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Stewards of Change Institute
11th Annual National Symposium
June 14, 2016
Tuesday Opening Session
Opening Session, Tuesday June 14th
• Overview of the InterOptimability Training
and Certification Program (ITCC)
• Daniel Stein
• Curriculum Discussion
• Dr. Harold Lehmann
• Overnight Reflections & Discussion
ITCC Target & Goals
Target Audience:
• Executives, Program
Managers, Supervisors,
Case Workers
Key Goals:
• Manage Organizational
Change
• Expedite Responsible
Information Sharing
• Bridge Program Silos
• Develop 21st Century
Tools, Knowledge &
Competencies
ITCC Approach:
• An agile, customizable methodology for individuals and
organizations ready to pursue InterOptimability.
• Utilizes 10+ years of SOC experience drawn from
symposia, research, consulting, subject matter experts.
• Leverages “best in class” academic and practitioner
collaborations for curriculum modules.
• Johns Hopkins Bloomberg School of Public Health
• American Health Information Management Association
(AHIMA) will offer accredited badges & certificates.
• Certified InterOptimability Professional (CIP)
SOCI InterOptimability Training and
Certification Curriculum Video
• Click here to view the video on our YouTube
channel:
https://www.youtube.com/watch?v=sB7zvZRY
Wdg
lehmann@jhmi.edu
Education & Training
Harold Lehmann MD PhD
Profesor and Director
lehmann@jhmi.edu
lehmann@jhmi.edu
ONC National ~Curriculum
• HITECH act included funding 2010−2013 for
Training-material development
Course teaching through community colleges and subsidies
University-based degree subsidies
Certificate exam
lehmann@jhmi.edu
ONC National ~Curriculum
• HITECH act included funding 2010−2013 for
Training-material development being renewed 2015−2017
Course teaching through community colleges and subsidies
University-based degree subsidies
Certificate exam
lehmann@jhmi.edu
New Components
• About 15 hours of online material for each of the following
Population Health
Value-Based Care
New Payment Models
Data Analytics
Patient-Centered Care
lehmann@jhmi.edu
New Components
• About 15 hours of online material for each of the following
Population Health
Value-Based Care
New Payment Models
Data Analytics
Patient-Centered Care
lehmann@jhmi.edu
Population Health
Hadi Kharrazi, MD PhD, Assoc Director Center for Population Health IT (CPHIT)
Jonathan Weiner, DrPH, Dir CPHIT. Johns Hopkins Bloomberg School of Public Health (JHBSPH)
David Chin, MD MBA, Distinguished Scholar at JHBSPH
Eric Ford, PhD, Professor and Assoc Chair, Health Policy Management JHBSPH
Linda Dunbar, PhD, VP Population Health & Care Management JH HealthCare
lehmann@jhmi.edu
Units
• Population Health and the Application
of Health IT
• Structural “Accountable” Care
Approaches for Target Population
• Implications of Policy, Finance, and
Business on Population Health
• Research Evaluation and Evidence
Generation in Population Health
• Population Health IT and Data Systems
• Big Data, Interoperability and
Analytics for Population Health
• Applying Health IT to Improve
Population Health at the Community
Level
• Identifying Risk and Segmenting
Populations: Predictive Analytics for
Population Health
• Population Health Management
Interventions
• Engaging Consumer, Providers and
Community in Population Health
Programs
lehmann@jhmi.edu
What Will Be Available
A La Carte (Units)
• Powerpoint
• Transcript
• ppt + voiceover
• Activities
• Self Assessment
• Component blueprint
• 508 Compliant
Meals (Modules)
• Policy track
• Data track
• Intervention track
lehmann@jhmi.edu
Units
• Population Health and the
Application of Health IT
• Structural “Accountable” Care
Approaches for Target Population
• Implications of Policy, Finance, and
Business on Population Health
• Research Evaluation and Evidence
Generation in Population Health
• Population Health IT and Data
Systems
• Big Data, Interoperability and
Analytics for Population Health
• Applying Health IT to Improve
Population Health at the Community
Level
• Identifying Risk and Segmenting
Populations: Predictive Analytics for
Population Health
• Population Health Management
Interventions
• Engaging Consumer, Providers and
Community in Population Health
Programs
Policy
Data
InterventionsIntro
lehmann@jhmi.edu
JH Need: Train 1,000
• We’ll be happy to provide you with “meals” that plug into a
learning module system
• Did I say it was free?
• Current partners
VHA
State of Maryland
Johns Hopkins HealthCare
Virtua Health Systems
Drexel
lehmann@jhmi.edu
Updates of Old
• Introduction to Health Care and Public Health
in the U.S.
• The Culture of Health Care
• Terminology in Health Care and Public Health
Settings
• Introduction to Information and Computer
Science
• History of Health Information Technology in
the U.S.
• Health Management Information Systems
• Working with Health IT Systems
• Installation and Maintenance of Health IT
Systems
• Networking and Health Information Exchange
• Fundamentals of Health Workflow Process
Analysis & Redesign
• Configuring EHRs
• Quality Improvement
• Public Health IT
• Special Topics Course on Vendor-Specific
Systems
• Usability and Human Factors
• Professionalism/Customer Service in the
Health Environment
• Working in Teams
• Planning, Management and Leadership for
Health IT
• Introduction to Project Management
• Training and Instructional Design
lehmann@jhmi.edu
Updates of Old
• Introduction to Health Care and Public Health
in the U.S.
• The Culture of Health Care
• Terminology in Health Care and Public Health
Settings
• Introduction to Information and Computer
Science
• History of Health Information Technology in
the U.S.
• Health Management Information Systems
• Working with Health IT Systems
• Installation and Maintenance of Health IT
Systems
• Networking and Health Information Exchange
• Fundamentals of Health Workflow Process
Analysis & Redesign
• Configuring EHRs
• Quality Improvement
• Public Health IT
• Special Topics Course on Vendor-Specific
Systems
• Usability and Human Factors
• Professionalism/Customer Service in the
Health Environment
• Working in Teams
• Planning, Management and Leadership for
Health IT
• Introduction to Project Management
• Training and Instructional Design
lehmann@jhmi.edu
Relationship to ITT
• Content aligns
• Modules can refer to each other
• A la carte material can be fashioned
e.g., customized for using opioid issue as a running case
lehmann@jhmi.edu
Other Resources
• ONC interoperability training
online
• OpenCourseware: Health
Information Technology
Standards and Systems
Interoperability
• lehmann@jhmi.edu
The Shape of Things to Come
(and How We Can Shape Them!)
