Electronic Information Exchange:
Elements that Matter for Children in Foster Care "                          Beth Morrow  ...
Children in foster care face unique 
      challenges that require additional care      coordination."n    Childhood trau...
Unique challenges face states/localities too"n    The average cost of Medicaid per child in foster care is over 3 times  ...
What can be done? "n    Children in foster care need cross-sector, coordinated,      continuous behavioral and medical ca...
Better Outcomes at Lower Cost"n    Early efforts are making a difference:"•     Wraparound Milwaukee (WI) – Improved coor...
What needs to happen:"n  Bring stakeholders together "-- develop champions "-- work together to address key hurdles (info...
Contact"                       Beth Morrow!     Director, Health IT Initiatives"                      (718) 832-6061!     ...
Texas STAR Health ProgramRebecca Alejandro, Texas HHSC Health Plan                Specialist            January 28, 2013
Star Health Program Background•  In 2005, the Texas Legislature required the Texas Health and Human   Services Commission ...
Main Objectives•    Immediate eligibility•    A statewide network of providers•    An increased focus on behavioral health...
Health Passport•  Medical, behavioral health, vision, dental, and prescription   claims•  Lab results•  Immunization recor...
Health Passport•  A DFPS caseworker can view all information in the   child’s record.•  A foster parent can view all infor...
Making it Happen•    Interagency and Public-Private Collaboration•    Extended Timeline•    Cost of Implementation•    Per...
ConclusionA complete training video on the Health Passport can be accessed               on Superior HealthPlan’s website ...
Information Sharing to Increase       Education Outcomes for        Students in Foster Care                               ...
California: County Offices of                EducationCounty	  Of*ices	  of	  Education	  õ  There	  are	  58	  County	  ...
Foster Youth Services ProgramsFoster	  Youth	  Services	  (FYS)	  Programs	  õ  Provide	  support	  services	  to	  foste...
California Law Relating to the Education          of Students in Foster CareCalifornia	  Education	  and	  Welfare	  an	  ...
Relationship Between Data Sharing and              Educational Outcomesõ    Increased	  	         ô  Awareness	         ...
Background and HistorySan	  Diego	  County	  Of*ice	  of	  Education,	  Foster	      Youth	  Services	  	  (SDCOE,	  FYS)	...
Foster Youth Student Information         System (FY-SIS©)õ  Shared	  Governance-­‐FY-­‐SIS©	  Advisory	      Group	  	  õ...
Foster Youth Student Information               System (FY-SIS©)õ  Weekly	  feeds	  from	  Child	  Welfare	      and	  Pro...
Foster Youth Student Information               System (FY-SIS©)FY-­‐SIS©	  Contains:	  	       ¡  Demographic	  Informati...
Foster Youth Student Information               System (FY-SIS©)	  FY-­‐SIS©	  Does	  Not	  Contain:	       ¡  Reason	  fo...
Considerations and Lessons Learned                 Cross System Data Sharing—    Begin	  with	  the	  end	  in	  mind.	  ...
Thank you!Michelle	  Lustig,	  Ed.D,	  MSW,	  PPS	  mlustig@sdcoe.net	  P-­‐858-­‐503-­‐2628	  F-­‐858-­‐503-­‐2636	  http...
What needs to happen:!n  Bring stakeholders together !-- develop champions !-- work together to address key hurdles (info...
