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Service utilization patterns of prisoners, homeless and uninsured residents as evaluated through community wide data sharing

Mary M. Crimmins, MA, CPEHR, CPHIT1, Katherine L. Cauley, PhD1, Kathleen Shanahan2, Dan Foley3, and Shawn Dunlavy3. (1) Center for Healthy Communities, Wright State University, 140 E. Monument Ave., Dayton, OH 45402, 937-775-1122, mary.crimmins@wright.edu, (2) Shelter Poicy Board, 184 Salem Ave., Dayton, OH 45406, (3) Clerk of Courts, Montgomery County, 41 N. Perry Street, Dayton, OH 45422

Disenfranchised populations lack continuity of care for both health and human services. Health and human services providers seldom know what happens to patients/clients across organizational boundaries, although providers generally agree that coordination is essential to effective and efficient care. Montgomery County Ohio has three primary human services data applications that cross some 40 organizations. CJIS, the Criminal Justice Information System, amalgamates court records from all county courts into one central data base. HMIS uses Service Point to track the homeless population and is used in more than 20 provider organizations. HIEx™ used by Community Health Workers, School nurses and the local child welfare agency has been used to improve uninsured access to health care and to track referrals for other services. Information in these systems have been merged to study how prisoners, homeless and uninsured access or fail to access services. Data show specific utilization patterns emerge. For example, chronically homeless men are also often repeat offenders adjudicated for minor crimes, but are not users of preventive services such as mental health, alcohol treatment or other supportive services. Community Planning efforts have benefited from this integration and analysis of data. Sharing of information across organizations also helps to focus resources to improve health outcomes for individuals and the community. For example, community wide screening for health insurance has assisted many families in accessing Medicaid.

Learning Objectives:

Keywords: Information Databases, Service Integration

Related Web page: www.med.wright.edu/healthlink

Presenting author's disclosure statement:

Not Answered

Handout (.ppt format, 32.0 kb)

Reaching Those Who Lack Services through Legislation, Advocacy, Methological Tools and Cultural Competency

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA