Health and Human Services Initiatives
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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. The use and proliferation of common standards provides an unprecedented opportunity for substantial and mission-critical cross-boundary, cross-domain information exchanges, such as those in Health and Human Services.

Improving School Safety through Information Sharing

The Silicon Valley Regional Data Trust was founded in 2015, with the intent of establishing a network of sharing and trust across a three-county area. SVRDT brings together data from numerous public agencies that service children and families, including education (public school districts), public health, child and family services, mental health, juvenile justice/probation, and education technology companies. In the interest of school safety, and with the use of advanced data analytics, SVRDT will create a personal blueprint for students that clarifies the myriad factors influencing their lives and improves the effectiveness of services and academic outcomes for all children, but especially for children of poverty.

The IJIS Institute is currently working with SVRDT on the execution of the policy framework and technical infrastructure for the SVRDT information sharing environment and data management. IJIS is leveraging our technical expertise to create a conceptual interoperability framework that can work for SVRDT but also be replicated in other regions. IJIS provides the project and technical management expertise in the common policy framework, defining data management and safeguarding requirements, and is providing ongoing consultation, research, and development of data sharing agreements. For more information on the SVRDT project and how it can be replicated in your jurisdiction, contact us at info@ijis.org.

Child Care Background Checks

IJIS Institute is supporting the Department of Health and Human Services, Administration for Children and Families, Office of Child Care with strategies to help states implement measures to meet the requirements of a 2014 law that mandates all staff of licensed, regulated, and registered child care providers undergo background checks.

IJIS is supporting a background check working group for the Administration of Children and Families to assist in providing recommendations for states to meet the background check requirements.

Supporting Health and Human Services Interoperability

The Health and Human Services’ Administration of Children and Families recognized that human services would benefit from having better coordinated and integrated services, and achieving that vision would mean programs could collaborate system-wide to share case management data, examine effects across programs, streamline data reporting, and collaborate with related fields including health, education, and justice. To further these goals, an Interoperability Initiative was created that aims to provide impactful guidance, resources and tools to support data sharing implementers and interoperability projects in the field. A key component of the Interoperability Initiative is the adoption of the National Information Exchange Model (NIEM).

The IJIS Institute is leading a technical assistance team to support the Interoperability Initiative and interoperability goals of the Administration of Children and Families with protocols, processes and standards.

Prescription Drug Monitoring Program (PDMP)

prescription pad with hand using computer mouse

According to the Centers for Disease Control (CDC), opioids (including prescription opioids, heroin, and fentanyl) killed more than 42,000 people in 2016, more than any year on record. 40% of all opioid overdose deaths involve a prescription opioid. The CDC states that the increased use of Prescription Drug Monitoring Programs (PDMP) continue to be among the most promising state-level interventions to improve opioid prescribing, inform clinical practice, and protect patients at risk. 

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 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 piloted the secure information exchange of live data between Kentucky and Ohio that provided proof of concept and participated in the PMIX State Assistance Project to accelerate nationwide PMIX adoption across the U.S. Today, the developed architecture is in use across all 50 states.

RxCheck Hub

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The IJIS Institute supports the RxCheck hub that facilitates the connections between PDMPs across state borders. 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/state government.

The states connected to RxCheck formed a RxCheck Governance group that owns 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.

For help with RxCheck, more information about RxCheck, or questions, please contact rxcheck@ijis.org.

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. 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, was the first organization to identify and prioritize opportunities for exchanging such data. The primary work product result 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, in partnership with the National Center for State Courts and the Georgia Tech Research Institute, developed 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. The project provided 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.