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SOCI11- Day One - Monday Morning - June 13, 2016

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Slide decks presented during Day One sessions of the 11th Annual Stewards of Change National Symposium at Johns Hopkins University.

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SOCI11- Day One - Monday Morning - June 13, 2016

  1. 1. Welcome, Vision, Purpose and Programs Overview o Michael J. Klag MD, MPH o Dean, John Hopkins Bloomberg School of Public Health o Daniel Stein o President, Stewards of Change Institute #SOCI16
  2. 2. Information-Sharing and the Social Determinants, Today and Into the Future Moderator: o Paul Wormeli, Executive Director Emeritus, IJIS Institute; Board Member, SOC Institute Presenters: o Jessica Kahn, MPH, Director, Data and Systems Group, Centers for Medicaid & CHIP Services, CMS, HHS o Kshemendra Paul, Program Manager, Information Sharing Environment o Melinda J. Baldwin, PhD, LCSW, Senior Policy Advisor – Health and Well-Being, Office of the Commissioner, Administration on Children, Youth and Families, Administration for Children and Families o Chris Traver, Senior Advisor for Information Sharing, Administration for Children and Families, HHS #SOCI16
  3. 3. SCOPE OF THE ISE Diplomacy Homeland Security Intelligence Defense Law Enforcement Frontline • Investigators • Analysts • Operators Federal State Local Tribal Private Sector International Communities Information Sharing Environment (ISE) Information Technology Industry
  4. 4. NATIONWIDE CHALLENGES 18,000 LE Agencies750,000+ Officers 250,000 911 Operators 1.2million Firefighters 2.2million Security Officers 18 CI/KR Sectors * Numbers are estimates 300+million People 78Fusion Centers 28 HIDTAs 6 RISS Centers FBI NCIJTF ▫ CJIS ▫ FIGs ▫ JTTFs ▫ JRIGs ▫ TSC DHS I&A ▫ ICE ▫ CBP ▫ TSA ▫ DNDO ▫ NPPD Maritime Domain NCTC JCAT Air Domain DoD DOJ ATF ▫ DEA ▫ USMS ▫ OJP Protection of Privacy, Civil Rights, and Civil Liberties Nlets State National Approaches to Interoperability Common Operating Models Consistent, Transparent & Distributed Policies Integrated Capabilities & Shared Services Evolving & Converging Threats & Risks Collaboration Imperative Strengthening Legitimacy Enterprise Data Management
  5. 5. STATE & REGIONAL ISE SUMMIT • Priorities: ◦ Create a collaboration environment – National ISE Matrix ◦ Coordinate federal agency efforts related to information sharing ◦ Develop rules for secondary use of data ◦ Explore the boundaries of the enterprise ◦ Develop outreach and education resources ◦ Create consistent security and control classification of information ◦ Engage executive leadership ◦ Improve procurement practices ◦ Clarify roles and responsibilities on cyber-related information ◦ Engage associations to spotlight ISE-related efforts 7
  6. 6. INFORMATION SHARING FRAMEWORKS AND STANDARDS • Established by PM-ISE, the Standards Coordinating Council (SCC) is the forum to coordinate voluntary alignment, integration, and adoption of information sharing and safeguarding standards and frameworks. • SCC has the role of coordinating alignment and supporting adoption of • Project Interoperability • ISE Core Interoperability Framework, or “ICIF” • Information Sharing and Safeguarding Playbook
  7. 7. ISE Core Interoperability Framework (ICIF) Vision: A Foundation for Interoperable ISEs ICIF ISE ISE ISE ISE ICIFProject Project ICIF COI member COI member COI member COI member ICIF ISE member ISE member ISE member ISE member Mission Interest ISE Tactical Information Sharing Project State/Regional Information Sharing Environment Federal Counterterrorism ISE ISE Stakeholders Participate in ICIF Governance ISEs Leverage ICIF Components
  8. 8. PROJECT INTEROPERABILITY Discover Interoperable Services Build Interoperable Services Extend Interoperable Services Built upon… Legal Authorities, Governance & Policy, Performance Management, Communications and Outreach Tools • Advocates standards & technologies most likely to achieve the desired ISE compatibility, performance, and scalability • Connects partners with each other, and with best-practices • Mission agnostic • Operational integration of the ICIF • Promotes sharing and safeguarding of information at domestic nexus of national security and public safety via development of ISEs • Focused on “white-space” between agencies