Moderator: Shell Culp, Chief Innovation Officer, Stewards of Change Institute
Presenters:
o Joshua C. Rubin, JD, MBA, MPP, MPH, Program Officer, Learning Health System
Initiatives, U. of Michigan Medical School
– Learning Health Systems
o Michelle Garber, Vice President of Lifeline, Universal Service Administrative
Company
– Lifeline Communications
o Steve Ambrosini, Executive Director, IJIS Institute, SCC Oversight Coordinator
– National Standards Coordinating Council
o Maribel Marin, Executive Director, 211 LA and President, 211 California
– 211
o Michael Wilkening, Undersecretary, California Health and Human Services
Agency
– State Government Innovations
Hunt for Collaboration: Realizing
a Learning Health System
Together to Democratize Health
Tuesday, June 14, 2016
Joshua C. Rubin, JD, MBA, MPH, MPP
Josh@JoshCRubin.com
@JoshCRubin
http://www.healthcareitnews.com/blog/memoraim-hunt-blair
A Learning Health System (LHS)…
A System of Health Learners…
•Every Human Health Experience…
•Every Decision Affecting Health…
•Every Person…
26
Patient Groups
Governance
Engagement
Data Aggregation
Analysis
Dissemination
Insurers
Pharma
Universities
Government/Public
Health
Healthcare
Delivery
Networks
Research
Institutes
Tech Industry
All-Inclusive Decentralized ReciprocalTrusted
www.LearningHealth.org
https://lillypad.lilly.com/entry.php?e=8284
www.LearningHealth.org
104 Endorsements of the LHS Core Values*
(As of 5/16/2016)
The Center for Learning Health Care
Siemens Health Services
GE Healthcare IT
*To be included on the www.LearningHealth.org website.
SecureHealthHub, LLC
Department of Primary Care
and Public Health
Program in Health
Informatics, SONHP
Veterans Health Administration
Office of Informatics & Analytics
Division of Health and
Social Care Research
www.LearningHealth.org
“… for those of us who have battled against the weariness
and ennui most change agents face in the institutions of
government and the healthcare industrial complex, we
know that this change has been a long time coming, and it’s
too late to stop now.”
– Hunt Blair, 2015
http://collaborationforlhs.blogspot.com/2015/07/somethings-happening-here.html
Michelle Garber, USAC
Vice President, Lifeline
Lifeline Program
What is it?
The program is undergoing modernization
• 13 million households
• $9.25 / mo. voice discount
($34.25 tribal)
• Eligible through varied social
service programs or income
• Carriers confirm eligibility
Consumers are eligible for a Lifeline benefit if enrolled in1:
• Medicaid
• Supplemental Nutrition
Assistance Program
• Supplemental Security
Income
• Federal Public Housing
Assistance
• Veterans Pension and
Survivors Benefit
• Income-based eligibility
Who can get it?
Reside on Tribal lands and
participate in a federal or state
assistance program such as:
• Bureau of Indian Affairs
General Assistance
• Head Start
• Tribal Temporary Assistance for
Needy Families
• Food Distribution Program on
Indian Reservations
OR
1List reflects criteria effective on the later of December 1, 2016 or 60 days after PRA approval
What services are discounted?
Subscribers may receive a discount on either:
Current State Future State1
Fixed voice (home phone) Fixed voice (home phone)
Mobile voice (cell phone) Mobile voice (cell phone)
Fixed broadband
Mobile broadband
Bundled voice + broadband
1Inclusion of broadband is effective on the later of December 1, 2016 or 60 days after PRA approval
Carrier verifies
consumer eligibility
Begins delivering
discounted services
on a monthly basis
Carrier reimbursed by
USAC based on self-
reported subscribers
How does it work?
Current State: Carrier Verifies Eligibility
National Verifier
verifies consumer
eligibility
Consumer selects
Lifeline carrier and
begins receiving
discounted service
Carrier reimbursed by
USAC based on National
Verifier records
Future State1: National Verifier
1First phase of National Verifier will be implemented December 31, 2017.
Enabling Responsible Information
Sharing and Interoperability
 Common Data Taxonomy – Core Semantics
https://m.youtube.com/watch?v=gmOTpIVxji8
 Normative Interoperability Framework– Context
Neutral Packaging (ICIF)
 Applied Reuse – Context Specific Instantiation(s)
…No One Size Fits All
SCC Membership
IJIS Institute
Programs
&
Initiatives
National Practice
Associations
Standards
Development
Organizations
Academic
&
Research
Technology/
Engineering
Organizations
Industry
Associations
Technology
Incubators
SCC
Project
Interoperability
Mission Centric – IS&S Strategic
• Policy Automation (ICAM)
• Info Security/Safeguarding
• Services Adaptability
• Standards-based
Acquisition
• Viability and Sustainability
Enablement Centric – ICIF
• Common Taxonomy
• Common Profile (SIP’s)
• Crosscutting Capabilities
• Standards Normalization –
Project Prototyping (Pipe)
• Reference Implementation
• IS&S Products
http://www.standardscoordination.org/
BusinessWorking
Group
TechnicalWorking
Group
Architecture Working
Group
Outreach and
Communications
Working Group
Performance
Measurement
Working Group
Information Sharing
and Access Interagency
PolicyCommittee
(Government)
Security Working
Group
Privacy Working
Group
Information
Sharing
Council
(ISC)
Adaptability to Technological Change
Human Adaptation
Organizational
Adaptation
Pace of
Technological
Change
Data Use
Policy
InfoSec/
Safeguarding
Digital
Integrity
This is
NOT
a
Phone!
Thank You
Steven Ambrosini
Executive Director
IJIS Institute, USA
Steve.Ambrosini@ijis.org
Enabling Responsible Information
Sharing and Interoperability
 Common Data Taxonomy – Core Semantics
https://m.youtube.com/watch?v=gmOTpIVxji8
 Normative Interoperability Framework– Context
Neutral Packaging (ICIF)
 Applied Reuse – Context Specific Instantiation(s)
…No One Size Fits All
SCC Membership
IJIS Institute
Programs
&
Initiatives
National Practice
Associations
Standards
Development
Organizations
Academic
&
Research
Technology/
Engineering
Organizations
Industry
Associations
Technology
Incubators
SCC
Project
Interoperability
Mission Centric – IS&S Strategic
• Policy Automation (ICAM)
• Info Security/Safeguarding
• Services Adaptability
• Standards-based
Acquisition
• Viability and Sustainability
Enablement Centric – ICIF
• Common Taxonomy
• Common Profile (SIP’s)
• Crosscutting Capabilities
• Standards Normalization –
Project Prototyping (Pipe)
• Reference Implementation
• IS&S Products
http://www.standardscoordination.org/
BusinessWorking
Group
TechnicalWorking
Group
Architecture Working
Group
Outreach and
Communications
Working Group
Performance
Measurement
Working Group
Information Sharing
and Access Interagency
PolicyCommittee
(Government)
Security Working
Group
Privacy Working
Group
Information
Sharing
Council
(ISC)
Adaptability to Technological Change
Human Adaptation
Organizational
Adaptation
Pace of
Technological
Change
Data Use
Policy
InfoSec/
Safeguarding
Digital
Integrity
This is
NOT
a
Phone!
