DATA SHARING ACROSS AGENCIES AND JURISDICTIONS: IMPROVING PREPAREDNESS AND OUTCOMES CHARLESTON COUNTY, S.C. JANUARY 23, 2015

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Hector Rice
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1 DATA SHARING ACROSS AGENCIES AND JURISDICTIONS: IMPROVING PREPAREDNESS AND OUTCOMES CHARLESTON COUNTY, S.C. JANUARY 23, 2015

2 GOAL: TRIPLE AIM 2.0 Improved Health and Wellness for the Population Better Services for Individuals Lower Cost per Capita 2

7 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

8 SAN DIEGO COUNTY 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% Native American 1% San Diego County: 4,200 square miles

Human Services Agency (HHSA) Land Use and Environment Group Public Safety Group Community

9 9 OUR FRAMEWORK

10 INTEGRATED SERVICES ACROSS THE LIFESPAN Drivers: Vision/Strategy Service Delivery Financing Workforce P3 in Action Children / Youth We Can t Wait Positive Parenting Program Kickstart Adults Behavioral Health / Primary Care Integration Summit Bridges to Recovery In-Home Outreach Team Older Adults Aging Summit Community Care Transition Program Passport to Healthy Aging Behavioral Health Services Primary Care Community Based Social Services 10

Care Integration Summit Bridges to Recovery In-Home Outreach Team Older Adults Aging Summit Community Care

11 SHARED BELIEF Individuals Resources & Services Healthier Community Factor: Client s capacity to self-serve, ability to manage needs 11 Electronic Information Exchange is the vehicle used to share patient and customer information among providers to facilitate care and services. Clinical Service Delivery Community Prevention Improve Health, Safety & Equity Outcomes Reduce Demand for Resources & Services Partner medical and social service professionals for person-centered service

providers to facilitate care and services.

12 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

includes: Service delivery improvements to support person-centered, strengths-based, and trauma-informed

13 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

Look-up, Search and Query 2. Referral Management 3.

14 ELECTRONIC INFORMATION EXCHANGE Portal Consent User can access available information about their customer via Portal. County customer makes choice about allowing their information to be shared, for better service. Exchange Secure Central Hub allows customer data to be exchanged between existing systems. Analytics & BI Source: thinknook.com Decisions can be made using collective data. 14

County customer makes choice about allowing their information to be shared, for better service.

15 AB109: INITIAL PILOT POPULATION FOR KIP What services are needed? How should we prepare? The Knowledge Integration Program (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. 15 Manual data match among 17 County systems provided a point-in-time portrait of this population. It took one month to compile this report. Impact of Expanded Medi-Cal: Majority of AB109 offenders will be newly eligible. Most BHS services eligible for reimbursement HHSA is working closely with Public Safety 15 to ensure access to Medi-Cal.

Analytics for monitoring, forecasting and resource allocation. 15 Manual data match among 17 County systems provided a point-in-time portrait of this population.

16 INTEROPERABILITY STARTING LOCALLY Community Information Exchange San Diego Regional Wellness County of San Diego Knowledge Integration Program San Diego Health Connect Information Exchange 16

17 DISCUSSION Questions for the Panel General Discussion

Welcome to San Diego! NAPIPM 2014 34 th Annual Education Conference

Welcome to San Diego! NAPIPM 2014 34 th Annual Education Conference 1 POLICIES, PRACTICES & PEOPLE: PERFORMANCE-BASED CONVERGENCE IN ACTION NICK MACCHIONE, FACHE DIRECTOR COUNTY OF SAN DIEGO HEALTH AND