Electronic information exchange webinar
Electronic information exchange webinar
Electronic information exchange webinar
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Electronic information exchange webinar

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Electronic information exchange webinar

  1. 1. Electronic Information Exchange:
Elements that Matter for Children in Foster Care " Beth Morrow Director, Health IT Initiatives The Children’s Partnership SPARC Webinar, January 31, 2013
  2. 2. Children in foster care face unique 
 challenges that require additional care coordination."n  Childhood trauma."n  Frequent movement among placements, caregivers, and schools."n  Higher rates of special education needs, psychotropic medications, and chronic health conditions."n  Enter adulthood without family support system." www.childrenspartnership.org
  3. 3. Unique challenges face states/localities too"n  The average cost of Medicaid per child in foster care is over 3 times the average cost for nondisabled children."n  Children in foster care account for 28% of all Medicaid expenditures on inpatient psychiatric services (or, 46% of such expenditures on nondisabled children)."n  During their early adult years, these youth are much more likely than their peers to forego higher education, describe their general health as fair or poor, become homeless, and rely on public supports. " www.childrenspartnership.org
  4. 4. What can be done? "n  Children in foster care need cross-sector, coordinated, continuous behavioral and medical care."n  Key to this coordination: Communication and information sharing by the adults caring for these children."Ø  Electronic information exchange and electronic records can help." www.childrenspartnership.org
  5. 5. Better Outcomes at Lower Cost"n  Early efforts are making a difference:"•  Wraparound Milwaukee (WI) – Improved coordination has resulted in reduced inpatient psychiatric care, residential treatment, and juvenile corrections placements."•  UPMC For You (PA) – Improved coordination has increased the proportion of foster children receiving annual well-child and dental visits."n  We will hear from Texas and San Diego next about how electronic information exchange has made a difference for foster children in those communities. " www.childrenspartnership.org
  6. 6. What needs to happen:"n  Bring stakeholders together "-- develop champions "-- work together to address key hurdles (information sharing agreements, back-end IT capabilities, and funding)"-- leverage existing efforts that can help (initiatives, systems projects, etc.)"n  Use Health Education Passport as starting point" www.childrenspartnership.org
  7. 7. Contact" Beth Morrow! Director, Health IT Initiatives" (718) 832-6061! bmorrow@childrenspartnership.org! http://www.childrenspartnership.org/our-work/foster-care-coordination" " "
  8. 8. Texas STAR Health ProgramRebecca Alejandro, Texas HHSC Health Plan Specialist January 28, 2013
  9. 9. Star Health Program Background•  In 2005, the Texas Legislature required the Texas Health and Human Services Commission (HHSC) to design a comprehensive medical services delivery model to meet the healthcare needs of children in foster care.•  In April of 2008, the STAR Health program was implemented.•  Eligible clients include: •  Children and young adults in conservatorship of the Texas Department of Family and Protective Services (DFPS). •  Youth age 18-21 who voluntarily continue in a foster care placement. •  Former foster care youth who continue to receive Medicaid benefits through age 21. •  Former foster care youth enrolled in higher education.
  10. 10. Main Objectives•  Immediate eligibility•  A statewide network of providers•  An increased focus on behavioral health services•  Service management and coordination teams•  Psychotropic drug utilization review•  Health Passport
  11. 11. Health Passport•  Medical, behavioral health, vision, dental, and prescription claims•  Lab results•  Immunization records•  Allergies and known reactions, vital signs, weight, height, and other such details•  Forms including Healthcare Service Plans, Psychotropic Utilization reviews, Texas Health Steps exams, and psychological evaluations
  12. 12. Health Passport•  A DFPS caseworker can view all information in the child’s record.•  A foster parent can view all information except for the Behavioral Health tab.•  DFPS contracted residential providers have a few designated staff who have the same viewing rights as foster parents.•  A network provider can view all information as well as interact with the system to enter data and upload forms.•  Access is restricted to comply with HIPAA privacy and security rules.
  13. 13. Making it Happen•  Interagency and Public-Private Collaboration•  Extended Timeline•  Cost of Implementation•  Performance Metrics•  Availability of Data
  14. 14. ConclusionA complete training video on the Health Passport can be accessed on Superior HealthPlan’s website at: http://www.superiorhealthplan.com/wp-content/training/ clinicalTX/default.html For additional information, contact: Rebecca Alejandro Texas HHSC Health Plan Specialist Rebecca.Alejandro@hhsc.state.tx.us 512-491-1864
