cie toolkit in depthciesandiego.org/wp-content/uploads/2019/03/cieweb4_final.pdfwebinar 4: cie...
TRANSCRIPT
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CIE Toolkit In DepthWebinar 4: CIE Toolkit In Depth: Prepare a Legally Compliant Framework & Adopt an Interoperable TechnologyMarch 21, 201910:00 am – 11:30 am (Pacific)
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Beth Johnson, MPHDirector of Strategic
Initiatives
Karis Grounds, MPHVice President Of Health and Community Impact
Peter BattistelChief Technology Officer
Introductions
Shelley Brown, EsqLegal Consultant
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What is a Community Information Exchange (CIE)?
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Person-CenteredModel Model
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Why a Toolkit?• Share San Diego’s long history developing,
growing, and maintaining its CIE
• Support the nationwide movement around capture and use of social determinants of health data to promote individual well-being as a foundation for more holistic approach to community health
• Provide communities across the country with insights and strategies on how to approach development of a local CIE
This toolkit was made possible through a generous grant from the Schultz Family Foundation
www.ciesandiego.org/toolkit
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Toolkit Sections
Section 2: State of the Field
Section 3: Insights and Strategies
Section 1: What is a Community Information Exchange
Learn about the features and benefits of
developing a CIE, including how the CIE
creates community impact.
Discover the influences that shaped the conceptualization
and evolution of the CIE.
Explore the six strategies essential to developing an effective and sustainable
CIE.
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Toolkit Features
Purpose Action Checklist Practical Application
Glossary Resources/Templates
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Section 3: Insights and Strategies
Identify the CIE Vision and Governance
Mobilize the Community Network
Prepare a Legally Compliant Framework
Adopt Interoperable and Scalable Technology
Cultivate Sustainability
Transform the Movement
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Prepare a Legally Compliant Framework
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Why is this important? • Sharing data among multiple partners requires a solid
legal framework and protocols that comply with federal, state and local regulations.
• CIEs that include health providers are required to meet Health Insurance Portability and Accountability Act (HIPAA) requirements for sharing Protected Health Information (PHI).
• Other federal compliance regulations govern the use of personally identifiable information (PII).
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Action Checklist
1. Set Standards for Network Partners
2. Establish Standard Consent
3. Define Roles for Health and Non-Health Partners
4. Establish Standard Security and Privacy
Measures
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Create a Team of Legal Advisors
Develop Formal Data-Sharing Agreements
1. Set Standards for Network Partners
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Create a Team of Legal Advisors• Become familiar with health
information privacy and security laws
• Create a legal team that
understands the CIE vision
• Create a legal framework that
complies with the privacy and
confidentiality guidelines
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Decision Tree
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Privacy Practices
Develop Formal Data-Sharing Agreements
Terms and Services
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Business Associates Agreement Participation Agreement Service Level Agreement
Develop Formal CIE Agreements
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Partnership Agreements: Data Use Agreement
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Set Standards Based on Information Sharing
Establish Consent Model
2. Establish Standard Consent
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Opt-In Data Sharing
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Define Roles for Health and Non-Health Partners
Profile
User Lic
ense
RoleTy
peHIPAA/ P
HI Acce
ss
Account: P
erson Acco
unt
Contact
Assessm
ent
Domain
Intakes &
Form
s
Actions
Tasks
