HealthTrackPromising PracticeEl Paso County,

Colorado(Colorado Springs)

CityMatCH ConferenceSeptember 13, 2004

Presented by:Ann Zielinski RN MSCommunity Health Planner

El Paso County Department of Health & Environment

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Our Situation

Multiple independent agencies Clients completing paperwork

everywhere No way to know status of pending

applications

No common networkNo common medical records system

Clients being seen in multiple agencies No inter-agency communicationEffective? No

Efficient? No

Coordinated Care? No

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Expected Outcomes of HCAP

Increased enrollment in public health insurance;

Improved care for the uninsured and underinsured - timely, well-coordinated, culturally appropriate

Increased cost recovery

THE ULTIMATE GOAL IS FOR OUR

COMMUNITY TO HAVE

100% ACCESS AND

0% DISPARITIES!

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El Paso County Department of Human Services (applications only)

Both Local Hospitals-city owned-private

CommunityHealth Centers(single agency, multiple sites)

El Paso County Department of Health & Environment

Faith-Based Clinics(2 now; 1 planned)

Future agencies:

-Medical Society (Project Access)-Pharmacy feed-Private

Physician (Project Access billing feed; Perhaps some direct access)

Once it was our Vision--Now it is our Reality

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HealthTrack Today

Operating in 7 partner agenciesWeb-basedRobust SQL databaseServer and System Administrator

located at Public Health Department

Shared development with DHHA Master Business Associate

Agreement (HIPAA) signed

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Functionality

Application Tracking (CHP+, CICP, Medicaid)

Medical Visit History SummaryTrack Charges Pending DeterminationCommunity Statistical Data Collection Inter-agency Communication Project Access (in start-up)Chronic Disease Management Pathway

(planned)Healthdoc (mobile platform – DHHA)

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Reporting

8 Standard Reports Most reports have multiple filtering options Access restricted by role

Custom report capability System Administrator can build report

using Crystal Reports Dynamic table selection Option for background restriction to

organization data only Access restricted by role, organization,

and/or individual

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Custom Reports

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Current Status

51,975 clients22,448

applications 31,956 benefits

being applied for

47,242 visits (still ramping up) 21 clients have

visited 3 or 4 of 5 organizations

MH MMC PSF PVCHC SET0 0 1 26 00 0 18 1 12 0 1 2 81 0 1 6 22 0 1 0 78 0 1 0 00 0 1 4 30 2 5 1 04 0 3 0 10 0 3 1 22 0 1 0 20 1 1 2 00 2 1 1 00 1 1 1 00 2 0 0 1

Site Visited

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Persons by Employment Sector

0%

3%

68%

4%

13%

2%

1%

9%

Serv ices

Retail Trade

Construction

Transprt, Utility,TeleCommunicationsFinance, Insur., &Real EstManufacturing

Government

Agricul, Forestry, &Fishing

Ethnicity

1%

1%

0%

1%

0%

8%

62%

13%

12%

Caucasian

Hispanic/Lat and 1 or More Race

Mexican/Mex. Amer/Chicano

Black/African American

Other Hispanic Latino

More Than One Race

Caribbean American

Other Asian

American Indian

Korean

Asian Indian

Other (not indiv idually graphed)

Demographics

HealthTrack: Known Employment Status of Persons Applying For Benefits

12/1/2002 - 11/31/2003

Employed21%

Child, not working

38%

Unemployed41%

Understanding the Clients

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Analyzing Trends

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Contact Information

Ann Zielinski RN MSEl Paso County Department of Health and Environment301 S. Union Blvd.Colorado Springs, CO 80910719-578-3245AnnZielinski@epchealth.org

Craig DahlHealthcare Practice LeadInterlink Group, Inc.98 Inverness Drive East, Suite 150Englewood, CO 80112direct: (303) 542-7098main: (303) 542-7100Craig.Dahl@ilg.com