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Tracking Population Health Efforts in Colorado

Tracking Population Health Efforts in Colorado. Dana Erpelding, MA Interim Director, Center for Health and Environmental Information and Statistics Colorado Department of Public Health and Environment. Public Health Interests & New Opportunities Post-Health Reform. Traditional Data Sources.

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Tracking Population Health Efforts in Colorado

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  1. Tracking Population Health Efforts in Colorado Dana Erpelding, MA Interim Director, Center for Health and Environmental Information and Statistics Colorado Department of Public Health and Environment

  2. Public Health Interests & New Opportunities Post-Health Reform

  3. Traditional Data Sources • Vital Records Data (Birth and Death Records) • Survey Data • Behavioral Risk Factor Surveillance System (BRFSS) • Pregnancy Risk Assessment Monitoring System (PRAMS) • Youth Risk Behavioral Survey (YRBS) • Child Health Survey (state call back from BRFSS) • Communicable Disease Data (reportable conditions) • Public Health Registries • Immunizations • Cancer • Laboratory Reporting • STI/HIV • Colorado Hospital Association Dataset

  4. Data Linkage with HIE • Bidirectional Data from HIE • Immunization • Cancer • Lab Reporting • Syndromic Surveillance (local only) • Chronic Disease and School Health Grant • Tobacco Cessation (Quit Line) • Diabetes (collection of AC1) • BMI • Hospital Acquired Infections (HAI) • Linkage to Other State Agencies • Behavioral Health and Substance Abuse - CDHS • Medicaid Data - HCPF Meaningful Use

  5. Other Data Opportunities • All Payer Claim Database (APCD) • Leverage community health needs assessments • Statewide Health Innovations Fostering Transformation (SHIFT ) • target population is high-risk, high-cost individuals and co-occurring chronic disease and behavioral health issues (including mental health and substance abuse). • addresses population health by incorporating preventive strategies. • integration of physical and behavioral health as a starting point for broader integration, including public health, oral health, and long-term services and supports. • Integrate PH models/data collection across agencies • Example: MIECHV upcoming substance abuse and behavioral health assessment

  6. Health Information Exchange • Two Primary HIE in Colorado • CORHIO – State Designated HIE • Quality Health Network (QHN) – Western Slope • Goal: Health information exchange deployed in every community by 2015 • Improve health system integration /coordination • Reduce cost • Save time • Promote prevention

  7. Partners • Colorado Regional Health Information Organization (CORHIO) • Colorado Regional Extension Centers (CO-RECs) • Center for Improving Value in Healthcare (CIVHC) • Colorado Department of Healthcare Policy and Financing (HCPF) • Colorado Department of Human Services (CDHS) • Colorado Health Institute (CHI)

  8. Colorado Regional Extension Centers • CORHIO one of 62 regional extension centers nationwide  • Assist primary care providers in adopting, implementing and becoming meaningful users of EHRs • Coverage throughout Colorado by partnering with six key health organizations: • Colorado Community Managed Care Network Federally Qualified Health Centers and Community Health Centers • Colorado Foundation for Medical CareVarious practices along the Front Range • Colorado Rural Health CenterRural health centers, rural hospitals and Critical Access Hospitals • Health Team Works Practices participating in Patient Centered Medical Home and Improving Performance In Practice (IPIP) projects • Physician Health PartnersFour  Independent Practice Association (IPAs )in the Denver Metro area. • Quality Health NetworkHIE for the Western Slope

  9. Funding • CDC Registry Funds (IZ, Cancer) for Meaningful Use • Leverage funding from partnerships to achieve shared goal • CMS 90/10 funding in partnership with HCPF • CORHIO Funding • Grants from Colorado Health Foundation and ARRA HITECH award focused on building capacity for statewide health information exchange • Funds will alleviate a portion of the one-time set-up cost of launching HIE in communities • CORHIO's long-term sustainability is dependent upon a fee-based subscription model • SIM Grant • Colorado received a Pre-Testing Assistance Award of approx. $2M from CMS to develop/refine its comprehensive State Health Care Innovation Plan, building on proposal to implement Statewide Health Innovations Fostering Transformation program (SHIFT) that will integrate behavioral health and clinical health care.  

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