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Next Steps Webinar Hosted by: The Administrative Office of The Courts

Advancing Information Sharing Across California to Improve Outcomes for Children Served by the Child Welfare System & The Courts. Next Steps Webinar Hosted by: The Administrative Office of The Courts The California Health and Human Services Agency The California Department of Social Services

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Next Steps Webinar Hosted by: The Administrative Office of The Courts

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  1. Advancing Information Sharing Across California to Improve Outcomes for Children Served by the Child Welfare System & The Courts • Next Steps Webinar Hosted by: • The Administrative Office of The Courts • The California Health and Human Services Agency • The California Department of Social Services • The Stuart Foundation • Stewards of Change • February 24, 2012

  2. Webinar Reminders • Webinar will be recorded and posted for future access • Mute your phone • Directly on your phone or by using the microphone icon next to your name in participant list • To ask a question select ‘‘chat’ on top menu (green bar) • Select “Raise Hand” feature to ask a question (If using a MAC use a ‘hard return’ to send message) • Select “Chat” to post a question for the host or other participants • Select “participants” on top menu to see list of attendees • “Quick Poll” feature to be used later in presentation • WebEx access issues - call Alma Balmes: 415-865-8986 or alma.balmes@jud.ca.gov • IMPORTANT: if system crashes,wait 3 minutes, then log back in the same way you joined.

  3. Webinar Agenda 12:00 – 1:15 PM 3

  4. Introductory Comments The Honorable Richard Huffman • Welcome/Acknowledgements • Implementing Blue Ribbon Commission Recommendations • Importance of this work • Getting off to a good start • Keeping the Momentum Going 4

  5. Purpose of this Webinar Webinar Purpose: • Share information, recommendations and key action steps that emerged from the October Information Sharing conference. • Present an overview of the Personal Electronic Health Record (P/EHR). A key project identified during the conference to assist Courts, Child Welfare and others to access and manage complex health (and other) information for children in foster care. • Solicit feedback and discuss next steps for planning, testing, designing and implementing the P/EHR and information sharing in general. 5

  6. Show Symposium Video… • Symposium held October 24 - 26, 2011 • Approximately 125 attendees including broad mix of representatives • County, state and federal agencies; judiciary; education, academia, associations; political leadership; private providers, technology companies, other • Symposium preparation included environmental scan and visits to 6 counties • Reviewed county ‘AS IS’ and ‘TO BE’ information sharing projects • This video provides a brief overview – all artifacts from meetings available on SOC website (NICOP) 6

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  8. Findings From the Statewide Symposium • Stakeholders across the judicial , child welfare, juvenile justice, health and education systems have a clear desire to work together to increase information sharing to provide a comprehensive view of the child and his or her family to Courts and all child welfare systems. • Agreement at county and state levels to share strategies to overcome barriers of confidentiality and privacy issues and provide security for shared information • Information and learning shared at the symposium needs to be disseminated to a broader audience statewide • Need to initiate the implementation of one of the ‘scalable’ solutions identified at the symposium over the next 6 – 12 months • PEHR is one solution identified at the symposium for implementation 8

  9. Personal Electronic Health Record Panel Of Speakers • Don Will: Manager, Center for Families, Children & the Courts, Administrative Office of the Courts • Kevin Gaines: Assistant Deputy Director, California Department of Social Services, Children and Family Services Division • Dr. Linette Scott: Interim Deputy Secretary for Health Information Technology, California Health and Human Services Agency 9

  10. Don Will: Manager, Center for Families, Children & the Courts; AOC • Introduction • Why is a personal health record for foster children relevant to dependency court? • How can judges use the personal health record? 10

  11. Kevin Gaines: Assistant Deputy Director, CDSS, Children and Family Services • Information sharing for better decision making • PEHR is one of several interfaces contemplated for new CWS system • Education • Mental health • Others • No waiting until new system • Data sharing with partners • Foster Care use case • A PEHR will serve children (and care givers) when they enter foster care, return home or age out to live independently 11

