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Welcome, Vision, Purpose and Programs Overview
o Michael J. Klag MD, MPHo Dean, John Hopkins Bloomberg School of
Public Health
o Daniel Steino President, Stewards of Change Institute
#SOCI16
Information-Sharing and the Social Determinants, Today and Into the FutureModerator:
o Paul Wormeli, Executive Director Emeritus, IJIS Institute; Board Member, SOC Institute
Presenters:
o Jessica Kahn, MPH, Director, Data and Systems Group, Centers for Medicaid & CHIP Services, CMS, HHS
o Kshemendra Paul, Program Manager, Information Sharing Environment
o Melinda J. Baldwin, PhD, LCSW, Senior Policy Advisor – Health and Well-Being, Office of the Commissioner, Administration on Children, Youth and Families, Administration for Children and Families
o Chris Traver, Senior Advisor for Information Sharing, Administration for Children and Families, HHS
#SOCI16
SCOPE OF THE ISE
Diplomacy
Homeland Security
Intelligence
Defense
Law Enforcement
Frontline• Investigators
• Analysts
• Operators
FederalState
LocalTribal
Private SectorInternational
Co
mm
un
itie
s InformationSharing
Environment(ISE)
Information Technology Industry
NATIONWIDE CHALLENGES
18,000LE Agencies750,000+
Officers
250,000911 Operators
1.2 million
Firefighters
2.2 million
Security Officers
18 CI/KR Sectors* Numbers are estimates
300+ million
People78 Fusion Centers 28 HIDTAs
6 RISS Centers
FBINCIJTF ▫ CJIS ▫ FIGs ▫ JTTFs ▫ JRIGs ▫ TSC
DHSI&A ▫ ICE ▫ CBP ▫ TSA ▫ DNDO ▫ NPPD
MaritimeDomain
NCTCJCAT
AirDomain
DoD
DOJATF ▫ DEA ▫ USMS ▫ OJP
Protection of Privacy, Civil Rights, and Civil Liberties
Nlets
State
National Approaches to Interoperability
Common Operating Models
Consistent, Transparent & Distributed Policies
Integrated Capabilities & Shared Services
Evolving & Converging Threats & Risks
Collaboration Imperative
Strengthening Legitimacy
Enterprise Data Management
STATE & REGIONAL ISE SUMMIT
• Priorities:
◦ Create a collaboration environment – National ISE Matrix
◦ Coordinate federal agency efforts related to information sharing
◦ Develop rules for secondary use of data
◦ Explore the boundaries of the enterprise
◦ Develop outreach and education resources
◦ Create consistent security and control classification of information
◦ Engage executive leadership
◦ Improve procurement practices
◦ Clarify roles and responsibilities on
cyber-related information
◦ Engage associations to spotlight ISE-related efforts
7
INFORMATION SHARING
FRAMEWORKS AND STANDARDS
• Established by PM-ISE, the Standards Coordinating Council
(SCC) is the forum to coordinate voluntary alignment, integration,
and adoption of information sharing and safeguarding standards
and frameworks.
• SCC has the role of coordinating alignment and supporting
adoption of• Project Interoperability
• ISE Core Interoperability Framework, or “ICIF”
• Information Sharing and Safeguarding Playbook
ISE Core Interoperability Framework (ICIF) Vision:A Foundation for Interoperable ISEs
ICIF
ISE ISE
ISE ISE
ICIFProject Project
ICIF
COImember
COImember
COImember
COImember
ICIF
ISEmember
ISEmember
ISEmember
ISEmember
Mission Interest ISE
Tactical Information Sharing Project
State/Regional Information Sharing Environment
Federal Counterterrorism ISE
ISE Stakeholders
Participate in ICIF
Governance
ISEs Leverage ICIF
Components
PROJECT INTEROPERABILITY
Discover
Interoperable Services
Build
Interoperable Services
Extend
InteroperableServices
Built upon…
Legal Authorities, Governance & Policy, Performance Management,
Communications and Outreach Tools
• Advocates standards & technologies most likely to achieve the desired ISE compatibility, performance, and scalability
• Connects partners with each other, and with best-practices
• Mission agnostic
• Operational integration of the ICIF
• Promotes sharing and safeguarding of information at domestic nexus of national security and public safety via development of ISEs
• Focused on “white-space” between agencies
11
Project Interoperability 2.0
ISE Core Interoperability Framework (ICIF)
Assertions-Based
Architecture (ABA)
Assertio
n
Defin
ition
s
Assertio
ns
Assesso
r
Op
era
tion
al
Infra
stru
ctu
re
Sp
ecs
Standards
ISE Integration Library
IS&
S
Pla
yb
oo
k
(Re
v.)
