
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