HomeHealthcareCalifornia’s CalAIM, Knowledge Change Framework Spur Partnerships

California’s CalAIM, Knowledge Change Framework Spur Partnerships


California’s ongoing Medicaid transformation and its new Knowledge Change Framework (DxF) are accelerating partnerships to reinforce interoperability. 

In partnership with Dignity Well being, SacValley MedShare lately introduced it’s going to lengthen its well being information alternate providers to 30 hospitals throughout the state. As well as, the Serving Communities Well being Data Group (SCHIO) well being info alternate has introduced a collaboration with Central California Alliance for Well being. 

The Alliance is a regional Medi-Cal managed care well being plan established in 1996 to enhance entry to well being take care of over 456,000 members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties.

This partnership will allow Alliance Medi-Cal members and suppliers in all 5 Alliance-served counties to alternate well being information between healthcare techniques, enhancing care coordination and enhancing well being outcomes. The collaboration ensures compliance with each the California Advancing and Innovating Medi-Cal (CalAIM) in addition to the DxF applications, the organizations stated.

Established in 1996, SCHIO has been designated as a California Certified Well being Data Group (QHIO) to facilitate the safe alternate of well being and social providers info, helping entities as they create and reply to info requests, obtain the outcomes of exams or referrals, and request notifications of admissions or discharges.

“Certified Well being Data Organizations create an accessible path for numerous well being and social providers entities to take part within the Knowledge Change Framework, offering entry to actionable information throughout California’s whole well being and social providers system,” stated Mark Ghaly, M.D., secretary of CalHHS, in an announcement. 

With DxF necessities having change into necessary throughout California on January 31, 2024, the Alliance has chosen Santa Cruz-based SCHIO to help its Medi-Cal suppliers in navigating what are anticipated to be the nation’s most rigorous information alternate insurance policies. This collaboration relies on a well being info alternate (HIE) mannequin that permits most healthcare information to be securely shared by way of SCHIO.

“SCHIO makes information accessible to the Alliance and its companions to facilitate decision-making, meet data-sharing regulatory necessities, align with CalAIM, and finally enhance the well being outcomes of the populations that we collectively serve,” stated Cecil Newton, chief info officer of Central California Alliance for Well being, in an announcement. “This association is an extension of over six years of mutual dedication to supply healthcare organizations a greater understanding of the brand new interoperability rules and know-how options to simplify care. We’re trying ahead to standardizing and streamlining Californians’ entry to healthcare providers.”

Aggregating medical information from numerous sources, SCHIO stated it reduces suppliers’ administrative and know-how burdens, and helps healthcare organizations enhance the standard of shared info to satisfy present and forthcoming well being and wellness necessities.

“We’re thrilled and grateful to be chosen by the Alliance,” stated Daniel Chavez, government director of SCHIO, in an announcement. “By our shut affiliation with the Alliance in Santa Cruz County, we’ve got established a relationship constructed on confirmed supply, neighborhood and belief, making a long-lasting funding by serving to healthcare organizations obtain better interoperability and ship an improved affected person expertise.”