Pla
nn
er’s
G
uid
e to
ISE
s
Re
fere
nc
e
Arc
hite
ctu
res
Go
ve
rna
nc
eD
oc
um
en
tatio
n
Imp
lem
en
ting
G
uid
an
ce
Pe
rform
an
ce
Sc
en
ario
s
Co
mm
on
L
ex
ico
n
Co
mm
on
P
rofile
• Users save time and money in aligning their
architectures and establishing ISEs; barriers to
entry fall
• Reduces implementation risk by making
available interoperability examples, a common
vocabulary, etc.
PROJECT INTEROPERABILITY
COMPONENTS
www.standardscoordination.org
9
STANDARDS
COORDINATING COUNCIL
V ISIT ISE.GOV
@shareandprotect
Kshemendra Paul
Program Manager, Information Sharing Environment
National SecurityThrough
ResponsibleInformation Sharing
Interactive Session: Questions of Consequence
o Facilitators: Daniel Stein and the Stewards of Change Institute Team
#SOCI16
SOCI Voices of Social Determinants of Health and Wellness Video
• Click here to view on our YouTube channel -https://www.youtube.com/watch?v=d1ypPZlaKFY&index=1&list=PLeI2juMpKM4O1A6m0XrCfKtmITs_S7_45
Learning from Network Domains, Moving toward Health Equity
Moderator:
o Bill Hazel, MD Secretary Health and Human Resources, Commonwealth of Virginia
Presenters:o Margo Edmunds, Ph.D., Vice President, Evidence Generation and
Translation, AcademyHealth
o Paula Soper, MS, MPH, PMP, Senior Director, Public Health Informatics, Association of State and Territorial Health Officials
o Emily Kulick, Privacy Fellow, U.S. Department of Education
o Rafael Diaz, Chief Information Officer, U.S. Department of Housing and Urban Development
#SOCI16
Paula Soper, MS, MPHSenior Director, Public Health Informatics
Association of State and Territorial Health OfficialsJune 13, 2016
Public Health 3.0: Upgrading our Approach to Address Health Equity and the Social
Determinants of Health
Versioning Public Health in the US
• Full Accreditation• Enhanced leadership
and workforce• Lifespan/
generationalPopulation-based prevention
• New partners to focus on social determinants
• Technology, tools and data
• New metrics of success
• Network model
Public Health 3.0Future
GOAL: Optimal health for all
FOCUS: Achieving optimal health
Public Health 1.0Late 19th Century - 1988
• Variation in health department capacity
• Germ theory• Short time-frames• Medical care• Vaccines• Antibiotics• Expanded
capabilities in epidemiology and laboratory science
• Industrial model
GOAL: Reducing deaths
FOCUS: Acute and infectious diseases
• 3 core functions/10 Essential Services
• Accreditation taking hold
• Multiple risk factors• Longer time frames• Health equity, social
determinants of health
• Chronic disease management and prevention
• Pre-paid benefits• Corporate model
Public Health 2.01988-Present
GOAL: Prolonging disability-free life
FOCUS: Increased focus on chronic disease
Public Health 2.0 Public Health SystemPublic health system commonly defined as “all public, private, and
voluntary entities that contribute to the delivery of essential public health services within a jurisdiction.”
Intended to ensures that all entities’ contributions to the health and well-being of the community or state are recognized in assessing the provision of public health services.
Focus on public health as the convener
The public health system includes Public health agencies at state and local levels
Healthcare providers
Public safety agencies
Human service and charity organizations
Education and youth development organizations
Recreation and arts-related organizations
Economic and philanthropic organizations
Environmental agencies and organizations
An improvement, but still a limited focus
Public Health 3.0: Why is this an imperative?ACA drivers to change: SIM, social determinants,
prevention
ZIP codes remain a more accurate determinant of health than genetic codes.
Collective societal responsibility to create conditions that allow all members of our communities to make healthy choices.
Public health programs often still developed and implemented in silos that result in missed opportunities to leverage critical knowledge of communities to improve health at the local level.
Public Health 3.0: How to effect change?
Emphasize cross-sectoral environmental, policy, and systems-level actions that directly affect the social determinants of health and advance health equity.
Challenge to business leaders, community leaders, state lawmakers, and Federal policymakers to incorporate health into all areas of governance.
