Health Passport presented to AHRQ Informatics Teleconference

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Health Passport presented toAHRQ Informatics
Teleconference
July 26, 2001
J. Terry Williams, MPH e-mail twilli_at_state.wy.us T
elephone 307-777-6008
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Key Findings of the Demonstration by Urban
Institute

• 1. Providers liked the concept, clients were
  positive about the card.
• 2. Privacy/Security was not a problem for
  clients.
• 3. Clients felt empowered in using the card and
  managing their childs health data.

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Who Is Benefiting?

• Mothers and Children
• True access is the engagement of parents so they
  are a partner in the delivery of health care for
  their children.
• Terry Williams, Health Passport Manager, WGA
• Health Care Providers
• In most communities, providers function in almost
  total isolation-- they have little opportunity to
  share ideas, learn new skills or provide support
  and guidance to one another.
• Starting Points, Meeting the Needs of Our
  Youngest Children, the Carnegie Foundation

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Health Passport Demonstration

• Western regional pilot
• Pilot sites Cheyenne, WY Reno, NV Bismarck,
  ND
• Launch Bismarck Cheyenne -- June 1999
• Reno -- June 2000
• 20,000 moms and kids
• 17 local partner organizations
• Retail Stores WY NV
• Private medical providers

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The Challenge

• Use of Technology
• Focus on the End Result, not the Process
• Empowerment, not government control
• Gaining acceptance
• Make HPP transparent to users, providers
• Protect personal privacy

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Phase I Card

• One card per family member
• Multi-application hybrid architecture
• (mag stripe for backward integration)
• 8 k microprocessor
• Internet back-up from host using data
• encryption via network

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Legacy Integration

• The HPP Card captures data from each legacy
  system
• and has the ability to send new information to
  the legacy system

HPP- Turnkey
WIC
HPP Card
MCH
Medicaid
Immunizations
Head Start
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On the Card Programs with Status

• Programs with Detailed Information
• WIC EBT
• Nutrition Program
• Immunization
• Medicaid EPSDT
• HeadStart
• Maternal and Child Health
• Public Health Nursing
• Private Providers
• Cheyenne Childrens Clinic
• Med-Center One Family Doctors Clinic

• Programs with Status Only
• Food Stamps, commodity food program
• Oral Health (Dental)
• Childrens Special Health Services
• Well Baby Clinic
• Housing or Fuel Assistance
• AFDC/Power/TANF
• Food Pantry
• School Lunch Breakfast
• Family Planning (Reproductive Health)
• Tracking System (Children)
• SSI
• Extension, EFNEP, FNP
• Presumptive Eligibility for Pregnant Women
• Others

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On the Card Medical Results
Medical results and date last updated

• Client Exam Data Coded Results, Source Code,
  Date Stamp
• Heart
• Blood Pressure
• Lungs
• Abdomen
• Teeth
• Hearing
• Vision
• Extremities
• Nose
• Throat

• Height and weight.
• Hemoglobin/Hematocrit test results.
• Immunizations
• Pregnancy Status and Due Date
• Gravia
• Parity
• CDC Breast Feeding Information

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Project Sponsors

• HHS PHS, MCH, Head Start
• Medicaid
• State Immunization Program
• USDA - Food Nutrition
• National Library of Medicine
• GSA - Technical evaluation
• Several large pharmaceutical companies
• Blue Cross/Blue Shield North Dakota