  9. 9. 11 Project Interoperability 2.0 ISE Core Interoperability Framework (ICIF) Assertions-Based Architecture (ABA) Assertion Definitions Assertions Assessor Operational Infrastructure Specs Standards ISE Integration Library IS&S Playbook (Rev.) Planner’s GuidetoISEs Reference Architectures Governance Documentation Implementing Guidance Performance Scenarios Common Lexicon Common Profile • Users save time and money in aligning their architectures and establishing ISEs; barriers to entry fall • Reduces implementation risk by making available interoperability examples, a common vocabulary, etc. PROJECT INTEROPERABILITY COMPONENTS
  11. 11. VISIT ISE.GOV @shareandprotect
  12. 12. Kshemendra Paul Program Manager, Information Sharing Environment National Security Through Responsible Information Sharing
  13. 13. Interactive Session: Questions of Consequence o Facilitators: Daniel Stein and the Stewards of Change Institute Team #SOCI16
  14. 14. SOCI Voices of Social Determinants of Health and Wellness Video • Click here to view on our YouTube channel - index=1&list=PLeI2juMpKM4O1A6m0XrCfKtmITs_S 7_45
  15. 15. Learning from Network Domains, Moving toward Health Equity Moderator: o Bill Hazel, MD Secretary Health and Human Resources, Commonwealth of Virginia Presenters: o Margo Edmunds, Ph.D., Vice President, Evidence Generation and Translation, AcademyHealth o Paula Soper, MS, MPH, PMP, Senior Director, Public Health Informatics, Association of State and Territorial Health Officials o Emily Kulick, Privacy Fellow, U.S. Department of Education o Rafael Diaz, Chief Information Officer, U.S. Department of Housing and Urban Development #SOCI16
  16. 16. Paula Soper, MS, MPH Senior Director, Public Health Informatics Association of State and Territorial Health Officials June 13, 2016 Public Health 3.0: Upgrading our Approach to Address Health Equity and the Social Determinants of Health
  17. 17. Versioning Public Health in the US • Full Accreditation • Enhanced leadership and workforce • Lifespan/ generational Population-based prevention • New partners to focus on social determinants • Technology, tools and data • New metrics of success • Network model Public Health 3.0 Future GOAL: Optimal health for all FOCUS: Achieving optimal health Public Health 1.0 Late 19th Century - 1988 • Variation in health department capacity • Germ theory • Short time-frames • Medical care • Vaccines • Antibiotics • Expanded capabilities in epidemiology and laboratory science • Industrial model GOAL: Reducing deaths FOCUS: Acute and infectious diseases • 3 core functions/10 Essential Services • Accreditation taking hold • Multiple risk factors • Longer time frames • Health equity, social determinants of health • Chronic disease management and prevention • Pre-paid benefits • Corporate model Public Health 2.0 1988-Present GOAL: Prolonging disability-free life FOCUS: Increased focus on chronic disease
  18. 18. Public Health 2.0 Public Health System Public health system commonly defined as “all public, private, and voluntary entities that contribute to the delivery of essential public health services within a jurisdiction.” Intended to ensures that all entities’ contributions to the health and well-being of the community or state are recognized in assessing the provision of public health services. Focus on public health as the convener The public health system includes  Public health agencies at state and local levels  Healthcare providers  Public safety agencies  Human service and charity organizations  Education and youth development organizations  Recreation and arts-related organizations  Economic and philanthropic organizations  Environmental agencies and organizations An improvement, but still a limited focus
  19. 19. Public Health 3.0: Why is this an imperative? ACA drivers to change: SIM, social determinants, prevention ZIP codes remain a more accurate determinant of health than genetic codes. Collective societal responsibility to create conditions that allow all members of our communities to make healthy choices.  Public health programs often still developed and implemented in silos that result in missed opportunities to leverage critical knowledge of communities to improve health at the local level.