More expansive partners to address: Economic developmentEducationTransportationFoodEnvironmentHousingSafe neighborhoods
Public Health 3.0: Technology, Tools and Data
Modernized information systems to support new standards and technology
Interoperability to facilitate multi-sectoral data and information sharing for analysis, coordination and decision-making at micro and macro levels
Modern toolsAnalytic tools to support sophisticated analysis of multi-sector dataVisualization tools to support impactful communication of analyses to
stakeholders, funders and communitiesPredictive modeling tools to support prioritization, resource allocation
and other decision-making by communities, service providers, elected officials, government agencies, foundations and others
Funding, policies and standards to support modernization and interoperability
Public Health 2.0: “Interoperability” Case StudyHealthy Communities Access Program funding
Health and Human Services Coalition undertaking regional Community Health Assessment and Community Health Improvement Plan
Opportunities to look at data in new ways
Blood lead poisoning, looked at data from multiple agencies differentlyBlood lead results at county, sub-county level, not regionHome addressHousing stock ageHousing stock ownership recordsRental property lead testing/abatement records
After several months and many challenges with data access and data matching, able to identify rental company at root of widespread problem
Community able to develop multi-pronged approach to address short-and long-term interventions
Imagine how to do this more efficiently in a Public Health 3.0 context
Thank you!
Paula Soper
Senior Director, Public Health Informatics
Association of State and Territorial Health Officials
Email: [email protected]
Phone: 571-318-5412
http://www.astho.org/Programs/Informatics/
Individual Care- Coordinating care/Electronic human
services record- Decision support tools/predictive risk
modeling
Management Decision Making- Trends in need and service utilization- Outcome evaluation- Cost/benefit analysis- Performance based contracting- Research
Community Use-Open government/open data-Research partners
Allegheny County Department of Human Services
Using Integrated Data Systems
Weekly Email Alert to Caseworkers (Pilot)Child Welfare Case Management System
Data Where It’s Needed: Up-to-date education information (where legal)
Action Research Model
AnalysisPerform integrated
analysis to assess specific nature and dynamics of
targeted issue.
Critical ReflectionCarefully examine analyses to develop
effective strategies to improve both organizations’ way of working with
children and families.
ActionCreate, implement
and evaluate strategies and interventions.
Allegheny County Department of Human Services
Education Partnerships
Case ID Client ID Client Name School Attended School Contact IEP Attendance Suspension Withdrawal
1111 11111 Client 1 Pittsburgh Public - Schiller 412-555-5555 Y X
2222 22222 Client 2 Clairton - Middle School 412-555-5555 N X
3333 33333 Client 3 Pittsburgh Public - Carrick 412-555-5555 N X X
4444 44444 Client 4 Pittsburgh Public - King 412-555-5555 N X
Days Missed in
Prior Week
Days Missed this
Academic Year Attendance Category
Days Tardy in
Prior Week
Days Tardy This
Academic Year
Client 1 1 27 Chronic 5 22
Client 2 5 9 At-Risk 7 11
Client 3 4 45 Severely Chronic 5 12
Client
Name
Days
Suspended in
Prior Week
Days Suspended
This Academic
Year
Client 3 4 16
Client
Name
Date of
Withdrawal
Reason for
Withdrawal Date of Enrollment New School
Client 4 12/20/2015 Left District
ATTENDANCE
Days Absent
Client
Name
DETAILS
SUMMARY OF EDUCATION CONCERNS
SUSPENSIONS
WITHDRAWALS
Tardies
Office of the Chief Privacy OfficerTechnical assistance, policy development, enforcement & internal data management
Upcoming Guidance For Cross-Agency Data Sharing Integrated Data Systems and FERPA WIOA Performance Reporting (joint guidance with Dept. of Labor)
In discussions with other agencies to identify joint guidance opportunities
U.S. Department of Education
External Sources Allegheny County Housing Authority
Allegheny County Jail
Birth Records
Allegheny County Medical Examiner’s Office
Department of Public Welfare
Housing Authority City of Pittsburgh
Physical Health Claims (Medicaid)
Juvenile Probation
Pittsburgh Public Schools + 17 additional County School Districts
Pre-trial Services
Adult/family court
Internal Sources Aging
Child Welfare
Community Service Block Grant
Drug & Alcohol
Early Intervention (partial)
Family Support Centers
HeadStart (partial)
Homeless
Housing Support
Mental Health
Intellectual Disabilities
Potential Data Sources Early Childhood
Post Secondary Education
Employment & Training
Place and Incident Based Data
Allegheny County Department of Human Services (Pittsburgh, PA)
Integrated Data Systems
Affinity Table Discussions
Table 1: Margo Edmunds / HealthCare
Table 2: Paula Soper / Public Health
Table 3: Emily Kulick / Education
Table 4: Rafael Diaz / Housing
Table 5: Sixto Cancel / Think of Us
Table 6: Chris Traver / ACF Interoperability
#SOCI16