  12. Dr. Linette Scott: Interim Deputy Secretary for Health Information Technology, California Health and Human Services Agency eHealth in California: Purpose To dramatically improve safe and secure patient and provider access to personal and population health information and decision-making processes, benefiting the health and wellbeing, safety, efficiency, and quality of care for all Californians. For more information, Visit the California eHealth Portal: www.ehealth.ca.gov 12

  13. Introducing the HITECH ActHealth Information Technology for Economic and Clinical Health Act • HITECH Act is part of the American Recovery and Reinvestment Act and lays the basis and framework for activities in the Affordable Care Act • HITECH Act represents the seed that is growing into a revolution that is transforming health care • New expectations from patients … for providers … for vendors … for government • This transformation can help put information in your hands necessary to take care of children in your care

  14. HITECH Act – Key Components • Signed into legislation on February 17, 2009 • ONC HIE Cooperative Agreement Program • CHHS received $38.8 M over 4 years ending Feb. 2014 • CMS EHR Incentive Program • Funding to Eligible Providers and Eligible Hospitals (more than $17 billion nationally) – eligible means a specified $ or % of the patient panel is Medicare and/or Medicaid • Must use Certified EHR (ONC) • Must meet Meaningful Use Requirements of the EHR Incentive Program (CMS)

  15. CMS EHR Incentive Program:Health Outcome Policy Priorities • Improving quality, safety, efficiency and reducing health disparities. • Engage patients and families in their healthcare. • Improve care coordination. • Improving population and public health. • Ensure adequate privacy and security protections for personal health information.

  16. CHHS Activities to Support Foster Care • CHHS eHealth Policy and Coordination Committee identified use cases to evaluate the impact of HITECH on CHHS programs: • A Population: Children in Foster Care • A Condition: Stroke and Co-Occurring Diseases and Conditions • A Process: Emergency Response to an Earthquake • Build off the work done through the Child Welfare Council • As part of the HIE Cooperative Agreement, in response to ONC request, CHHS identified a bold goal: Improve quality and continuity of care for California’s foster children and long-term care patients using personal health record (PHR) technology to enable connectivity and information sharing across multiple care systems, provider types, and state and local health agencies.

  17. Tying the Personal Health Record to Caring for Children in Foster Care • A personal health record (PHR) can be tied to an Electronic Health Record (EHR) or can be separate • PHR puts the control as to who sees information in the hands of the patient - which addresses consent issues • PHR can be populated with information from other systems: • Immunizations • Paid claims (Medi-Cal) • Medical treatment • Case management information • Next step is to evaluate how such a PHR can be supported for foster children in California 17

  18. Polling Questions • Please answer each of the questions that will be posed on screen. (all questions will come up together) • If you are in a group, please come to a quick consensus and provide one answer for the group or delegate the decision to one person. • Aggregated (not individual) responses will be posted after the polling closes.

  19. Discussion & Responders • Michelle Francois: Senior Program Officer, Stuart Foundation • Don Will, Center for Families, Children & the Courts, Administrative Office of the Courts • Daniel Stein, Stewards of Change • Richard Gold, Stewards of Change 20

  20. Next Steps • SOC/AOC will send out an on-line survey via Survey Monkey to elicit feedback, ask for your level of interest for participating in workgroups, and your comments & recommendations • http://www.surveymonkey.com/s/SOC_postwebinar_survey • Form workgroups after survey results • Begin Phase 1 (environmental scan) • Information about the October conference at: • http://www.stewardsofchange.com (Look for the National Interoperability Community of Practice or NICOP) 21

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  22. “Change doesn’t occur by trying harder, it requires a change in the way work gets done.” W. Edwards Deming, 1986

  23. Thank You Post Webinar Feedback Site: http://www.surveymonkey.com/s/SOC_postwebinar_survey 24

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