California Health and Human Services

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Link to the California Web State Portal

Data Exchange Framework

About

Governor Newsom’s signature on AB 133 puts California on the path to building its first-ever, statewide Health and Human Services Data Exchange Framework — a single data sharing agreement and common set of policies and procedures that will govern the exchange of health information among health care entities and government agencies beginning in June 2024.

Read the news release announcing the formation of a Stakeholder Advisory Group that will guide the development of the Data Exchange Framework.

To receive updates on the development of the Data Exchange Framework, email CDII@chhs.ca.gov.

CalHHS is seeking individuals with technical or legal health and cross-sector data sharing experience (e.g., developing or implementing CalDURSA) to support a Data Sharing Agreement Subcommittee of the CalHHS Data Exchange Framework Advisory Group.  Interested stakeholders are invited to complete the Statement of Interest form to volunteer their participation by Friday, October 1, 2021.

A statewide data exchange framework is needed to ensure all Californians — and the health and human service providers and organizations that care for them — have timely, secure access to the electronic information necessary to address their health and social needs. Read more about California’s vision for safely sharing health and human services data in this blog from CalHHS chief data officer and CDII director John Ohanian: Shared Information Has the Power to Change Californians’ Lives for the Better.

Timeline

Initial Data Exchange Framework

By July 1, 2022, the state will establish a single data sharing agreement and common set of policies and procedures that will govern and require the exchange of health information among health care entities and government agencies in California. This effort will be guided by a Stakeholder Advisory Group, which will provide information and advice to CalHHS.

Public health/social services integration

By January 31, 2023, CalHHS and the California State Association of Counties will encourage as many county health, public health, and social services providers to connect to the Data Exchange Framework—with all state and local public health agencies exchanging health information in real time with participating health care entities.

Data sharing agreement

By January, 31, 2023, the Data Exchange Framework data sharing agreement will be executed by the following entities: General acute care hospitals, physician organizations and medical groups, skilled nursing facilities, health service plans and disability insurers, Medi-Cal managed care plans, clinical laboratories, and acute psychiatric hospitals.

Full implementation

By January 31, 2024, all participating entities will exchange health information or provide access to health information to and from every other entity in real time for treatment, payment, or health care operations.

Context

While parts of California’s health care system rely on coordinated, interoperable electronic systems, other parts rely on decentralized, manual, and siloed systems of clinical and administrative data exchange that is voluntary in many situations. This voluntary patchwork imposes burdens on providers and patients, limits the health care ecosystem from making material advances in equity and quality, and functionally inhibits patient access to personalized, longitudinal health records. Further, a lack of clear policies and requirements to share data between payers, providers, hospitals, and public health systems is a significant hindrance to addressing public health crises, as demonstrated by challenges inherent to the COVID-19 pandemic.

Despite the widespread availability of secure electronic data transfer, a small but important minority of Californians’ medical information is stored or shared on paper. When that medical information is shared between providers, much of it happens by mail, fax, or, most likely, by the patients themselves, who frequently carry their records from appointment to appointment. While electronic health information exchange cannot replace provider-patient communication, it can greatly improve the completeness of patient records, which has a significant effect on health and wellness outcomes, as past history, current medications, and other information are jointly reviewed during appointments.

Social and economic factors distinct from medical care are powerful predictors of health outcomes and disease burden throughout a person’s life. From a population health perspective, this means that evidence-based policies that affect the broader conditions in which people are born, grow, and live can exert a powerful influence on health and well-being. From an operational perspective, data-driven efforts to better coordinate human and social supports with the medical and health care sectors provide opportunities to deliver services that are more client centered, efficient, effective, and tailored.

Stakeholder Advisory Group Meeting Dates

  • August 31, 2021 Data Exchange Framework Stakeholder Advisory Group Meeting #1 9:30am – 12:00pm
  • October 7, 2021 Data Exchange Framework Stakeholder Advisory Group Meeting #2 10:00am – 12:30pm
  • November 10, 2021 Data Exchange Framework Stakeholder Advisory Group Meeting #3 10:00am – 12:30pm
  • December 14, 2021 Data Exchange Framework Stakeholder Advisory Group Meeting #4 10:00am – 12:30pm
  • January 25, 2022 Data Exchange Framework Stakeholder Advisory Group Meeting #5 10:00am – 12:30pm
  • March 3, 2022 Data Exchange Framework Stakeholder Advisory Group Meeting #6 10:00am – 12:30pm
  • April 7, 2022 Data Exchange Framework Stakeholder Advisory Group Meeting #7 10:00am – 12:30pm (Tentative)
  • May 18, 2022 Data Exchange Framework Stakeholder Advisory Group Meeting #8 10:00am – 12:30pm (Tentative)
  • June 23, 2022 Data Exchange Framework Stakeholder Advisory Group Meeting #9 10:00am – 12:30pm (Tentative)

Stakeholder Advisory Group Meeting Information

 

Data Exchange Framework Stakeholder Advisory Group Meeting #5 

January 25, 2022 – 10am to 12:30 pm
Join via Zoom
To call in (listen only): 888 788 0099 (Toll Free)
Webinar ID: 979 4305 1559

