The Power of Being Stronger Together Designing a Data Strategy for Local and National Impact
Initial Requirements of the National Information (Data) Strategy 1. Empower us with data 2. Let’s figure it out from there (or else someone else will)
Internet Adoption Rate (1990-2013) SOURCE: P.E.W Internet, Data Trend, Internet Use Over Time
EHR Adoption Rate (2001-2013) SOURCE: CDC/NCHS, National Ambulatory Medical Care Survey and National Ambulatory Medical Care Survey, Electronic Health Records Survey
EHR Adoption Rate (2008-2015) https://dashboard.healthit.gov/evaluations/data-briefs/non-federal-acute-care-hospital-ehr- adoption-2008-2015.php
Industry Disruption Cab drivers – Uber Travel Agents – Travelocity Hotels – AirBnb Stock traders – Ameritrade, etrade Shopping malls – amazon, ebay, zappos Grocery stores – Instacart Movies – blockbuster – Netflix Encyclopedia – Wikipedia
The Common Trends Across Industries Information is readily available Individual experience about the service provided is widely known. Service providers can be crowdsourced across the community Services are provided at the convenience to the customer
BPHC Priorities Maternal and Child Wellness Addressing the Opioid Crisis Ending the HIV Epidemic Advancing Value Based Care Performance and Accountability Health Centers PCAs, HCCNs and NTAP (NCAs)
BPHC and NACHC Data Projects UDS Modernization Value Based 330 Funding FARA PRAPARE National Data System QIDC CDC Research
HCCN Activity Streams HCCN Grant HCCN ROI Funding Streams National Data Strategy
National Data Strategy Feedback and Requirements from the HCCN Task Force Equalize each state’s capacity for data and information management Build on existing trusted networks Protect person privacy and health center privacy Allow health centers to stay in control of their data Create new funding streams for HCCNs Build a foundation that supports all current and future clinical and policy priorities, locally and nationally Develop a concept paper and then a 5 year roadmap
What a local data strategy could support: Healthcare Policy Payer Practice Social Environmental Clinical Priorities Priorities Priorities Transformation Determinants Determinants Research Eradicating HIV Impact analysis and Medicaid and Performance Addressing social Ensuring safe Support research ROI Medicare cost Support barriers to drinking water networks (Million Maternal and child control healthcare Hearts, etc) wellness Support policy Connecting air locally and Performance quality to health Addiction Recovery nationally reporting for events Loneliness and accountability depression Human trafficking intervention Diabetes control Cancer detection
NACHC’s Initial Policy Questions (2018) Which HCCNs can estimate the total cost of care per patient ? Ideally, we would like to be able to separate patients by payer type (if any) and income as a ratio to the poverty level . Can HCCNs compare the total cost of care for selected chronic conditions ? Possibly by comparing patients with selected chronic illness vs. those without? Can HCCNs compare the total cost of care for patients with selected chronic conditions but with varying levels of control? For example, is it possible to find out how much savings are created by lowering a diabetic patients’ HbA1c by a single percentage point? There is literature that provides evidence around amounts of cost savings generated as HbA1c decreases, so we would like to do similar analyses using health center data.
Can HCCNs compare the total cost of care for selected chronic conditions? Possibly by comparing patients with selected chronic illness vs. those without?
https://www.cbsnews.com/news/ethylene-oxide-emissions-from-an-illinois-sterilization-plant-gave-women-cancer-lawsuit-says/?ftag=CNM-00-10aac3a
https://www.epa.gov/superfund/superfund-national-priorities-list-npl
How a National Data Strategy Could Work Empower people with a new Advance all communities. Create new funding streams voice against environmental Create a sharing model from HRSA and CDC to influences by watching for allowing HCCNs to share sustain the work and use community patterns resources. Best practices in the network for all advanced informatics. improvement strategies and supporting policy.
Jason Greer CEO Colorado Community Managed Care Network Jason@CCMCN.com
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