Thank You
Steven Ambrosini
Executive Director
IJIS Institute, USA
Steve.Ambrosini@ijis.org
2-1-1 is to Social Services
what
9-1-1 is to Emergency Services
211 is an
FCC “N11” Assignment
111 - Not Applicable 211 - Information &
Referral
411 - Directory
Assistance
511 - Transportation
311 - Local Gov’t
Services
611 - Telephone
Service/Repair
711 – Phone Relay
for Disabled
811 – Utility Line
‘Call before you
Dig’
911 - Emergency
Police/Fire
211 directly addresses social
determinants of health in real-time
• Housing/homelessness support
• Crisis call handling for vulnerable populations
(violence in the home/protective services, suicide, trauma, victims
services, substance use)
• Enhancing household resources (food stamps, WIC,
health insurance, free/discounted phones & utility assistance, earned
income tax credits, work source centers)
• Connections to health and mental health services
• Target population proficient (parents, seniors, reentry,
veterans, people w/disabilities, TAY, HIV/AIDS, etc)
2-1-1 removes the lack of
information as the first barrier to
accessing services.
211s Across the United States
Answered 13,964,304 calls in 2015
211 CA Network
Status:
 97% Overall State Coverage
 37 Counties PUC-approved
for 211 Service
 21 Counties without 2-1-1
 Over 1.6 million
Californians called 2-1-1 for
help in 2015.
2-1-1 is a rich data source for
local, regional and national
service needs/gaps,
with untapped potential as a
gateway for Community
Information Exchange.
5
In 2015, 211 services across the US
answered calls equivalent to 12% of all US
households
The most prominent problem/needs were:
• Housing = 18% of total calls
• Utilities Payment Assistance = 12%
• Food and Meals = 8.5%
• Health Care = 7%
• Income Support and Assistance = 7%
• Mental Health and Addictions = 7%
11,301
67,152
9,288
36,937
31,501
317,298
245,140
526,562
163,751
162,078
181,329
180,745
149,382
44,568
34,672
203,584
10,166
Arts, Culture & Recreation
Clothing, Personal & Household
Disaster Services
Education
Employment
Food & Meals
Health Care
Housing
Income Support & Assistance
Individual, Family & Community Support
Information Services
Legal, Consumer & Public Safety
Mental Health & Addictions
Other Government/Economic Services
Transportation
Utilities Assistance
Volunteers & Donations
- 100,000 200,000 300,000 400,000 500,000 600,000
211 California Network
Problem-Needs for 2015
Total = 2,309,425
Who we serve: Our Callers
85% earn less than 2,000 a month
20% are families with children age 0-5
73% are renters
44% are Latino and 34% African-American
5
6
Comprehensive Services:
211 Hub Role
• Supports the regional “No Wrong
Door” policies
• Acts as gateway to social service
network
• Leverages non-profit, gov’t &
faith-based resources – builds
collaboration
• Provides navigation and simplifies
system complexity – links silos
• Strengthens continuums of care
61
Our professional,
knowledgeable and
caring Community
Resource Specialists
are trained to
respond to a variety
of call types,
including basic
needs, disaster
information, and
crisis situations.
They also assess for
unstated needs.
Ourcore:Trained Specialists
“Since you need help
paying bills, you might
also be interested in
CalFresh or Lifeline.”
6
Additional Assessment
Includes:
SNAP/Food
Stamps
Earned
Income Tax
Credits
Health
Insurance
Lifeline Free
Phones
Internet access
63
211 Resource Databases Contains
Comprehensive Listing of CURATED Community
Services/Programs
64
Online Access
Features Guided and
Specialized Search
65
Disaster Role
• Non-emergency
disaster information
• Real-time info to
OEM / Public Health
• Assessment of needs
• Rumor control
• Damage reporting
• 24/7, multi-lingual
public information
dissemination
• Handle large number
of public inquiries and
call surges
Easy to remember 3-digit
dialing code replaces
multiple “hotlines” and
800#’s. Staff expertise
eliminates many
misdirected calls and
reduces non-emergency
911 calls.
66
Opportunities/Challenges:
Standardized - Underutilized
• National operating standards through
the Alliance of Information and Referral
Systems industry association (AIRS)
• AIRS agency accreditation/staff
certification
• Internationally adopted resource
database indexing system: 211 Taxonomy
of Health/Human Services
www.211taxonomy.org
• Local focus/national coverage – trusted
community resource/non-profit driven
67
Finding a 2-1-1 Near You…
www.211.org
Networks in Action: Scaling
Initiatives across Jurisdictions
Moderator: Adam Pertman, Senior Consultant, Stewards of Change Institute
Presenters:
• Alison Rein, Senior Director, Evidence Generation and Translation, AcademyHealth
– Community Health Peer Learning Program, supported by the Office of the National
Coordinator for Health IT
• Clare Tanner, PhD, Program Director, Center for Data Management and Translational Research
Michigan, Public Health Institute
– Data Across Sectors for Health, supported by the Robert Wood Johnson Foundation
• Katherine Klosek, Senior Implementation Advisor
– The Center for Government Excellence, a partner of the Bloomberg Philanthropies What
Works Cities Initiative
• Valerie N. Rogers, MPH, Director, State Government Affairs, HIMSS North America
– Increased Interoperability across the Spectrum of Care
• Steven Posnack, MPH, Director, Office of Standards & Technology, Office of the National Coordinator
for Health Information Technology, HHS
– Interoperability Data Proving Ground
Stewards of Change
11th Annual National Symposium
Networks in Action
• Alison Rein
Director, Community Health Peer Learning Program (CHP); Senior
Director, Evidence Generation and Translation, AcademyHealth
• Clare Tanner
Co-Director, Data Across Sectors for Health (DASH); Program Director,
Michigan Public Health Institute
All In: Data for Community Health
1. Support a data movement that
empowers communities to address
social determinants of health
2. Build an evidence base for the field of
multi-sector data use to improve health
3. Stimulate and support peer learning
and collaboration
DASH and CHP are All In!
Community Health Peer Learning Program (CHP)
 NPO: AcademyHealth, Washington DC; with National
Partnership for Women & Families and NORC as partners
 Funded by the Office of the National Coordinator for Health IT
 15 communities: 10 Participant and 5 Subject Matter Expert
Data Across Sectors for Health (DASH)
 NPO: Illinois Public Health Institute in partnership with the
Michigan Public Health Institute
 Funded by the Robert Wood Johnson Foundation
 10 communities
DASH and CHP Theory of Change
Shared data and
information
Multi-sector
Collaboration
Outcome:
Capacity Building to Drive
Community Health
Improvement
The Metcalfe Network Effect
All In is a learning collaboration
Total Network of 25 Projects
 10 projects – DASH Cohort
 15 projects – CHP Cohort
Geographic Scale
0 2 4 6 8
Metropolitan Area
Neighborhood
Tribal Area
State
Multiple Neighborhoods
Multi-County Region
City or Town
County
CHP DASH
Sectors Represented
0 5 10 15 20
Health care
Social services
Other CBOs
Public health
Research/academia
Housing
Behavioral health
Education
HIE
Criminal justice
Planning, economic and/or communtiy…
Local government (executive level)
Transportation
Tribal
CHP DASH
Data Types / Sources
0 5 10 15 20
Admin data (social services, education)
Electronic health records
Public records
Admin data (health care, e.g.,…
Public health
Geographic (e.g., aggregated regionally)
HIE
Survey/ focus group
Other
CHP DASH
Diversity of DASH/CHP
Project objectives
• Coordinated care
• Population health
management
• Community health risk
reduction
Target populations &
conditions
• Chronic disease
• Serious and persistent mental
illness
• People with disabilities
• Homeless
• High utilizers
• Injury and poisoning
• Children, adults, elderly
Socio-ecological Model
Lead Sector and Impact Level
4
2
3
2
2
1
1
1
1
2
1
3
1
2
1
1
2
4
2
1
1
Health System/Clinic (5)
Public Health Dept (5)
HIE/Beacon (3)
Research (3)
Social Services (2)
Tribal Health Dept (1)
Behavioral Health (1)
Coordinated care (individual)
Family centered care (interpersonal)
Population health management
Community risk reduction
Learning from 43 Projects: Technical
challenges
 Partners are ready, but vendors are not; vendor solutions are
often clunky with poor user interface
 Patient/client matching is hard and under resourced
 Building technical interfaces for multiple EHR systems is time
and resource intensive, and not scalable
 Few standards exist for capture, sharing and integration of
social determinants data elements
Learning from 43 Projects: Governance
challenges
 Policies on data sharing differ by sector, and within government
 Establishing trust relationships within healthcare is (very) hard;
tougher still with increased number and nature of partners
 HIPAA provides useful frame for data use within healthcare
absent consent, but this does not (necessarily) extend to other
sectors / other use cases.
