This month, we're featuring two projects that are integrating data from multiple sectors to improve care coordination for complex, high-need populations.
DASH: Altair Accountable Care for People with Disabilities
Altair Accountable Care Organization (ACO), with Lutheran Social Service of Minnesota as the lead member, is pioneering a new delivery model that includes "disability-competent" behavioral health providers in a Health Information Exchange. Through their DASH project, Altair ACO is enabling behavioral health providers to measure and track events in the HIE in real time so that the care team can intervene in a timely and appropriate manner.
CHP: Vermont Child Health Improvement Program, University of Vermont
The Vermont Child Health Improvement Program (VCHIP) of the University of Vermont College of Medicine's Department of Pediatrics is a population-based maternal and child health services research and quality improvement program. Through its participation in CHP, VCHIP is creating an electronic shared plan of care to improve outcomes for families with children and youth with special health care needs by enhancing care coordination and system integration.