Issue Brief: Coordinated Whole-Person Care that Addresses Social Determinants of Health

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To achieve better health outcomes at a lower cost, clinical and social service providers increasingly need access to information reflecting the social determinants of health—such as employment, housing, and education—as they have a profound impact on health. This brief focuses on five projects funded by Data Across Sectors for Health (DASH) that are developing the data infrastructure to support models of coordinated care across medical and community services. The desired outcome of these mode...
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Webinar: Master Person Indexes: A Tool for Population Health Management

A multi-ethnic group of doctors and nurses are sitting together in a meeting and are going over a patients records using a digital tablet.
Master Person Indexes (MPIs) help maintain consistent, accurate person data across various health care and community organizations, making them a powerful tool for population health management. To generate a better understanding of how MPIs are used in practice, All In: Data for Community Health and the California Health Care Safety Net Institute hosted a webinar featuring experts from two communities who share considerations for using and developing MPIs and discuss methodologies and tools for ...
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Webinar: Developing Data Systems for Care Coordination Using Patient-Centered Approaches

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This All In project showcase webinar features two project teams developing a system that integrates data from sectors such as medical, behavioral, social services, and education to improve care coordination for special needs populations. Children's Comprehensive Care Clinic is working to build a customized tool while Altair is working with a health information exchange. Speakers: Aaron Seib, CEO, National Association for Trusted Exchange (NATE) Rahel Berhane, MD, Medical Director, Chi...
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Webinar: Leveraging User-Centered Technology to Improve Health Outcomes

A photo of young woman using mobile phone. Female is smiling while holding smart phone. She is lying on sofa at home.
This All In project showcase webinar featured presentations from two project teams (Essential Access Health and HealthInfoNet) that are designing and implementing user-centered, interactive applications that leverage data from EHRs and other sources to improve the health of under-resourced populations. Speakers: Karen DeSalvo, MD, MPH, MSc, Former Acting Assistant Secretary for Health and National Coordinator for Health IT, HHS Breione St. Claire, Project Director, Essential Access He...
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Webinar: Social Determinants of Health and Multi-Sector Data: Making the Juice Worth the Squeeze

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This webinar shared key takeaways about the intersection of clinical data, claims, and the social determinants of health (SDOH) from a recent HealthDoers peer-to-peer event. Presenters: Clare Tanner, PhD, Co-Director of Data Across Sectors for Health (DASH), Michigan Public Health Institute (MPHI) Sanne Magnan, MD, PhD, Co-Chair National Academies of Sciences Roundtable on Population Health Improvement and former President and CEO of the Institute for Clinical Systems Improvement (ICS...
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Creating Effective Training and Workflows to Improve Care Coordination

Three young medical professionals are standing in a medical clinic looking through some medical reports, it is a typically British Doctor's office with medical professionals dressed casually.
To provide coordinated care that meets patients’ needs, many communities are developing information systems to share data across clinical and social service settings. In order for these systems to be effective in connecting patients to the right services at the right time, care teams need to adjust their workflows to incorporate this new data into their current practice, often at several different organizations. Introducing new technologies or procedures into established workflows can pre...
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Webinar: Training and Workflows for End Users

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During this webinar, community presenters from the All In: Data for Community Health network shared how they are approaching information systems training for end users and workflow adoption in clinical and social service settings. Presenters included: Sharon Bearor and Allison Kenty, Maine HealthInfoNet Nate Tyler, Simply Connect with Altair ACO and Lutheran Social Services of Minnesota Susan Richardson and Meghan LaMacchia, Vermont Child Health Improvement Program and ACT.md We...
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The 500 Cities Project: What’s on the Horizon

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What is 500 Cities? You may know that the secret to a healthier city is sharing data, but you have also probably discovered that finding and collecting data can be very challenging, particularly at the community level. The Centers for Disease Control and Prevention, in partnership with the Robert Wood Johnson Foundation and the CDC Foundation, recently released a wealth of data from the Behavioral Risk Factor Surveillance System. Using a multilevel regression and poststratification (MRP) ap...
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Webinar: Health Data for City Leaders

NLC webinar
During this National League of Cities webinar, leaders from All In: Data for Community Health, including DASH grantee Public Health - Seattle & King County, joined Community Commons to discuss how cities can use data more efficiently to improve community health. Watch the recording Presenters: Nick Wallace, Associate, National League of Cities Peter Eckart, Director, Center for Health and Information Technology, Illinois Public Health Institute (IPHI) Alison Rein, Senior Dir...
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