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Developing a Business Case Model for Integrated Child Health Information Systems

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Developing a Business Case Model for Integrated Child Health Information Systems Academy Health June 27, 2006 The Lewin Group Tim Dall Yaozhu Chen – PowerPoint PPT presentation

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Title: Developing a Business Case Model for Integrated Child Health Information Systems


1
Developing a Business Case Model for Integrated
Child Health Information Systems
  • Academy Health
  • June 27, 2006
  • The Lewin Group
  • ? Tim Dall ? Yaozhu Chen
  • PHII
  • ? Kris Saarlas ? Jim Mootrey ? Dave Ross ? Alan
    Hinman

2
Why is integration of child health information
systems important?
  • Provide comprehensive, timely and accurate child
    health information to support the provision of
    service through medical home, public health
    program needs, and decision-making at the point
    of service
  • Ensure children receive necessary preventive,
    screening, therapeutic and follow-up services
  • Coordinate medical care and public health
    activities
  • Coordinate public health program services
  • Eliminate duplicative services

3
Integrated Child Health Information Systems
(ICHIS)
  • What is integration?
  • Which child health information systems are states
    integrating?
  • Immunizations (immunization registries)
  • Newborn dried blood spot screening systems (NDBS)
  • Early Hearing, Detection and Intervention program
    (EHDI)
  • Lead
  • EPSDT
  • WIC
  • Others (birth defects and disease registries,
    Early Intervention, Children with Special Health
    Care Needs)

4
What is a business case and why is it necessary?
  • What is a business case?
  • A tool that supports planning and decision-making
  • Assessment of the benefits and costs of various
    alternatives
  • Why is it necessary?
  • States/communities need to justify return on
    their investmentincreased focus on
    accountability
  • Need for sustainable funding for child health
    information systems
  • Increase participation in ICHIS

5
What is the Business Case Model?
  • An Excel-based tool to quantify benefits and
    costs of integrating various child health systems
  • Provides information important to different
    perspectives society, providers, parents, and
    public health programs
  • Answers the question, what benefits can I expect
    to see if I integrate this system(s) with that
    system(s)?
  • Flexible tool that is responsive to various state
    and local models and future growth of ICHIS

6
Integration Benefits Modeled
  • Focus on improved effectiveness of services,
    efficiency, quality of care, coordination of
    care, health outcomes
  • Areas of Benefits
  • Benefits to Families
  • Benefits to Physicians/providers
  • Public Health Decisions
  • Data Quality
  • Case Management

7
Examples of Data and Sources
  • Government-collected statistics
  • Newborn/child demographics
  • Newborn screening and follow-up rates
  • Disease prevalence rates
  • Child health program participation rates
  • Medical and economics literature
  • Health care utilization/sequelae/costs per
    disease case
  • Special education, productivity, and long term
    care costs
  • Expert opinion (pending additional research)
  • Changes in screening, follow-up, and program
    participation rates from ICHIS

8
Process for Business Case Model development and
deployment
  • Funding provided by HRSA/MCHB/GSB and RWJF
  • Formed workgroup of stakeholders from PH, private
    physicians, family advocates, health plans
  • Solicited input from expert health economists and
    program specialists
  • Researched literature
  • Beta testing of tool with 4 states January 2006
  • Development of training materials spring 2006
  • Model being provided free to public health
    departments and researchers
  • Formation of a User Group and possibly limited
    technical support

9
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10
Business Case Model Overview
11
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15
Challenges to developing a business case on ICHIS
  • Added/marginal value of integration vs. value of
    programs and independent systems
  • Lack of data on costs and benefits on individual
    programs and information systems
  • Change in behavior that integration of data
    bringsi.e., data not available now to
    physicians, whos responsible for follow up
  • ROI not always basis for decision making

16
Thank You!
  • Contact Information
  • Tim Dall
  • tim.dall_at_lewin.com
  • www.lewin.com
  • Kristin Saarlas
  • ksaarlas_at_phii.org
  • www.phii.org

17
Extra Slides
18
Benefits to Families
  • Parents have access to CHIS information in
    consolidated format
  • Reminders/recalls
  • Convenience when moving/changing providers
  • Time saved (scheduling appointments, missing
    records, reduced data entry)
  • Reduced visits/efficiency and coordination of
    care
  • Improved health outcomes (reduced lifetime care
    costs, increased earnings of family/child)

19
Benefits to Providers
  • Providers have access to data they didnt have
    before
  • Reduce chart pulls if electronic access is
    available
  • Quality of carereduction in duplicative
    services, timeliness of care, pay for performance
  • Increased number of visits? Increased revenues?

20
Benefits to Public Health
  • Assess risk factors to completeness of care
  • ID medical home and health care utilization rates
  • Linkage to other datahospital discharge,
    education, social services
  • Long term surveillancepopulation trends
  • Quality assurancepublic health role
  • Changes in policies?
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