governance

The Community Information Exchange Task Force Report from Michigan’s Dept of Health and Human Services

Greg Bloom 1 Comment Blog

I’ve had the honor and privilege of working with the Michigan Community Information Exchange Task Force over the past year. I encourage you to read the report, which is published here. You can also watch this webinar summarizing the report with commentary from a range of task force members.

In my (admittedly biased) opinion, this is the most thorough articulation I’ve yet seen a statewide implementation strategy with public and private sector leaders from across health and human service domain – one that reflects and elaborates upon the guidance put forth inthe social care information exchange “toolkit” published earlier this year by the HHS office of the National Coordinator of Health Information Technology.

It’s a long video and an even longer document, so I’d like to provide my own personal summary here. (A couple of pointers for reading the document: the key conclusions are summarized on page 8, and the analysis that informed each of those conclusions begins on page 40.)

In this post, I will introduce the Task Force and summarize its initial findings. In a following post, I will summarize its final recommendations. Let’s dig in! Continue reading →

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Laying the foundation for a community information exchange in Utah

Caitlin Schneider Leave a comment Blog

In 2021, Utah’s incoming governor Spencer Cox outlined a plan – the One Utah Roadmap – to address key priorities for the state in his first 500 days, ranging from coordinated COVID response to addressing the social determinants of health. In support of these priorities, the Governor’s office formed a working group focused on the prospect of “improving social determinants of health (SDOH) service delivery.” United Way of Salt Lake was invited to co-chair this committee in collaboration with Utah’s Department of Health and Human Services. In this blog post, I will share a summary of our experience and consider the path ahead. 

The One Utah Roadmap’s SDOH working group was comprised of subject matter experts, public health officials, community-based organizations, and client advocates interested in more effectively coordinating care, sharing information, and meeting people’s needs. 

We invited Greg Bloom, on behalf of Open Referral, to address the committee during our initial meeting. During that first conversation, we observed that there are a variety of efforts to facilitate the sharing of information already underway in our communities. Continue reading →

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Introducing Version 3.0 of the Human Service Data Specifications

Daniel Smith 4 Comments Blog

UPDATE: As of May 1st 2023, this upgrade is considered official! Thanks to our workgroup and all those in the community who contributed input. Read below for details.

[This post is from Dan Smith, Open Data Services Cooperative‘s Partnerships Lead for Health, Social and Physical Activity Data. Welcome, Dan!]

We are excited to share a proposal for version 3.0 of the Human Service Data Specifications – available now for a final period of review and comment by our community. 

We have been working toward this proposal for much of the past year, in a community-led process of gathering input about emerging and outstanding needs across our expanding network of human service informatics. … We are excited to share the fruits of this process with the broader community.

Request for Comment period for HSDS 3.0

This post marks the beginning of a final two-week Request for Comment period. During this time, our community can review and submit any final issues that may need to be addressed before HSDS 3.0 is formally approved by the working group.

We expect version 3.0 to be the last significant HSDS upgrade for a while, so if you have any questions or concerns about its suitability for your current or future potential use of HSDS, please raise them now.

How to provide feedback on HSDS 3.0

We encourage you to share feedback on the proposed version 3.0 in the following ways: Continue reading →

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Just Released: Toolkit for information exchange initiatives from the Office of the National Coordinator of Health IT at HHS

Greg Bloom 1 Comment Blog
Diagram of the SDOH Information Exchange Foundational Elements: Community Readiness and Stewardship, Mission and Purpose, Values and Principles are all the baseline foundation. Then Policy, Legal, Measurement and Evaluation and Financing is built on top. Finally, Implementation services, Technical Infrastructure, and User Support and Learning Network are key elements. All tied together by Governance.

I’m excited to share with you this toolkit for information exchange initiatives that aim to address the social determinants of health – shared by the Office of the National Coordination for Health Information Technology at the US Department of Health and Human Services (known as ONC). The toolkit (PDF downloadable here) synthesizes subject matter expertise from across the health, human, and social service sectors to offer guidance on the design and implementation of initiatives to enable information exchange among healthcare and social care providers.

This toolkit largely addresses issues beyond resource directory information, and yet it reflects many of the lessons learned and strategic objectives of the Open Referral initiative. It may be helpful for communities that are working to improve their supply chain for resource directory information – as well as communities for which resource directory information is just one piece of a more complex strategic goal. I’ll offer some background context below:  Continue reading →

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Introducing the Whatcom County Resource Information Collaborative

Kristi Slette Leave a comment Blog

This post is brought to us by Kristi Slette, Secretariat of the Whatcom Resource Information Collaborative in Washington state. Welcome, Kristi!

Washington state’s Whatcom County – the north western most county in continental U.S. – is a resourceful community with many collaborative community-based organizations that serve residents in need.

For many years, the leadership and staff from many of these organizations have voiced a desire to improve the accessibility and reliability of information about resources available in our community. In the past, this desire sparked several attempts to develop a centralized resource directory – but in each instance, our vision was hampered by the complexities of this challenge. We all shared the same goal, but different organizations had different needs and interests; when it came time to address all of them in one single website, we struggled to move forward together.

Learning from the past

In 2019, a series of community assessments and strategic planning sessions once again surfaced the need for a resource directory as a priority for Whatcom County, and a coalition of human and social service organizations convened to address this challenge with fresh eyes. This time, we sought to learn from previous efforts.