Indicators of Progress
Enabling
Factors
• Community
collaboration
• Resources
• Data &
technology
infrastructure
System
Features
• Structure and
process
• Governance
• Workflow
• Training
• Technical
factors
• User-
orientation
• Timeliness
• Interoperability
Successful
Use Cases
• Number and
variety of use
cases
• Participating
sectors
• Usefulness
• Acceptability
• Sustainability
Collaboration: A national perspective
 Organizational missions both drive and inhibit collaboration
 Collaboration slows down the work, at least initially
 In-person encounters are critical to relationship building
 Meaningful peer-to-peer collaboration must be staffed
 Opportunities for learning exist at ALL levels:
• NPO-to-NPO
• Grantee-to-grantee
 Distributed leadership requires clear delineation and documentation of
roles, responsibilities and accountability
 Honesty, respect, and compassion are key ingredients
 It helps (a lot) to like your collaborators
Our Role: To listen, identify, characterize,
and then (try) to help resolve
 As two coordinating nodes on the All In network, DASH and
CHP are continuously:
 Monitoring and reflecting back what we hear as being major challenges
and areas of mutual concern
 Cultivating opportunities for peer-learning and collaboration
 This is often an organic process, but sometimes we explicitly
ask
 With a collective cohort of 43, we have started to solicit
feedback regarding key challenges and (early) lessons learned
Four Tiers to Build the All In Network
Go All In!
 Sign up for news at
dashconnect.org
 Follow us at
@DASH_connect and
@AcademyHealth
#CHPhealthIT
City Strategies to
Improve Health Outcomes
Katherine Klosek
Senior Implementation Advisor
Center for Government Excellence at Johns Hopkins University | What Works Cities
Source: Baltimore City Health Department 2011 Neighborhood Health Profiles
Source: Baltimore City Health Department 2011 Neighborhood Health Profiles
Source: Baltimore City Health Department 2011 Neighborhood Health Profiles
Denton, TX | Open Data Day Hackathon
The city and its partners created a
map illustrating location of health care
services, and concentration of health
care needs
Dashboard Next Steps:
● Identify new data sources from
Denton County
● Identify metrics for homelessness,
poverty, etc.
● Create food desert map
Dataset Data Owner
Business Licenses Department of Business Affairs and Consumer Protection
Food Inspection History Health & Human Services
Crime Chicago Police Department's CLEAR (Citizen Law Enforcement Analysis and
Reporting
Garbage Cart Requests Department of Streets and Sanitation
Sanitation Code Complaints Department of Streets and Sanitation
Weather forecast.io
Increased Interoperability
Across the Spectrum of Care
Valerie N. Rogers, MPH, Director, HIMSS State Government Affairs
June 14, 2016
HIMSS is at the crossroad of health & IT
Health IT
Membership engagement
Individual Members:
64,000+
Corporate Members:
625+
Non-Profit Partner Members:
420+
Organizational Affiliate Clients:
430+
Volunteers work with HIMSS to improve the quality, cost-
effectiveness, access, and value of healthcare through IT
20,000+
Chapter Members:
57,000+
Chapter Leaders:
740+
Chapters:
55
Communities:
10
Roundtables:
11
SIGs:
9
Committees:
15
IT’s Role is Fundamental
• Fosters open, responsible data sharing with the
highest regard to participant privacy, and puts
engaged participants at the center of research efforts
• Timing is perfect
– Americans increasingly engaged in health & technology;
– Foundational IT widely implemented;
– Genomic analysis costs dropped significantly;
– Data science increasingly sophisticated; and,
– Mobile technologies widely available and often affordable.
• Profound IT policy, governance, and execution
challenges around security, interoperability, C&BI
Focused on equipping stakeholders with resources, education and
community to deliver the HIMSS mission
HIMSS North America
Credible, Pragmatic
Approach
Quarterly, over 300
resources.
White Papers
Resources Education
One of a Kind and
Comprehensive
Focused on Health and
Health IT
Community
Like minded
professionals and
peers.
Best practices/Learning
54 Chapters
15 Committees
The most practical way to stay ahead of health IT trends, insights and
solutions for HIT
HIMSS Analytics
Healthcare industry’s
most powerful IT
information
• Extensive coverage
• Predictive capabilities
• Industry's broadest and
fastest source of data
Data Consulting
A coach that helps you
continually improve in
order to stay ahead of
the competition.
• Experts and
Specialists
• Analytics driven
insights
Maturity
Models
We created the
industry standards
that are shaping
tomorrow
• EMRAM 2.0
• A-EMRAM
• CCMM
• Logic Offerings
On the Horizon
• Interoperability: Ensure that data are flowing to allow for improved health care efficiency. Data sources include:
• Medicaid, Medicare, and private sector claims data
• Clinical data: EMR, Labs, Pharmacy, ADT, behavioral health, etc.
• Non-clinical data: social services, corrections, homeless database, etc.
• Analytics: Beyond program integrity (which is critical), make services available to state health care leaders and others to
improve the efficiency of health care system.
• Significant focus on their own purchasing:
• Medicaid and CHIP
• State Employee and Retiree
• State HIX
• Public Health
• Health System Transformation (Aid in health care system improving itself)
• Opioid Addiction & Automated Prescription Reporting Systems
• Increased telemedicine/telehealth
• Open source results and/or analytic capabilities
• Health research
• Surveillance (Zika, Ebola, Influenza)
• Etc.
Deep Dive into Building Community-
Based Solutions to Connect for Public
Health
Regional/Chapter Level Engagement:
• Longitudinal health record and increased connectedness
across clinical, behavioral, public/population health and
human services
– Federal and State Health IT Policies/Regulations
– Infrastructure, technology, tools
– Care management and treatment
– Research
– Population Health
– Consumer access to information
• Education
– Content
– Virtual events
– Regional events
and conferences
– Podcasts
– Research
– HIMSS17
• Career Services
– Certifications
• CAHIMS
• CPHIMS
HIMSS engagement
• JobMine
• ConCert By HIMSS
• Value Suite
– Value Score
• HIMSS Global
–HIMSS Analytics
–HIMSS Innovation Center
–PCHA
–HIMSS Media
• HIMSS17 Annual Conference
Thank you!