Referral
s
Survey
s
Barrier &
Unmet Needs
Agreemen
ts
Relationsh
ips
Care Te
ams
Program En
rollm
ents
SMS
Alerts
Account: A
gency
Servi
ces
Taxo
nomies
Servi
c
211 Agent Salesforce Agents Internal 211 E/NV E/V NE/V E/V NE/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V NE/NV NE/V NE/V NE/V NE/V211 Navigator Salesforce Agents Internal 211 E/V E/V NE/V E/V NE/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V NE/V NE/V NE/V NE/V NE/V211 Admin Salesforce System Admin Internal 211 E/V E/V E/V E/V NE/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V NE/V E/V E/V E/V E/V211 R&D Salesforce Operations Internal 211 NE/NV E/V E/V NE/V NE/V NE/V E/V E/V E/V NE/V NE/V NE/V NE/V NE/V NE/V NE/V NE/V E/V E/V E/V E/VFACT Agent Salesforce FACT Agent Internal FACT NE/NV E/V NE/V NE/V NE/V NE/V NE/V NE/V NE/V NE/V NE/V NE/V NE/V NE/V NE/V NE/V NE/V NE/V NE/V NE/V NE/V211 Tier 1 Partner Customer Community Login n/a External Partner NE/NV NE/NV NE/NV NE/NV NE/NV NE/NV NE/NV NE/NV NE/NV NE/NV NE/NV NE/NV NE/NV NE/NV NE/NV NE/NV NE/NV NE/V NE/V NE/NV NE/NV211 Tier 2 Referral Manager Customer Community Plus under Operations External Partner NE/NV NE/V NE/NV NE/NV NE/NV NE/NV NE/NV NE/NV NE/V NE/NV NE/NV NE/NV NE/V NE/V NE/V NE/NV NE/V NE/V NE/V NE/V NE/NV211 Tier 2 Care Coordinator Customer Community Plus Login under Operations External Partner NE/NV NE/V NE/NV NE/NV NE/NV NE/NV NE/NV NE/NV NE/V NE/NV NE/NV NE/NV NE/V NE/V NE/V NE/NV NE/V NE/V NE/V NE/V NE/NV211 Tier 3 Referral Manager Customer Community Plus under Operations External Partner E/NV NE/V NE/V NE/V NE/V NE/NV NE/NV NE/NV NE/V NE/NV NE/NV NE/NV NE/V NE/V NE/V NE/NV NE/V NE/V NE/V NE/V NE/NV211 Tier 3 Care Coordinator Customer Community Plus Login under Operations External Partner E/NV NE/V NE/V NE/V NE/V NE/NV NE/NV NE/NV NE/V NE/NV NE/NV NE/NV NE/V NE/V NE/V NE/NV NE/V NE/V NE/V NE/V NE/NV211 Tier 3 Referral Manager Customer Community Plus under Operations External Partner E/V NE/V NE/V NE/V NE/V NE/NV NE/NV NE/NV NE/V NE/NV NE/NV NE/NV NE/V NE/V NE/V NE/NV NE/V NE/V NE/V NE/V NE/NV211 Tier 3 Care Coordinator Customer Community Plus Login under Operations External Partner E/V NE/V NE/V NE/V NE/V NE/NV NE/NV NE/NV NE/V NE/NV NE/NV NE/NV NE/V NE/V NE/V NE/NV NE/V NE/V NE/V NE/V NE/NVSystem Administrator Salesforce System Admin Informatica E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/VSystem Administrator Salesforce System Admin Internal 211 E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V E/V
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Adopt Interoperable and Scalable Technology
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Action Checklist
1. Analyze Data Systems and Information Sharing Environment
2. Establish a Dedicated Multidisciplinary Design/Technology
Team
3. Set Needs for Technology
4. Select Technology that Supports Interoperability and Shared
Record
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1. Analyze Data Systems and Information Sharing Environment
Create a Community Data Asset Map
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Infrastructure/Systems Platforms
• HMIS (Homeless Management Information System)
• Health Information Exchange (HIE)• ConnectWell (HHSA)• Emergency Medical Services across cities• Food Bank• Career/Workforce (WIOA funds)• School Systems
• ETO/Social Solutions• Salesforce• Electronic Medical Record
• EPIC, CERNER, NextGen, OCHIN • CC3• Service Point• Excel• Clarity• Oasis • WATER• ACCESS• CommunityOS• CalJobs• STAR• FileMaker• CSTAR• Trilogy
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2. Establish a Dedicated Multidisciplinary Design / Technology Team
Identify Primary Sectors of Influence
Ensure Oversight of the Technology Requirements
Create Community Ownership
Continuously Explore Opportunities for New Functionality
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Identify Primary Sectors of Influence
Person-Centered CareTechnologyData AnalyticsPublic Health InformaticsProject Management
Multidisciplinary Team
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Ensure Oversight of the Technology Requirements
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Create Community Ownership
• Engage end users from
community partner organizations
in the design and testing phases
of development
• Build shared buy-in and
ownership of the system and
ensure that the platform will meet
the needs of end users.
