1. A case study of the 1115 waiver using population health informatics to address disparities
- Author
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Angela L. Scioscia, Marlene Millen, Patricia Maysent, Ming Tai-Seale, Amy M. Sitapati, Christopher A. Longhurst, Barbara Berkovich, Lawrence S. Friedman, and April Moreno Arellano
- Subjects
Gerontology ,AcademicSubjects/SCI01060 ,Health Informatics ,Population health ,Case Reports ,Health informatics ,CMS 1115 waiver ,03 medical and health sciences ,0302 clinical medicine ,Health informatics tools ,clinical informatics ,030212 general & internal medicine ,Social determinants of health ,health disparities ,business.industry ,Waiver ,Health equity ,Informatics ,health IT ,AcademicSubjects/SCI01530 ,business ,Psychology ,AcademicSubjects/MED00010 ,Medicaid ,population health ,030217 neurology & neurosurgery - Abstract
As participants in the California Medicaid 1115 waiver, the University of California San Diego Health (UCSDH) used population health informatics tools to address health disparities. This case study describes a modern application of health informatics to improve data capture, describe health disparities through demographic stratification, and drive reliable care through electronic medical record-based registries. We provide a details in our successful approach using (1) standardized collection of race, ethnicity, language, sexual orientation, and gender identity data, (2) stratification of 8 quality measures by demographic profile, and (3) improved quality performance through registries for wellness, social determinants of health, and chronic disease. A strong population health platform paired with executive support, physician leadership, education and training, and workflow redesign can improve the representation of diversity and drive reliable processes for care delivery that improve health equity.
- Published
- 2020