A brand new challenge from Southeast Pennsylvania well being data trade HealthShare Trade will create a real-time knowledge sharing and notification platform to establish individuals 65 and older with pre-diabetes or diabetes and health-related social wants.
The challenge, NESSTS (Community for Enhancing Social Service Transitions for Seniors), was created with help from the Independence Blue Cross Basis’s Institute for Well being Fairness.
NESSTS, which can facilitate referrals to social companies and social advantages packages, builds on new capabilities created by PA Navigate, a statewide neighborhood data community designed to deal with well being and social care wants for Pennsylvanians by connecting them to neighborhood companies. PA Navigate is managed by HSX and three different state-certified HIEs and is funded by the PA Division of Human Providers.
By this initiative, HSX goals to enhance the well being of seniors with these power situations by offering them with well timed and coordinated entry to evidence-based companies and advantages.“We’re excited to work with HSX on this necessary initiative to allow options for larger well being fairness and enhance well being outcomes for seniors,” mentioned Lorina Marshall-Blake, president of the IBX Basis, in a press release.
Working in collaboration with the IBX Basis Institute for Well being Fairness, HSX will convene a process power of Philadelphia-area well being facilities, advantages program managers and community-based service suppliers that help seniors and may establish gaps and options to streamline care coordination.
“Whereas diabetes and pre-diabetes have an effect on individuals of all ages, they’re extra prevalent in seniors. Social elements, equivalent to meals and housing insecurity or transportation entry, contribute to larger illness burden and are extra determinant of well being outcomes than the medical care these people obtain,” mentioned Greg Liptak, vice chairman, high quality enchancment and illness administration at HSX, in a press release. “Our connections to healthcare stakeholders within the larger Philadelphia area and past uniquely place HSX to determine this program, collaborate with our native companions and assist drive higher well being outcomes and well being fairness for the neighborhood that HSX serves. We’re grateful to the IBX Basis Institute for Well being Fairness for his or her help of this initiative.”
PA Navigate is a collaborative effort amongst well being data organizations (HIOs) and brings collectively a number of state companies, counties, native nonprofits and neighborhood organizations, healthcare entities, and social companies suppliers. HIOs taking part within the challenge embody ClinicalConnect HIE, Central PA Join HIE, HealthShare Trade, and the Keystone HIE.
In September 2023, Austin, Texas-based findhelp was chosen because the PA Navigate platform. Current findhelp clients in Pennsylvania embody Penn Drugs, Geisinger, Lehigh Valley Well being Community, AmeriHealth Caritas, PA Well being and Wellness, and Highmark Well being.
By a shared platform, healthcare suppliers and social companies organizations can monitor consumer referrals and higher perceive and help with a consumer’s particular person wants, serving to them entry companies and helps. The system will even enable healthcare and repair suppliers to evaluate a person’s wants throughout a doctor’s workplace or emergency division go to, when receiving case administration companies, or searching for help from a community-based group.
The instrument additionally will collect knowledge that may assist the Commonwealth and its companions higher perceive well being and social companies wants of Pennsylvanians and establish service gaps or alternatives for higher help throughout the state. By taking a look at vital social determinants of well being, together with employment, baby care, transportation, meals safety, entry to healthcare, and housing stability, Commonwealth companies and companions on the county and native stage may help Pennsylvanians obtain higher long-term well being outcomes.