  20. 20. Public Health 3.0: How to effect change? Emphasize cross-sectoral environmental, policy, and systems-level actions that directly affect the social determinants of health and advance health equity. Challenge to business leaders, community leaders, state lawmakers, and Federal policymakers to incorporate health into all areas of governance. More expansive partners to address: Economic development Education Transportation Food Environment Housing Safe neighborhoods
  21. 21. Public Health 3.0: Technology, Tools and Data Modernized information systems to support new standards and technology Interoperability to facilitate multi-sectoral data and information sharing for analysis, coordination and decision- making at micro and macro levels Modern tools Analytic tools to support sophisticated analysis of multi-sector data Visualization tools to support impactful communication of analyses to stakeholders, funders and communities Predictive modeling tools to support prioritization, resource allocation and other decision-making by communities, service providers, elected officials, government agencies, foundations and others Funding, policies and standards to support modernization and interoperability
  22. 22. Public Health 2.0: “Interoperability” Case Study Healthy Communities Access Program funding Health and Human Services Coalition undertaking regional Community Health Assessment and Community Health Improvement Plan Opportunities to look at data in new ways Blood lead poisoning, looked at data from multiple agencies differently Blood lead results at county, sub-county level, not region Home address Housing stock age Housing stock ownership records Rental property lead testing/abatement records After several months and many challenges with data access and data matching, able to identify rental company at root of widespread problem Community able to develop multi-pronged approach to address short- and long-term interventions Imagine how to do this more efficiently in a Public Health 3.0 context
  23. 23. Thank you! Paula Soper Senior Director, Public Health Informatics Association of State and Territorial Health Officials Email: Phone: 571-318-5412
  24. 24. Individual Care - Coordinating care/Electronic human services record - Decision support tools/predictive risk modeling Management Decision Making - Trends in need and service utilization - Outcome evaluation - Cost/benefit analysis - Performance based contracting - Research Community Use -Open government/open data -Research partners Allegheny County Department of Human Services Using Integrated Data Systems
  25. 25. Weekly Email Alert to Caseworkers (Pilot)Child Welfare Case Management System Data Where It’s Needed: Up-to-date education information (where legal) Action Research Model Analysis Perform integrated analysis to assess specific nature and dynamics of targeted issue. Critical Reflection Carefully examine analyses to develop effective strategies to improve both organizations’ way of working with children and families. Action Create, implement and evaluate strategies and interventions. Allegheny County Department of Human Services Education Partnerships Case ID Client ID Client Name School Attended School Contact IEP Attendance Suspension Withdrawal 1111 11111 Client 1 Pittsburgh Public - Schiller 412-555-5555 Y X 2222 22222 Client 2 Clairton - Middle School 412-555-5555 N X 3333 33333 Client 3 Pittsburgh Public - Carrick 412-555-5555 N X X 4444 44444 Client 4 Pittsburgh Public - King 412-555-5555 N X Days Missed in Prior Week Days Missed this Academic Year Attendance Category Days Tardy in Prior Week Days Tardy This Academic Year Client 1 1 27 Chronic 5 22 Client 2 5 9 At-Risk 7 11 Client 3 4 45 Severely Chronic 5 12 Client Name Days Suspended in Prior Week Days Suspended This Academic Year Client 3 4 16 Client Name Date of Withdrawal Reason for Withdrawal Date of Enrollment New School Client 4 12/20/2015 Left District ATTENDANCE Days Absent Client Name DETAILS SUMMARY OF EDUCATION CONCERNS SUSPENSIONS WITHDRAWALS Tardies
  26. 26. Office of the Chief Privacy Officer Technical assistance, policy development, enforcement & internal data management Upcoming Guidance For Cross-Agency Data Sharing  Integrated Data Systems and FERPA  WIOA Performance Reporting (joint guidance with Dept. of Labor) In discussions with other agencies to identify joint guidance opportunities U.S. Department of Education
  27. 27. External Sources  Allegheny County Housing Authority  Allegheny County Jail  Birth Records  Allegheny County Medical Examiner’s Office  Department of Public Welfare  Housing Authority City of Pittsburgh  Physical Health Claims (Medicaid)  Juvenile Probation  Pittsburgh Public Schools + 17 additional County School Districts  Pre-trial Services  Adult/family court Internal Sources  Aging  Child Welfare  Community Service Block Grant  Drug & Alcohol  Early Intervention (partial)  Family Support Centers  HeadStart (partial)  Homeless  Housing Support  Mental Health  Intellectual Disabilities Potential Data Sources  Early Childhood  Post Secondary Education  Employment & Training  Place and Incident Based Data Allegheny County Department of Human Services (Pittsburgh, PA) Integrated Data Systems
  28. 28. Affinity Table Discussions Table 1: Margo Edmunds / HealthCare Table 2: Paula Soper / Public Health Table 3: Emily Kulick / Education Table 4: Rafael Diaz / Housing Table 5: Sixto Cancel / Think of Us Table 6: Chris Traver / ACF Interoperability #SOCI16