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Continuously Explore Opportunities for New Functionality
• Identify situations where real-time upstream alerts
could improve care coordination
• Explore opportunities to integrate data from
prevention efforts
• Monitor trends in using blockchain technology for
service coordination applications
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Technology Platform Design
Executive Sponsor Product Owner Project Manager Call Center Service Subject Matter Expert
Community Subject Matter Experts
IT / System Subject Matter Experts
Salesforce Administrator Architect / Developer
During 2-1-1 San Diego’s the three-month design phase, the team invited potential users to attend multiple sessions to test and provide feedback on the system.
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Identify Current and Future Technology Needs
Prioritize Needs and Compare Technology
Vendors
3. Set Needs for Technology
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Prioritize Needs and Compare Technology Vendors
Evaluation Criteria Requirements Maximum Possible Score Reviewer Score
Qualifications and Expertise
• Organizational experience as it relates to the scope of this project
• Depth and relevance of staff technical expertise and experience
• Adequacy of staff to perform work
20
Costs • Reasonableness of costs 20
Record of Past Performance
• Relevant work examples• Client testimonials and references• Demonstrated ability to complete work tasks within project
timelines and project budgets
10
Merit of Proposal• Thoroughness, clarity, and approach of Proposal• Extent to which the proposed solutions meet the scope and
needs of this project• Demonstrated understanding of project and requirements
10
Interview Questions
• Appropriateness and quality of responses to questions• Demonstrated unique or exceptional knowledge of the work
required40
TOTAL 100
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Assess Functionality
Facilitate Data Integration
4. Select Technology that Supports Interoperability and a Shared Record
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Selecting a Technology Platform
ETL
API
Housing (HMIS)
EMS
API
Extract Transform Load1. Reads data from a database2. Converts the data for the new database3. Loads into the new database
MDMMaster Data Management• Detects and merges duplicate records• Ensures the accuracy, completeness, and consistency of
multiple domains of enterprise data
API
shared client record
CIE
File upload
Alerts
Single Sign on
Jail
Food
!
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Shared Client Record
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CIE Technical Specifications
Design and Technology
Planning TeamPlanning
RequirementsSystem
Requirements
Security and Privacy Reporting Additional
Functionality
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System Requirements
User Types and Log-Ins
Uniform Data Standards
Longitudinal Record
Bi-Directional Closed-Loop
Electronic Referrals
Care Team Management
Push Communication
ToolsInteroperability Open Source Security and
Privacy Reporting
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CIE Technology Platform
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Establish Standard Security and Privacy Measures
• Standardize technical requirements
• Provide ongoing privacy monitoring
Security Guidance for Community Information Exchange
Partner IT Privacy and Security Questionnaire
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CIE Toolkit In DepthWebinar 4: CIE Toolkit In Depth: Prepare a Legally Compliant Framework & Adopt an Interoperable TechnologyMarch 21, 201910:00 am – 11:30 am (Pacific)Recording will be posted at www.ciesandiego.org/events
Q&A
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Next TimeCIE Toolkit In Depth: Cultivate Sustainability & Evolve and Shape the Movement / CIE Summit OverviewApril 18, 201910:00 am – 11:30 am (Pacific)
Register today at www.ciesandiego.org/events
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The 2nd Annual Community Information Exchange SummitDriving Cross-Sector Collaboration and Data Sharing to Create Healthier Communities
April 24 – 26, 2019 Marriott Marquis San Diego Marinawww.ciesandiego.org/ciesummit2019
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