Valerie N. Rogers, MPH
Director, State Government Affairs
HIMSS
vrogers@himss.org
Networks in Action: Scaling
Initiatives across
Jurisdictions
Stewards of Change 11
Steven Posnack | ONC
Pilot Rich…Proof Poor
 Great work and experimentation going on.
 Yet, it’s hard to know who’s doing what and how to collaborate.
 Can we promote more kinetic inspiration?
110
The Interoperability Proving Ground
111
https://www.healthit.gov/techlab/ipg/
But wait… there’s more!
112
What can you do?
 Check it out!
 Spread the word
 Subscribe
 Share
113

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SOCI 11 - Day Two - Tuesday Morning - June 14, 2016

  • 1. Stewards of Change Institute 11th Annual National Symposium June 14, 2016 Tuesday Opening Session
  • 2.
  • 3. Opening Session, Tuesday June 14th • Overview of the InterOptimability Training and Certification Program (ITCC) • Daniel Stein • Curriculum Discussion • Dr. Harold Lehmann • Overnight Reflections & Discussion
  • 4. ITCC Target & Goals Target Audience: • Executives, Program Managers, Supervisors, Case Workers Key Goals: • Manage Organizational Change • Expedite Responsible Information Sharing • Bridge Program Silos • Develop 21st Century Tools, Knowledge & Competencies
  • 5. ITCC Approach: • An agile, customizable methodology for individuals and organizations ready to pursue InterOptimability. • Utilizes 10+ years of SOC experience drawn from symposia, research, consulting, subject matter experts. • Leverages “best in class” academic and practitioner collaborations for curriculum modules. • Johns Hopkins Bloomberg School of Public Health • American Health Information Management Association (AHIMA) will offer accredited badges & certificates. • Certified InterOptimability Professional (CIP)
  • 6. SOCI InterOptimability Training and Certification Curriculum Video • Click here to view the video on our YouTube channel: https://www.youtube.com/watch?v=sB7zvZRY Wdg
  • 7. lehmann@jhmi.edu Education & Training Harold Lehmann MD PhD Profesor and Director lehmann@jhmi.edu
  • 8. lehmann@jhmi.edu ONC National ~Curriculum • HITECH act included funding 2010−2013 for Training-material development Course teaching through community colleges and subsidies University-based degree subsidies Certificate exam
  • 9. lehmann@jhmi.edu ONC National ~Curriculum • HITECH act included funding 2010−2013 for Training-material development being renewed 2015−2017 Course teaching through community colleges and subsidies University-based degree subsidies Certificate exam
  • 10. lehmann@jhmi.edu New Components • About 15 hours of online material for each of the following Population Health Value-Based Care New Payment Models Data Analytics Patient-Centered Care
  • 11. lehmann@jhmi.edu New Components • About 15 hours of online material for each of the following Population Health Value-Based Care New Payment Models Data Analytics Patient-Centered Care
  • 12. lehmann@jhmi.edu Population Health Hadi Kharrazi, MD PhD, Assoc Director Center for Population Health IT (CPHIT) Jonathan Weiner, DrPH, Dir CPHIT. Johns Hopkins Bloomberg School of Public Health (JHBSPH) David Chin, MD MBA, Distinguished Scholar at JHBSPH Eric Ford, PhD, Professor and Assoc Chair, Health Policy Management JHBSPH Linda Dunbar, PhD, VP Population Health & Care Management JH HealthCare
  • 13. lehmann@jhmi.edu Units • Population Health and the Application of Health IT • Structural “Accountable” Care Approaches for Target Population • Implications of Policy, Finance, and Business on Population Health • Research Evaluation and Evidence Generation in Population Health • Population Health IT and Data Systems • Big Data, Interoperability and Analytics for Population Health • Applying Health IT to Improve Population Health at the Community Level • Identifying Risk and Segmenting Populations: Predictive Analytics for Population Health • Population Health Management Interventions • Engaging Consumer, Providers and Community in Population Health Programs
  • 14. lehmann@jhmi.edu What Will Be Available A La Carte (Units) • Powerpoint • Transcript • ppt + voiceover • Activities • Self Assessment • Component blueprint • 508 Compliant Meals (Modules) • Policy track • Data track • Intervention track
  • 15. lehmann@jhmi.edu Units • Population Health and the Application of Health IT • Structural “Accountable” Care Approaches for Target Population • Implications of Policy, Finance, and Business on Population Health • Research Evaluation and Evidence Generation in Population Health • Population Health IT and Data Systems • Big Data, Interoperability and Analytics for Population Health • Applying Health IT to Improve Population Health at the Community Level • Identifying Risk and Segmenting Populations: Predictive Analytics for Population Health • Population Health Management Interventions • Engaging Consumer, Providers and Community in Population Health Programs Policy Data InterventionsIntro
  • 16. lehmann@jhmi.edu JH Need: Train 1,000 • We’ll be happy to provide you with “meals” that plug into a learning module system • Did I say it was free? • Current partners VHA State of Maryland Johns Hopkins HealthCare Virtua Health Systems Drexel
  • 17. lehmann@jhmi.edu Updates of Old • Introduction to Health Care and Public Health in the U.S. • The Culture of Health Care • Terminology in Health Care and Public Health Settings • Introduction to Information and Computer Science • History of Health Information Technology in the U.S. • Health Management Information Systems • Working with Health IT Systems • Installation and Maintenance of Health IT Systems • Networking and Health Information Exchange • Fundamentals of Health Workflow Process Analysis & Redesign • Configuring EHRs • Quality Improvement • Public Health IT • Special Topics Course on Vendor-Specific Systems • Usability and Human Factors • Professionalism/Customer Service in the Health Environment • Working in Teams • Planning, Management and Leadership for Health IT • Introduction to Project Management • Training and Instructional Design
  • 18. lehmann@jhmi.edu Updates of Old • Introduction to Health Care and Public Health in the U.S. • The Culture of Health Care • Terminology in Health Care and Public Health Settings • Introduction to Information and Computer Science • History of Health Information Technology in the U.S. • Health Management Information Systems • Working with Health IT Systems • Installation and Maintenance of Health IT Systems • Networking and Health Information Exchange • Fundamentals of Health Workflow Process Analysis & Redesign • Configuring EHRs • Quality Improvement • Public Health IT • Special Topics Course on Vendor-Specific Systems • Usability and Human Factors • Professionalism/Customer Service in the Health Environment • Working in Teams • Planning, Management and Leadership for Health IT • Introduction to Project Management • Training and Instructional Design
  • 19. lehmann@jhmi.edu Relationship to ITT • Content aligns • Modules can refer to each other • A la carte material can be fashioned e.g., customized for using opioid issue as a running case
  • 20. lehmann@jhmi.edu Other Resources • ONC interoperability training online • OpenCourseware: Health Information Technology Standards and Systems Interoperability • lehmann@jhmi.edu
  • 21. The Shape of Things to Come (and How We Can Shape Them!) Moderator: Shell Culp, Chief Innovation Officer, Stewards of Change Institute Presenters: o Joshua C. Rubin, JD, MBA, MPP, MPH, Program Officer, Learning Health System Initiatives, U. of Michigan Medical School – Learning Health Systems o Michelle Garber, Vice President of Lifeline, Universal Service Administrative Company – Lifeline Communications o Steve Ambrosini, Executive Director, IJIS Institute, SCC Oversight Coordinator – National Standards Coordinating Council o Maribel Marin, Executive Director, 211 LA and President, 211 California – 211 o Michael Wilkening, Undersecretary, California Health and Human Services Agency – State Government Innovations
  • 22. Hunt for Collaboration: Realizing a Learning Health System Together to Democratize Health Tuesday, June 14, 2016 Joshua C. Rubin, JD, MBA, MPH, MPP Josh@JoshCRubin.com @JoshCRubin
  • 24. A Learning Health System (LHS)… A System of Health Learners… •Every Human Health Experience… •Every Decision Affecting Health… •Every Person…
  • 25.
