Title: Developing a Business Case Model for Integrated Child Health Information Systems
1Developing 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
2Why 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
3Integrated 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)
4What 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
5What 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
6Integration 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
7Examples 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
8Process 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
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10Business Case Model Overview
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15Challenges 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
16Thank You!
- Contact Information
- Tim Dall
- tim.dall_at_lewin.com
- www.lewin.com
- Kristin Saarlas
- ksaarlas_at_phii.org
- www.phii.org
17Extra Slides
18Benefits 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)
19Benefits 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?
20Benefits 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?