142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Enhancing care coordination through HIEs, cross-sector business alliances, and tiered community care management

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 2:50 PM - 3:10 PM

Mark Wallace, M.D., M.P.H. , North Colorado Health Alliance, Evans, CO
Vincent Atchity, Ph.D. , North Colorado Health Alliance, Evans, CO
Lesley Brooks, M.D. , North Colorado Health Alliance, Evans, CO
Enhancing care coordination and yielding sustainable population health outcomes through HIEs depends upon cross-sector business alliances and a tiered community care management strategy.

This session presents the community care management strategy and practice of the North Colorado Health Alliance, a 501(c)(3) non-profit organization incorporated in 2002. The Alliance, based in the town of Evans in Colorado’s Weld County on the high eastern plains within sight of the Rockies, is a creative and strategic collaboration of partner organizations who recognize that community health does not begin or end with medical, dental, and behavioral health services. By integrating these services, assuming shared responsibility for providing care for the entire population within our geographic area, and engaging in mobile outreach, Alliance partners have able to go far towards reaching the goal of one hundred percent access to care, even for the underserved.

The continuously evolving Alliance HIE has greatly enhanced care coordination efforts for the past decade. The value of the HIE to care coordination has been determined by the strengths and weaknesses of local business alliance, the state of technology for cross-sector information exchange, and a tiered strategy for engaging individuals and community partners in addressing features of the built environment and the specific local array of non-medical determinants that make it harder for many in our region to resist chronic illnesses and poverty.

Learning Areas:

Administration, management, leadership
Chronic disease management and prevention
Communication and informatics
Provision of health care to the public

Learning Objectives:
Formulate cross-sector business alliances Explain business associate agreements and OHCAs Evaluate legal and other challenges to cooperation Assess the state of technology for enhanced cross-sector information exchange Identify best practices for provider and other partner relations Formulate micro- and macro-“hotspotting” teams Describe value of data analysis in care management context Define key characteristics of hybrid care management teams Design call centers and tiered population health interventions

Keyword(s): Information Technology, Health Systems Transformation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the CEO/CMO of the North Colorado Health Alliance, a 501(c)(3) partnership organization that has been using HIE to coordinate care since 2002. I have served as the Executive Director of the Weld County Department of Public Health and Environment for nineteen years, and also serve as the Medical Director for the State of Colorado’s Regional Collaborative Care Organization Region 2.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.