  • 29. 104 Endorsements of the LHS Core Values* (As of 5/16/2016) The Center for Learning Health Care Siemens Health Services GE Healthcare IT *To be included on the www.LearningHealth.org website. SecureHealthHub, LLC Department of Primary Care and Public Health Program in Health Informatics, SONHP Veterans Health Administration Office of Informatics & Analytics Division of Health and Social Care Research
  • 31. “… for those of us who have battled against the weariness and ennui most change agents face in the institutions of government and the healthcare industrial complex, we know that this change has been a long time coming, and it’s too late to stop now.” – Hunt Blair, 2015 http://collaborationforlhs.blogspot.com/2015/07/somethings-happening-here.html
  • 32. Michelle Garber, USAC Vice President, Lifeline Lifeline Program
  • 33. What is it? The program is undergoing modernization • 13 million households • $9.25 / mo. voice discount ($34.25 tribal) • Eligible through varied social service programs or income • Carriers confirm eligibility
  • 34. Consumers are eligible for a Lifeline benefit if enrolled in1: • Medicaid • Supplemental Nutrition Assistance Program • Supplemental Security Income • Federal Public Housing Assistance • Veterans Pension and Survivors Benefit • Income-based eligibility Who can get it? Reside on Tribal lands and participate in a federal or state assistance program such as: • Bureau of Indian Affairs General Assistance • Head Start • Tribal Temporary Assistance for Needy Families • Food Distribution Program on Indian Reservations OR 1List reflects criteria effective on the later of December 1, 2016 or 60 days after PRA approval
  • 35. What services are discounted? Subscribers may receive a discount on either: Current State Future State1 Fixed voice (home phone) Fixed voice (home phone) Mobile voice (cell phone) Mobile voice (cell phone) Fixed broadband Mobile broadband Bundled voice + broadband 1Inclusion of broadband is effective on the later of December 1, 2016 or 60 days after PRA approval
  • 36. Carrier verifies consumer eligibility Begins delivering discounted services on a monthly basis Carrier reimbursed by USAC based on self- reported subscribers How does it work? Current State: Carrier Verifies Eligibility National Verifier verifies consumer eligibility Consumer selects Lifeline carrier and begins receiving discounted service Carrier reimbursed by USAC based on National Verifier records Future State1: National Verifier 1First phase of National Verifier will be implemented December 31, 2017.
  • 37. Enabling Responsible Information Sharing and Interoperability  Common Data Taxonomy – Core Semantics https://m.youtube.com/watch?v=gmOTpIVxji8  Normative Interoperability Framework– Context Neutral Packaging (ICIF)  Applied Reuse – Context Specific Instantiation(s) …No One Size Fits All
  • 38. SCC Membership IJIS Institute Programs & Initiatives National Practice Associations Standards Development Organizations Academic & Research Technology/ Engineering Organizations Industry Associations Technology Incubators
  • 39. SCC Project Interoperability Mission Centric – IS&S Strategic • Policy Automation (ICAM) • Info Security/Safeguarding • Services Adaptability • Standards-based Acquisition • Viability and Sustainability Enablement Centric – ICIF • Common Taxonomy • Common Profile (SIP’s) • Crosscutting Capabilities • Standards Normalization – Project Prototyping (Pipe) • Reference Implementation • IS&S Products http://www.standardscoordination.org/ BusinessWorking Group TechnicalWorking Group Architecture Working Group Outreach and Communications Working Group Performance Measurement Working Group Information Sharing and Access Interagency PolicyCommittee (Government) Security Working Group Privacy Working Group Information Sharing Council (ISC)
  • 40. Adaptability to Technological Change Human Adaptation Organizational Adaptation Pace of Technological Change Data Use Policy InfoSec/ Safeguarding Digital Integrity
  • 42. Thank You Steven Ambrosini Executive Director IJIS Institute, USA Steve.Ambrosini@ijis.org
  • 43. Enabling Responsible Information Sharing and Interoperability  Common Data Taxonomy – Core Semantics https://m.youtube.com/watch?v=gmOTpIVxji8  Normative Interoperability Framework– Context Neutral Packaging (ICIF)  Applied Reuse – Context Specific Instantiation(s) …No One Size Fits All
  • 44. SCC Membership IJIS Institute Programs & Initiatives National Practice Associations Standards Development Organizations Academic & Research Technology/ Engineering Organizations Industry Associations Technology Incubators
  • 45. SCC Project Interoperability Mission Centric – IS&S Strategic • Policy Automation (ICAM) • Info Security/Safeguarding • Services Adaptability • Standards-based Acquisition • Viability and Sustainability Enablement Centric – ICIF • Common Taxonomy • Common Profile (SIP’s) • Crosscutting Capabilities • Standards Normalization – Project Prototyping (Pipe) • Reference Implementation • IS&S Products http://www.standardscoordination.org/ BusinessWorking Group TechnicalWorking Group Architecture Working Group Outreach and Communications Working Group Performance Measurement Working Group Information Sharing and Access Interagency PolicyCommittee (Government) Security Working Group Privacy Working Group Information Sharing Council (ISC)
  • 46. Adaptability to Technological Change Human Adaptation Organizational Adaptation Pace of Technological Change Data Use Policy InfoSec/ Safeguarding Digital Integrity
  • 48. Thank You Steven Ambrosini Executive Director IJIS Institute, USA Steve.Ambrosini@ijis.org
  • 49. 2-1-1 is to Social Services what 9-1-1 is to Emergency Services
  • 50. 211 is an FCC “N11” Assignment 111 - Not Applicable 211 - Information & Referral 411 - Directory Assistance 511 - Transportation 311 - Local Gov’t Services 611 - Telephone Service/Repair 711 – Phone Relay for Disabled 811 – Utility Line ‘Call before you Dig’ 911 - Emergency Police/Fire
  • 51.
