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Health IT in the Safety Net Where Weve Been and Where Were Going Safety Net Advisory Committee (SNAC) Lab April 12, 2017 Objectives Leverage our collective focus on vulnerable populations. Provide a forum for opportunities and


  1. Health IT in the Safety Net Where We’ve Been and Where We’re Going Safety Net Advisory Committee (SNAC) Lab April 12, 2017

  2. Objectives • Leverage our collective focus on vulnerable populations. • Provide a forum for opportunities and lessons learned. • Share the latest strategies for using data to measure effectiveness. • Synthesize input from the group and develop a shared body of knowledge. 2

  3. What We Will Cover • Introduction • Health IT in the Safety Net: Morgan Honea, CORHIO • Spotlight on CHORDS: Sara Schmitt, CHI, and Emily McCormick, Denver Public Health • Facilitated Discussion 3 3

  4. Health Information Exchange (HIE) 4 4

  5. CORHIO Health Information Exchange • One of two health information exchanges in the state • Self-sustained HIE organization with a fee-based subscription model • Exchanges data (labs, notes, admission/discharge summaries) from hospitals, labs, imaging centers and ambulatory providers • Multiple exchange methods available to community providers 5 5

  6. Health IT in Colorado’s Safety Net Morgan Honea, CEO 6

  7. CHORDS: Colorado Health Observation Regional Data Service Sara Schmitt, Emily McCormick, Director of Senior Community Epidemiologist Health Policy 7

  8. CHORDS is a network conceived in 2011 that uses electronic health record (EHR) data to support public health evaluation, monitoring and research efforts. 8

  9. CHORDS: A Primer • Data Partners: Currently, nine health provider organizations contribute data • Data Users: Users are public health agencies serving the seven- county Denver Metro region • Goal: Expanded use of EHR data to achieve public health goals through reliable and location-specific information 9

  10. Participating Institutions Data Users: Technology Partner: Denver Metro University of Colorado Public Health Agencies Anschutz Medical Campus Convener: CHI Data Partners: Technology Partner: Health Care and CORHIO Mental Health Providers 10

  11. CHORDS Data Partners 11

  12. Enhancing Data Reliability • Many existing data sources rely on self-reported measures • CHORDS uses EHR data, accessing measurements entered by providers 12

  13. Maintaining Patient Privacy • CHORDS provides aggregated data for use by public health agencies • Information cannot be traced back to individual patients • Each CHORDS data partner retains full control over its patients’ data 13

  14. The Query Process 14

  15. Neighborhood Level-Data Enable Targeted Efforts 15

  16. CHORDS Areas of Focus • Body Mass Index/Obesity • Cardiovascular Disease • Diabetes • Mental Health • Other public health topics will follow 16

  17. Discussion Questions • What policy changes are necessary to help strengthen the use of data, especially in the state’s safety net? • How can researchers, philanthropists and advocates strengthen health IT efforts in the safety net? 17

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