In today’s complex digital society, government, nonprofit, and private sector information systems can have common interests and overlapping responsibilities for the public welfare outside what might be considered normal sharing boundaries. Functions such as law enforcement, public safety, courts, corrections, health and human services, and many others all have a need to share. The use and proliferation of common standards provides an unprecedented opportunity for substantial and mission-critical cross-boundary, cross-domain information exchanges. The IJIS Institute supports these standards-based innovations through our grant-funded projects.
Prescription Monitoring Program (PMP)
The facts about prescription drug abuse are astounding. According to Center for Disease Control data, every day in the United States, 105 people die as a result of drug overdose, and another 6,748 are treated in emergency departments for the misuse or abuse of drugs. Prescription drug information sharing strategies are an important part of combatting this growing national problem. Thanks to a national initiative funded by the Bureau of Justice Assistance (BJA) and the Office of National Drug Control Policy (ONDCP), and led by the IJIS Institute, states can share prescription information with one another – and potentially save lives.
The primary goal of the Prescription Drug Monitoring Program (PMP) Information Exchange (PMIX) is to establish a national interoperability architecture, specifications, and a reusable infrastructure for the secure, reliable, and sustainable interstate exchange of state prescription data.
The IJIS Institute plays a key role in the PMIX effort. First, IJIS piloted the information exchange of live data between the Kentucky All Schedules Prescription Electronic Reporting system and the Ohio Automated Rx Reporting System, carefully protecting all health information. Following the success of the pilot, the IJIS Institute participated in the PMIX State Assistance Project to accelerate nationwide PMIX adoption across the U.S.
The RxCheck hub is the baseline implementation of the PMIX architecture and was developed, with BJA support, to create an operational data sharing hub to implement the PMIX specifications and to deliver a functional, interstate, data-sharing solution. The RxCheck hub was designed with the involvement of the state PMP practitioner community, private industry, and the Federal government, and has its roots in the pilot exchange between Ohio and Kentucky.
The IJIS Institute now hosts the RxCheck hub. The RxCheck Governance group (comprised of states connected to, or with plans to connect to, the RxCheck hub) continues to own the hub and provides guidance, stewardship, and leadership. The IJIS Institute manages the RxCheck hub and operates as an agent of the RxCheck Governance group in its maintenance and operation.
Justice-to-Health Information Sharing
There are 11.6 million jail encounters in the US each year. Information sharing related to convicted offenders and other justice-involved individuals' presents a critical challenge for the criminal justice, healthcare, mental health, and other treatment services domains. The ability to share information among these domains can dramatically affect public safety and the justice process in general, and the quality and continuity of care provided to these individuals in particular.
Successful offender reentry into society requires sharing information about an individual’s treatment history while incarcerated with community health providers so that any underlying causes of criminal behavior can be treated and recidivism avoided. The IJIS Institute, under sponsorship of the Bureau of Justice Assistance (BJA) and in collaboration with the Urban Institute, identified and prioritized opportunities for exchanging such data. The primary work product of this group was a list of 34 information exchanges addressing the continuity of care and effective treatment of individuals who are part of both the health care and criminal justice systems, published in 2013 as Opportunities for Information Sharing to Enhance Health and Public Safety Outcomes.
The IJIS Institute and its subcontractors, the National Center for State Courts and the Georgia Tech Research Institute, are developing an interoperable framework to translate between technology systems used by criminal justice and health practitioners. A Justice Continuity of Care Document (JCCD) is being developed which will contain justice-specific data elements that can be shared with other criminal justice organizations or with interested healthcare organizations. This project will provide a comprehensive solution to the technical problem of justice/health information sharing resulting in a consistent and open standards-based way. The solution will be supported by both the justice and health communities, will build on previous standards work, and will not require either community to significantly alter its current technical standards. Once these standards are in place, the IJIS Institute will provide technical assistance to two pilot sites that will implement two of the prioritized use cases.