  • 52. 211 directly addresses social determinants of health in real-time • Housing/homelessness support • Crisis call handling for vulnerable populations (violence in the home/protective services, suicide, trauma, victims services, substance use) • Enhancing household resources (food stamps, WIC, health insurance, free/discounted phones & utility assistance, earned income tax credits, work source centers) • Connections to health and mental health services • Target population proficient (parents, seniors, reentry, veterans, people w/disabilities, TAY, HIV/AIDS, etc)
  • 53. 2-1-1 removes the lack of information as the first barrier to accessing services.
  • 54. 211s Across the United States Answered 13,964,304 calls in 2015
  • 55. 211 CA Network Status:  97% Overall State Coverage  37 Counties PUC-approved for 211 Service  21 Counties without 2-1-1  Over 1.6 million Californians called 2-1-1 for help in 2015.
  • 56. 2-1-1 is a rich data source for local, regional and national service needs/gaps, with untapped potential as a gateway for Community Information Exchange.
  • 57. 5 In 2015, 211 services across the US answered calls equivalent to 12% of all US households The most prominent problem/needs were: • Housing = 18% of total calls • Utilities Payment Assistance = 12% • Food and Meals = 8.5% • Health Care = 7% • Income Support and Assistance = 7% • Mental Health and Addictions = 7%
  • 58. 11,301 67,152 9,288 36,937 31,501 317,298 245,140 526,562 163,751 162,078 181,329 180,745 149,382 44,568 34,672 203,584 10,166 Arts, Culture & Recreation Clothing, Personal & Household Disaster Services Education Employment Food & Meals Health Care Housing Income Support & Assistance Individual, Family & Community Support Information Services Legal, Consumer & Public Safety Mental Health & Addictions Other Government/Economic Services Transportation Utilities Assistance Volunteers & Donations - 100,000 200,000 300,000 400,000 500,000 600,000 211 California Network Problem-Needs for 2015 Total = 2,309,425
  • 59. Who we serve: Our Callers 85% earn less than 2,000 a month 20% are families with children age 0-5 73% are renters 44% are Latino and 34% African-American 5
  • 60. 6
  • 61. Comprehensive Services: 211 Hub Role • Supports the regional “No Wrong Door” policies • Acts as gateway to social service network • Leverages non-profit, gov’t & faith-based resources – builds collaboration • Provides navigation and simplifies system complexity – links silos • Strengthens continuums of care 61
  • 62. Our professional, knowledgeable and caring Community Resource Specialists are trained to respond to a variety of call types, including basic needs, disaster information, and crisis situations. They also assess for unstated needs. Ourcore:Trained Specialists “Since you need help paying bills, you might also be interested in CalFresh or Lifeline.” 6
  • 64. 211 Resource Databases Contains Comprehensive Listing of CURATED Community Services/Programs 64
  • 65. Online Access Features Guided and Specialized Search 65
  • 66. Disaster Role • Non-emergency disaster information • Real-time info to OEM / Public Health • Assessment of needs • Rumor control • Damage reporting • 24/7, multi-lingual public information dissemination • Handle large number of public inquiries and call surges Easy to remember 3-digit dialing code replaces multiple “hotlines” and 800#’s. Staff expertise eliminates many misdirected calls and reduces non-emergency 911 calls. 66
  • 67. Opportunities/Challenges: Standardized - Underutilized • National operating standards through the Alliance of Information and Referral Systems industry association (AIRS) • AIRS agency accreditation/staff certification • Internationally adopted resource database indexing system: 211 Taxonomy of Health/Human Services www.211taxonomy.org • Local focus/national coverage – trusted community resource/non-profit driven 67
  • 68. Finding a 2-1-1 Near You… www.211.org
  • 69. Networks in Action: Scaling Initiatives across Jurisdictions Moderator: Adam Pertman, Senior Consultant, Stewards of Change Institute Presenters: • Alison Rein, Senior Director, Evidence Generation and Translation, AcademyHealth – Community Health Peer Learning Program, supported by the Office of the National Coordinator for Health IT • Clare Tanner, PhD, Program Director, Center for Data Management and Translational Research Michigan, Public Health Institute – Data Across Sectors for Health, supported by the Robert Wood Johnson Foundation • Katherine Klosek, Senior Implementation Advisor – The Center for Government Excellence, a partner of the Bloomberg Philanthropies What Works Cities Initiative • Valerie N. Rogers, MPH, Director, State Government Affairs, HIMSS North America – Increased Interoperability across the Spectrum of Care • Steven Posnack, MPH, Director, Office of Standards & Technology, Office of the National Coordinator for Health Information Technology, HHS – Interoperability Data Proving Ground
  • 70. Stewards of Change 11th Annual National Symposium Networks in Action • Alison Rein Director, Community Health Peer Learning Program (CHP); Senior Director, Evidence Generation and Translation, AcademyHealth • Clare Tanner Co-Director, Data Across Sectors for Health (DASH); Program Director, Michigan Public Health Institute
  • 71. All In: Data for Community Health 1. Support a data movement that empowers communities to address social determinants of health 2. Build an evidence base for the field of multi-sector data use to improve health 3. Stimulate and support peer learning and collaboration
  • 72. DASH and CHP are All In! Community Health Peer Learning Program (CHP)  NPO: AcademyHealth, Washington DC; with National Partnership for Women & Families and NORC as partners  Funded by the Office of the National Coordinator for Health IT  15 communities: 10 Participant and 5 Subject Matter Expert Data Across Sectors for Health (DASH)  NPO: Illinois Public Health Institute in partnership with the Michigan Public Health Institute  Funded by the Robert Wood Johnson Foundation  10 communities
  • 73. DASH and CHP Theory of Change Shared data and information Multi-sector Collaboration Outcome: Capacity Building to Drive Community Health Improvement
  • 75. All In is a learning collaboration
  • 76. Total Network of 25 Projects  10 projects – DASH Cohort  15 projects – CHP Cohort
  • 77. Geographic Scale 0 2 4 6 8 Metropolitan Area Neighborhood Tribal Area State Multiple Neighborhoods Multi-County Region City or Town County CHP DASH
  • 78. Sectors Represented 0 5 10 15 20 Health care Social services Other CBOs Public health Research/academia Housing Behavioral health Education HIE Criminal justice Planning, economic and/or communtiy… Local government (executive level) Transportation Tribal CHP DASH
  • 79. Data Types / Sources 0 5 10 15 20 Admin data (social services, education) Electronic health records Public records Admin data (health care, e.g.,… Public health Geographic (e.g., aggregated regionally) HIE Survey/ focus group Other CHP DASH
  • 80. Diversity of DASH/CHP Project objectives • Coordinated care • Population health management • Community health risk reduction Target populations & conditions • Chronic disease • Serious and persistent mental illness • People with disabilities • Homeless • High utilizers • Injury and poisoning • Children, adults, elderly Socio-ecological Model
  • 81. Lead Sector and Impact Level 4 2 3 2 2 1 1 1 1 2 1 3 1 2 1 1 2 4 2 1 1 Health System/Clinic (5) Public Health Dept (5) HIE/Beacon (3) Research (3) Social Services (2) Tribal Health Dept (1) Behavioral Health (1) Coordinated care (individual) Family centered care (interpersonal) Population health management Community risk reduction
  • 82. Learning from 43 Projects: Technical challenges  Partners are ready, but vendors are not; vendor solutions are often clunky with poor user interface  Patient/client matching is hard and under resourced  Building technical interfaces for multiple EHR systems is time and resource intensive, and not scalable  Few standards exist for capture, sharing and integration of social determinants data elements
  • 83. Learning from 43 Projects: Governance challenges  Policies on data sharing differ by sector, and within government  Establishing trust relationships within healthcare is (very) hard; tougher still with increased number and nature of partners  HIPAA provides useful frame for data use within healthcare absent consent, but this does not (necessarily) extend to other sectors / other use cases.
