Bridging the Data Gap Between Health Care and Social Services

Copyright

2016

HealthInfoNet (HIN), a nonprofit that serves as the statewide health information exchange (HIE), is leveraging the HIE and a real-time predictive analytics system to integrate electronic health record and social determinant data across three critical access hospitals, seven federally qualified health centers, and two Community Action Agencies (CAAs) in Maine. The HIE and predictive modeling programs will be deployed to identify the most complex, high-risk patients so that care management teams can connect them to appropriate community services. In particular, the project team is identifying the most appropriate datasets related to social determinants of health to incorporate within the HIE.