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GOAL: TRIPLE AIM 2.0 Improved Health and Wellness for the - - PowerPoint PPT Presentation
GOAL: TRIPLE AIM 2.0 Improved Health and Wellness for the - - PowerPoint PPT Presentation
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
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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
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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:
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White – 48 %
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Hispanic – 32%
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Asian – 11%
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African-American – 5%
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Native American – 1%
San Diego County: 4,200 square miles 8
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OUR FRAMEWORK
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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
INTEGRATED SERVICES ACROSS THE LIFESPAN
Drivers:
- Vision/Strategy
- Service Delivery
- Financing
- Workforce
- P3 in Action
Behavioral Health Services Primary Care Community Based Social Services
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SHARED BELIEF
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Individuals Resources & Services Healthier Community
Electronic Information Exchange is the vehicle used to share patient and customer information among providers to facilitate care and services.
Partner medical and social service professionals for person-centered service Reduce Demand for Resources & Services
Factor: Client’s capacity to self-serve, ability to manage needs
Clinical Service Delivery Community Prevention
Improve Health, Safety & Equity Outcomes
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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.
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5 FUNCTIONAL CAPABILITIES
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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
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ELECTRONIC INFORMATION EXCHANGE
Exchange
User can access available information about their customer via Portal.
Source: thinknook.com
Secure Central Hub allows customer data to be exchanged between existing systems. Decisions can be made using collective data. County customer makes choice about allowing their information to be shared, for better service.
Consent Analytics & BI Portal
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AB109: INITIAL PILOT POPULATION FOR KIP
- What services are needed?
- How should we prepare?
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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
to ensure access to Medi-Cal.
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
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Regional Wellness
Community Information Exchange County of San Diego – Knowledge Integration Program San Diego Health Connect – Information Exchange 2-1-1 San Diego
INTEROPERABILITY – STARTING LOCALLY
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