Social-Health Data Exchange Facilitates Chronic Disease Care
6:00pm - 7:00pmThursday, March 8
Las Vegas - Venetian Convention Center
The “Data Across Sectors for Health” (DASH) project deployed a technology platform between a hospital system and food pantries to facilitate improved care for food-insecure people with diabetes or hypertension. The social/health information exchange (S-HIE) enables inter-sectoral coordination/data sharing between hospital-based clinical teams and case management teams at the food banks. A multi-phase pre-/post-intervention controlled quasi-experiment is assessing effectiveness of cloud-based social/health information exchange in improving care processes and outcomes via closed-loop cross-sector referral of patients. We demonstrate how the building of case management capacity, harmonization of legal processes, execution of collaborative workflow logic models, and installation of a cross-sector information technology infrastructure is facilitating smart multi-system integration and resource pooling based on advanced analytics, enabling improved community health processes and outcomes.