  • 84. Indicators of Progress Enabling Factors • Community collaboration • Resources • Data & technology infrastructure System Features • Structure and process • Governance • Workflow • Training • Technical factors • User- orientation • Timeliness • Interoperability Successful Use Cases • Number and variety of use cases • Participating sectors • Usefulness • Acceptability • Sustainability
  • 85. Collaboration: A national perspective  Organizational missions both drive and inhibit collaboration  Collaboration slows down the work, at least initially  In-person encounters are critical to relationship building  Meaningful peer-to-peer collaboration must be staffed  Opportunities for learning exist at ALL levels: • NPO-to-NPO • Grantee-to-grantee  Distributed leadership requires clear delineation and documentation of roles, responsibilities and accountability  Honesty, respect, and compassion are key ingredients  It helps (a lot) to like your collaborators
  • 86.
  • 87. Our Role: To listen, identify, characterize, and then (try) to help resolve  As two coordinating nodes on the All In network, DASH and CHP are continuously:  Monitoring and reflecting back what we hear as being major challenges and areas of mutual concern  Cultivating opportunities for peer-learning and collaboration  This is often an organic process, but sometimes we explicitly ask  With a collective cohort of 43, we have started to solicit feedback regarding key challenges and (early) lessons learned
  • 88. Four Tiers to Build the All In Network
  • 89. Go All In!  Sign up for news at dashconnect.org  Follow us at @DASH_connect and @AcademyHealth #CHPhealthIT
  • 90. City Strategies to Improve Health Outcomes Katherine Klosek Senior Implementation Advisor Center for Government Excellence at Johns Hopkins University | What Works Cities
  • 91. Source: Baltimore City Health Department 2011 Neighborhood Health Profiles
  • 92. Source: Baltimore City Health Department 2011 Neighborhood Health Profiles
  • 93. Source: Baltimore City Health Department 2011 Neighborhood Health Profiles
  • 94. Denton, TX | Open Data Day Hackathon The city and its partners created a map illustrating location of health care services, and concentration of health care needs Dashboard Next Steps: ● Identify new data sources from Denton County ● Identify metrics for homelessness, poverty, etc. ● Create food desert map
  • 95. Dataset Data Owner Business Licenses Department of Business Affairs and Consumer Protection Food Inspection History Health & Human Services Crime Chicago Police Department's CLEAR (Citizen Law Enforcement Analysis and Reporting Garbage Cart Requests Department of Streets and Sanitation Sanitation Code Complaints Department of Streets and Sanitation Weather forecast.io
  • 96.
  • 97.
  • 98.
  • 99. Increased Interoperability Across the Spectrum of Care Valerie N. Rogers, MPH, Director, HIMSS State Government Affairs June 14, 2016
  • 100. HIMSS is at the crossroad of health & IT Health IT
  • 101. Membership engagement Individual Members: 64,000+ Corporate Members: 625+ Non-Profit Partner Members: 420+ Organizational Affiliate Clients: 430+ Volunteers work with HIMSS to improve the quality, cost- effectiveness, access, and value of healthcare through IT 20,000+ Chapter Members: 57,000+ Chapter Leaders: 740+ Chapters: 55 Communities: 10 Roundtables: 11 SIGs: 9 Committees: 15
  • 102. IT’s Role is Fundamental • Fosters open, responsible data sharing with the highest regard to participant privacy, and puts engaged participants at the center of research efforts • Timing is perfect – Americans increasingly engaged in health & technology; – Foundational IT widely implemented; – Genomic analysis costs dropped significantly; – Data science increasingly sophisticated; and, – Mobile technologies widely available and often affordable. • Profound IT policy, governance, and execution challenges around security, interoperability, C&BI
  • 103. Focused on equipping stakeholders with resources, education and community to deliver the HIMSS mission HIMSS North America Credible, Pragmatic Approach Quarterly, over 300 resources. White Papers Resources Education One of a Kind and Comprehensive Focused on Health and Health IT Community Like minded professionals and peers. Best practices/Learning 54 Chapters 15 Committees
  • 104. The most practical way to stay ahead of health IT trends, insights and solutions for HIT HIMSS Analytics Healthcare industry’s most powerful IT information • Extensive coverage • Predictive capabilities • Industry's broadest and fastest source of data Data Consulting A coach that helps you continually improve in order to stay ahead of the competition. • Experts and Specialists • Analytics driven insights Maturity Models We created the industry standards that are shaping tomorrow • EMRAM 2.0 • A-EMRAM • CCMM • Logic Offerings
  • 105. On the Horizon • Interoperability: Ensure that data are flowing to allow for improved health care efficiency. Data sources include: • Medicaid, Medicare, and private sector claims data • Clinical data: EMR, Labs, Pharmacy, ADT, behavioral health, etc. • Non-clinical data: social services, corrections, homeless database, etc. • Analytics: Beyond program integrity (which is critical), make services available to state health care leaders and others to improve the efficiency of health care system. • Significant focus on their own purchasing: • Medicaid and CHIP • State Employee and Retiree • State HIX • Public Health • Health System Transformation (Aid in health care system improving itself) • Opioid Addiction & Automated Prescription Reporting Systems • Increased telemedicine/telehealth • Open source results and/or analytic capabilities • Health research • Surveillance (Zika, Ebola, Influenza) • Etc.
  • 106. Deep Dive into Building Community- Based Solutions to Connect for Public Health Regional/Chapter Level Engagement: • Longitudinal health record and increased connectedness across clinical, behavioral, public/population health and human services – Federal and State Health IT Policies/Regulations – Infrastructure, technology, tools – Care management and treatment – Research – Population Health – Consumer access to information
  • 107. • Education – Content – Virtual events – Regional events and conferences – Podcasts – Research – HIMSS17 • Career Services – Certifications • CAHIMS • CPHIMS HIMSS engagement • JobMine • ConCert By HIMSS • Value Suite – Value Score • HIMSS Global –HIMSS Analytics –HIMSS Innovation Center –PCHA –HIMSS Media • HIMSS17 Annual Conference
  • 108. Thank you! Valerie N. Rogers, MPH Director, State Government Affairs HIMSS vrogers@himss.org
  • 109. Networks in Action: Scaling Initiatives across Jurisdictions Stewards of Change 11 Steven Posnack | ONC
  • 110. Pilot Rich…Proof Poor  Great work and experimentation going on.  Yet, it’s hard to know who’s doing what and how to collaborate.  Can we promote more kinetic inspiration? 110
  • 111. The Interoperability Proving Ground 111 https://www.healthit.gov/techlab/ipg/
  • 113. What can you do?  Check it out!  Spread the word  Subscribe  Share 113