1. HealthTrack Promising Practice El Paso County, Colorado (Colorado Springs) CityMatCH Conference September 13, 2004 Presented by: Ann Zielinski RN MS Community Health Planner El Paso County Department of Health & Environment

2. 2 Our Situation Multiple independent agencies  Clients completing paperwork everywhere  No way to know status of pending applications No common network No common medical records system  Clients being seen in multiple agencies  No inter-agency communication Effective? No Efficient? No Coordinated Care? No

3. 3 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!

4. 4 El Paso County Department of Human Services (applications only) Both Local Hospitals -city owned -private Community Health 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

5. 5 HealthTrack Today Operating in 7 partner agencies Web-based Robust SQL database Server and System Administrator located at Public Health Department Shared development with DHHA Master Business Associate Agreement (HIPAA) signed

6. 6 Functionality Application Tracking (CHP+, CICP, Medicaid) Medical Visit History Summary Track Charges Pending Determination Community Statistical Data Collection Inter-agency Communication Project Access (in start-up) Chronic Disease Management Pathway (planned) Healthdoc (mobile platform – DHHA)

7. 12 7

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9. 9 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

10. 10 Custom Reports

11. 11 Current Status 51,975 clients 22,448 applications  31,956 benefits being applied for 47,242 visits (still ramping up)  21 clients have visited 3 or 4 of 5 organizations

12. 12 Demographics

13. Understanding the Clients 13

14. Analyzing Trends 14

15. 15 Contact Information Ann Zielinski RN MS El Paso County Department of Health and Environment 301 S. Union Blvd. Colorado Springs, CO 80910 719-578-3245 AnnZielinski@epchealth.org@epchealth.org Craig Dahl Healthcare Practice Lead Interlink Group, Inc. 98 Inverness Drive East, Suite 150 Englewood, CO 80112 direct: (303) 542-7098 main: (303) 542-7100 Craig.Dahl@ilg.com