Data Exchange Framework Stakeholder Advisory Group Meeting #4

Stakeholder Advisory Group Members

  • Chair
  • Stakeholder Organizations
  • State Departments
  • Mark Ghaly, MD, MPH. Secretary of the California Health & Human Services Agency
  • Jamie Almanza, Bay Area Community Services
  • Charles Bacchi, California Association of Health Plans
  • Andrew Bindman (delegate for Greg A. Adams), Kaiser Permanente
  • Michelle Doty Cabrera, County Behavioral Health Directors Association of California
  • Carmela Coyle, California Hospital Association
  • Joe Diaz (delegate for Craig Cornett), California Association of Health Facilities
  • Rahul Dhawan (delegate for Don Crane), MedPoint Management (representing America’s Physician Groups)
  • David Ford (delegate for Dustin Corcoran), California Medical Association
  • Liz Gibboney, Partnership HealthPlan of California
  • Michelle Gibbons (delegate for Colleen Chawla), County Health Executives Association of California
  • Lori Hack, California Association of Health Information Exchanges
  • Sandra Hernández, California Health Care Foundation
  • Cameron Kaiser (delegate for Karen Relucio), County of San Diego (representing the California Conference of Local Health Officers)
  • Andrew Kiefer (delegate for Paul Markovich), Blue Shield of California
  • Linnea Koopmans, Local Health Plans of California
  • Matt Legé (delegate for Tia Orr), Service Employees International Union California
  • David Lindeman, UC Center for Information Technology Research in the Interest of Society
  • Amanda McAllister-Wallner (delegate for Anthony E. Wright), Health Access California
  • DeeAnne McCallin (delegate for Robert Beaudry), California Primary Care Association
  • Ali Modaressi, Los Angeles Network for Enhanced Services
  • Erica Murray, California Association of Public Hospitals and Health Systems
  • Janice O'Malley (delegate for Art Pulaski), California Labor Federation
  • Mark Savage, Savage & Savage LLC
  • Kiran Savage-Sangwan, California Pan-Ethnic Health Network
  • Cathy Senderling-McDonald, County Welfare Directors Association
  • Claudia Williams, Manifest MedEx
  • William York, 211 San Diego/Community Information Exchange
  • Ashrith Amarnath, California Health Benefit Exchange
  • Nancy Bargmann, Department of Developmental Services
  • Mark Beckley, Department of Aging
  • Scott Christman, Department of Health Care Access and Information
  • David Cowling, California Public Employees' Retirement System
  • Kayte Fisher, Department of Insurance
  • Julie Lo Business, Consumer Services & Housing Agency
  • Dana E. Moore, Department of Public Health
  • Nathan Nau, Department of Managed Health Care
  • Linette Scott, Department of Health Care Services
  • Diana Toche, Department of Corrections and Rehabilitation
  • Julianna Vignalats, Department of Social Services
  • Leslie Witten-Rood, Emergency Medical Services Authority

To learn more about the advisory group members, read their biographies.

Data Sharing Agreement Subcommittee Meeting Dates

  • November 8, 2021 Data Sharing Agreement Subcommittee Meeting #1 11:00am -1:00 pm
  • December 22, 2021 Data Sharing Agreement Subcommittee Meeting #2 11:00am -1:30 pm
  • January 18, 2022 Data Sharing Agreement Subcommittee Meeting #3 12:00pm -2:30 pm
  • February 23, 2022 Data Sharing Agreement Subcommittee Meeting #4 11:00am – 1:30 pm
  • March 22, 2022 Data Sharing Agreement Subcommittee Meeting #5 12:00pm – 2:30 pm
  • April 26, 2022 Data Sharing Agreement Subcommittee Meeting #6 12:00pm – 2:30 pm

Data Sharing Agreement Subcommittee Meeting Information

Data Sharing Agreement Subcommittee Members

  • Chair
  • Members
  • John Ohanian, California Health & Human Services Agency
  • Ashish Atreja, UC Davis Health
  • William (Bill) Barcellona, America's Physician Groups
  • Jenn Behrens, Los Angeles Network for Enhanced Services (LANES)
  • Michelle (Shelly) Brown, Private Practice
  • Louis Cretaro, California Welfare Directors Association of California
  • Elizabeth Killingsworth, Manifest Medex
  • Helen Kim, Kaiser Permanente
  • Patrick Kurlej, Health Net
  • Carrie M. Kurtural, California Department of Developmental Services
  • Steven Lane, Sutter Health | Palo Alto Medical Foundation
  • Lisa Matsubara, Planned Parenthood Affiliates of California
  • Deven McGraw, Invitae
  • Eric Raffin, San Francisco Department of Public Health
  • Morgan Staines, California Department of Health Care Services
  • Ryan Stewart, CommonSpirit Health
  • Lee Tien, Electronic Frontier Foundation
  • Belinda Waltman, Los Angeles County Department of Health Services
  • Terry Wilcox, Health Center Partners

To learn more, read the subcommittee members biographies.

Digital Identity Focus Group Meeting Information

 

Digital Identity Focus Group Meeting #1

January 28, 2022 – 1pm – 2:30pm

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