Through extensive dialogues with three different groups – social service providers who had been involved in the previous resource access initiatives, the conveners of those initiatives, and managers of current resource directories in our area – we perceived a set of key themes: the importance of leadership, human capacity, and buy-in from the community.

Through this reflection, we recognized that technology – which had previously been our primary focus – is actually only part of the solution. Rather than just designing a new tool, our new initiative would need to focus on building the capacities and relationships that will be needed to ensure that any such system is adaptive, sustainable, and trustworthy.

Building capacity for collaboration

In 2021, having made it a priority to improve access to resources for families with young children, the Whatcom County Health Department provided some seed funding to support our new initiative to establish a resource directory information system for the county. This time, we resolved to build a system that would be collectively “owned” by our community as a whole. Continue reading →

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Evolving the DC Community Resource Information Exchange’s Inventory Capabilities

David Poms Leave a comment Blog, DC, Pilots

In the District of Columbia, we’re developing a new approach to the very old problem of resource directory information management. Years ago we shared the story of the first phase of our work here on this blog, and we’re now excited to share results from our second phase. 

The DC Community Resource Information Exchange initiative (DC CoRIE) is an initiative to develop infrastructure and capacities to support coordination of care across health and social service sectors in the District of Columbia. Led through partnership among government agencies, community organizations, and technology providers – including the DC Department of Health Care Finance, the DC Primary Care Association and its DC-PACT coalition, and CRISP DC – DC CoRIE seeks to enable exchange of information about resources, and about people, across diverse organizational contexts and technology systems, in promotion of equitable health outcomes. 

One of DC CoRIE’s primary goals is to establish a sustainable supply of comprehensive, reliable information about the resources available to people in need. In 2019, we discussed this goal with a group of people who already maintain resource directories, and named the central challenge of this problem: resource directory information requires significant effort to reliably maintain, and at the same time, people want to use it not just in one “centralized” system but across an ecosystem of distributed contexts and technologies. In order to pursue this vision of a healthy information ecosystem, we resolved that our work should leverage the assets that are already in our community. (See the report from our participatory deliberation process here). Together, we identified three objectives for this phase: 

  1. Prototype resource directory information system that is designed for interoperability – such that the contents of the CRI could be accessed by any third party system.
  2. Develop a collaborative network of data stewards who will support this system by sharing data management responsibilities.
  3. Demonstrate the potential for this system to serve as a canonical source of open data about local human services.

In 2021, we accomplished each of these objectives – and we are now initiating our next phase, through which we will formalize this framework. Check out our final report for this phase here.

Below, we’ll provide more context for our project’s objectives and the path ahead.

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The DC Community Resource Information Exchange: Phase One Report

David Poms 3 Comments Blog, DC, Pilots

The District of Columbia’s community of health, human, and social service providers are struggling with a familiar challenge: they want to be able to more effectively coordinate care among their patients and clients, yet their systems can’t currently ‘talk’ to each other.

In response to this issue, DC’s Department of Health Care Finance (DHCF) initiated the DC Community Resource Information Exchange (DC CoRIE) to develop data infrastructure that supports coordinated screening, referral and tracking across a range of health, human, and social services in DC. DHCF selected the DC Primary Care Association (DCPCA) and Open Referral to lead an initial planning phase to help understand how to build infrastructure that would facilitate these functions. As part of this planning phase, we were tasked with the development of a Community Resource Inventory that can sustainably aggregate up-to-date information about the health, human, and social services available to DC residents. Continue reading →

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Sunlight Foundation on local governments and the opening of social service data

Becca Warner Leave a comment Blog

Allegheny County’s Department of Human Services has long been known as one of the most innovative government agencies of its kind: their data infrastructure famously enables sharing of client information across a complex array of programs and powers analytic capabilities. As Ian Mavero started his role as their Chief Technology Officer, he took on the department’s next strategic priority: further improving the Department of Human Services’ (DHS) flow of information about, well, human services.

“When it comes to information about residents — and activities of our programs — our data infrastructure is really impressive,” says Ian Mavero. “When it comes to information about our services, we have a single database that contains information about all of the providers with whom we contract and their associated facilities and services… But we commonly hear that our community partners and clients themselves, desire better access to information about these services. And we agree: community mental health specialists should have access to the same information about available services as our own agency’s case workers do.”

In order to share information about services more broadly and effectively, Mavero realized that Allegheny DHS’s IT would need to take another step forward — not with fancy new technology, just with more deliberate practices of structuring and sharing this existing data.

“We needed a standardized way to structure this directory information in a way that could enable it to be shared across all offices, with our contracted partners, and even with the public at large.” Continue reading →

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Deep Dive into version 1.0

Greg Bloom 6 Comments Blog

Earlier this month, we published version 1.0 of the Human Service Data Specification (HSDS). Let’s take a deeper dive into it.

What is the Human Service Data Specification (HSDS)?

The HSDS is a format for data exchange, specifically designed to enable the publication of machine-readable data about health, human, and social services that are available to people in need.

HSDS is essentially an interlingua — in other words, it’s a common language that can be used by anyone to enable community resource directories to ’talk’ to each other.

 

Why did we develop the HSDS?

We believe that development of an open, standardized format is a necessary step in a process of reducing the costs of producing directory data, increasing the quality of such data, and promoting its re-use in valuable ways. Continue reading →

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