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Thursday, September 19, 2024

California’s CalAIM, Knowledge Change Framework Spur Partnerships


California’s ongoing Medicaid transformation and its new Knowledge Change Framework (DxF) are accelerating partnerships to reinforce interoperability. 

In partnership with Dignity Well being, SacValley MedShare lately introduced it is going to lengthen its well being information trade companies to 30 hospitals throughout the state. As well as, the Serving Communities Well being Info Group (SCHIO) well being info trade has introduced a collaboration with Central California Alliance for Well being. 

The Alliance is a regional Medi-Cal managed care well being plan established in 1996 to enhance entry to well being look after over 456,000 members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties.

This partnership will allow Alliance Medi-Cal members and suppliers in all 5 Alliance-served counties to trade well being information between healthcare programs, enhancing care coordination and bettering well being outcomes. The collaboration ensures compliance with each the California Advancing and Innovating Medi-Cal (CalAIM) in addition to the DxF packages, the organizations mentioned.

Established in 1996, SCHIO has been designated as a California Certified Well being Info Group (QHIO) to facilitate the safe trade of well being and social companies info, helping entities as they create and reply to info requests, obtain the outcomes of exams or referrals, and request notifications of admissions or discharges.

“Certified Well being Info Organizations create an accessible path for numerous well being and social companies entities to take part within the Knowledge Change Framework, offering entry to actionable information throughout California’s complete well being and social companies system,” mentioned Mark Ghaly, M.D., secretary of CalHHS, in an announcement. 

With DxF necessities having turn into necessary throughout California on January 31, 2024, the Alliance has chosen Santa Cruz-based SCHIO to help its Medi-Cal suppliers in navigating what are anticipated to be the nation’s most rigorous information trade insurance policies. This collaboration relies on a well being info trade (HIE) mannequin that permits most healthcare information to be securely shared by way of SCHIO.

“SCHIO makes information accessible to the Alliance and its companions to facilitate decision-making, meet data-sharing regulatory necessities, align with CalAIM, and in the end enhance the well being outcomes of the populations that we collectively serve,” mentioned Cecil Newton, chief info officer of Central California Alliance for Well being, in an announcement. “This association is an extension of over six years of mutual dedication to supply healthcare organizations a greater understanding of the brand new interoperability rules and know-how options to simplify care. We’re wanting ahead to standardizing and streamlining Californians’ entry to healthcare companies.”

Aggregating medical information from various sources, SCHIO mentioned it reduces suppliers’ administrative and know-how burdens, and helps healthcare organizations enhance the standard of shared info to fulfill present and forthcoming well being and wellness necessities.

“We’re thrilled and grateful to be chosen by the Alliance,” mentioned Daniel Chavez, govt director of SCHIO, in an announcement. “Via our shut affiliation with the Alliance in Santa Cruz County, we’ve got established a relationship constructed on confirmed supply, group and belief, making an enduring funding by serving to healthcare organizations obtain larger interoperability and ship an improved affected person expertise.”

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