  15. 15. Information Sharing to Increase Education Outcomes for Students in Foster Care   Michelle  Lustig,  Ed.D,  MSW,  PPS   San  Diego  County  Of<ice  of  Education   Student  Support  Services   Foster  Youth  and  Homeless  Education  Services  
  16. 16. California: County Offices of EducationCounty  Of*ices  of  Education  õ  There  are  58  County  Of<ices  of  Education  (COEs)   which  provide  services  to  school  districts.  COEs:   ô  Support  school  districts  by  performing  tasks  that   can  be  done  more  ef<iciently  and  economically  at   the  county  level   ô  COEs  provide  a  wide  range  of  services  including   <iscal  oversight,  special  and  vocational  education,   programs  for  youths  at  risk  of  failure,  and   instruction  in  juvenile  detention  facilities  
  17. 17. Foster Youth Services ProgramsFoster  Youth  Services  (FYS)  Programs  õ  Provide  support  services  to  foster  children  who   suffer  the  traumatic  effects  of  displacement  from   family  and  schools  and  multiple  placements  in  foster   care   ô  Services  are  designed  to  improve  the  childrens   educational  performance  and  personal   achievement,  directly  bene<iting  them  as  well  as   providing  long-­‐range  cost  savings  to  the  state   ô  Mandates  are    incorporated  into  Education  Code  
  18. 18. California Law Relating to the Education of Students in Foster CareCalifornia  Education  and  Welfare  an  Institutions  Code   ô  School  of  Origin  rights/proximity  to  school   ô  School  Stability  Provisions   ô  Equal  access-­‐curricular  and  extra  curricular  (CIF)   ô  Immediate  Enrollment   ô  Stay  put  rule   ô  Least  restrictive   ô  Foster  Care  liaison   ô  Best  Interest  determination   ô  Noti<ication  to  schools  districts   ô  Transfer  of  records   ô  Partial  credit  protection   ô  Graduation  requirements   ô  Notice  of  manifestation,  suspension,  expulsion  
  19. 19. Relationship Between Data Sharing and Educational Outcomesõ  Increased     ô  Awareness   ô  Cooperation   ô  Collaboration   ô  Responsibility   ô  Matriculation   ô  Academic  performance   ô  Graduation  rates   ô  School  stability  
  20. 20. Background and HistorySan  Diego  County  Of*ice  of  Education,  Foster   Youth  Services    (SDCOE,  FYS)  õ  Court  Leadership  õ  Collaborative  history  õ  Court  Orders  (2002,  2003,  2005,  2008,  2011)  õ  Database  Agreement  (2006-­‐2011,  2011-­‐2016)  õ  Interagency  Agreement  (2006-­‐2011,   2011-­‐2016)    
  21. 21. Foster Youth Student Information System (FY-SIS©)õ  Shared  Governance-­‐FY-­‐SIS©  Advisory   Group    õ  Data  Warehouse  õ  SDCOE  is  responsible  for  ensuring   secure  and  <iltered  access:  unique   screen  sets  based  on  user  group    õ  Restricted  access  to  certain  data    õ  Security/Firewalls/FTP  process  
  22. 22. Foster Youth Student Information System (FY-SIS©)õ  Weekly  feeds  from  Child  Welfare   and  Probation  õ  Daily  feeds  from  Juvenile  Court  and   (nearly  all)  42  school  districts  õ  User  group  Administrator  role  õ  User  group  permissions  de<ined    
  23. 23. Foster Youth Student Information System (FY-SIS©)FY-­‐SIS©  Contains:     ¡  Demographic  Information   ¡  Health  Information   ¡  Assigned  Social  Worker/Probation   ÷  Medications  (restricted)   Of<icer     ÷  Well  Child  history     ¡  Assigned  Attorney   ÷  Immunizations   ¡  Education  Rights  Holder   ¡  Placement  History  (Restricted)   ¡  School  History  including  current   ¡  Probation  Only:  Minute  orders,   school   conditions  of  Probation,   ¡  Grades  and  Attendance     Waivers  and  hearing  dates   ¡  Unof<icial  Transcript   ¡  Ca  English  Language     Assessment  
  24. 24. Foster Youth Student Information System (FY-SIS©)  FY-­‐SIS©  Does  Not  Contain:   ¡  Reason  for  removal  (300   ¡  Special  Education   code)   Information   ¡  Discipline  Information   ¡  Family  of  origin   information   (planning  stages)   ¡  STAR    and  CAHSEE  test   ¡  Sibling  information   scores  (planned  for   ¡  Psychiatric  Diagnosis   2013)   ¡  Mental  Health  History      
  25. 25. Considerations and Lessons Learned Cross System Data Sharing—  Begin  with  the  end  in  mind.  —  Engagement  of  all  stakeholder  groups   —  youth  and  caregivers  —  Determine  the  best  way  to  meet    competing  demands,   policies,  mandates  and  restrictions.  —  Shared  understanding  and  interpretation  of  FERPA,   HIPPA  and  SACWIS:  intersections  and  hurdles.  —  Consideration  of   —  who  maintains  the  database   —  who  owns  the  data   —  who  owns  the  intellectual  property  that  is  the  physical   database  
  26. 26. Thank you!Michelle  Lustig,  Ed.D,  MSW,  PPS  mlustig@sdcoe.net  P-­‐858-­‐503-­‐2628  F-­‐858-­‐503-­‐2636  http://www.sdcoe.net/ssp/support/? loc=fys&m=9    
  27. 27. What needs to happen:!n  Bring stakeholders together !-- develop champions !-- work together to address key hurdles (information sharing agreements, back-end IT capabilities, and funding)!-- leverage existing efforts that can help (initiatives, systems projects, etc.)!n  Use Health Education Passport as starting point! www.childrenspartnership.org
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