Dasha Randlett, MBA’s Post

⏳"It's a WHOLE LOTTA LOTTA work" to build the tech, governance, and audit-passing processes required by contracts with #managedcareplans and other #healthcare entities. Often, it takes years. How has your organization navigated these challenges? #Healthcare #Tech #Governance #Compliance

🔒 Genuine concern for patient privacy. Agreeing on data sharing is one thing; feeling comfortable sharing sensitive data outside your organization is another. There is real vulnerability here for care providers. How does your organization address these concerns? #PatientPrivacy #DataSecurity #Healthcare #SocialCare

It's another Coffee & Contracts Tuesday!☕🍪 Here are this weeks 5 highlights from the breakout room I moderated on the intersection of #datasecurity, #compliance, and #qualityimprovement from a Community Care Hub perspective. 1) ITS A WHOLE LOTTA LOTTA WORK to stand up the technology infrastructure, governance and oversight infrastructure, and audit-passing processes for community social care organizations that are required by contracts with #managedcareplans and other #healthcare entities. Often, it takes years. 2) MEASURES ARE DIFFERENT. Health Plans work in CPT codes and ICD-9 codes. Community social care providers deal in Social Needs Categories. 3) THE TOPIC EVOKES STRONG SENTIMENTS ALL AROUND. Participants used words like "paralyzing fear" to describe how some health plans feel when trying to navigate partnerships with CBOs, and "beast" (my personal favorite) to describe the complex set of requirements that CBOs must navigate to do business with health plans. 4) GENUINE CONCERN FOR PATIENT PRIVACY. It's one thing to sign a BAA and agree about data sharing standards. It's another thing to feel actually and personally comfortable about sending sensitive data (e.g. behavioral health data) about clients you care for outside your organization when you are not in control of it once it leaves and you very well may not have IT training. There is a patient/client care vulnerability there for care providers that is real. And, thank goodness for it! 5) SIZE MATTERS. Building up the capacity for interoperable data systems or access into existing health care systems is one thing if you have 10,000+ employees and a budget to match. But, for small and mid-sized community social care providers, the struggle can be real. Requirements set by large, mature well-funded organizations can be very hard for smaller organizations invited to collaborate in new ways that are different from their decades-long history. Thanks as always for the privilege of moderating on such an important topic and for the folks in my section that contributed your wisdom! Partnership to Align Social Care Eviset Camden Coalition

Had the pleasure of moderating discussion this week about #datasharing and IT for social care contracting as part of the Partnership to Align Social Care "Coffee and Contracts" series. Below are the top 5 social care-healthcare data sharing issues that surfaced. Do they resonate? What's missing from the list? 1) NEED MORE DATA CAPTURE EFFICIENCY. Social care providers have to collect a lot of data to meet contractual requirements with the healthcare sector. Often, triple entry (known source of data errors). We need better processes to streamline data capture. 2) IMPROVE THE USEFULESS OF DATA FOR CARE QUALITY IMPROVEMENT. Data collection requirements still seem biased towards the transactional or process outcomes. To truly be effective at monitoring and improving the quality of care, we should prioritize data that can produce care quality insights and demonstrate impact. 3) MEMBER DATA COLLECTION IS NOT ALWAYS PERSON-CENTERED AND/OR TRAUMA INFORMED. How person-centered are the data requirements?  Example: for a community member who has been violently assaulted and then required -- through multiple intake processes and hand-offs -- to retell and revisit their assault and symptoms to meet data collection requirements, the data collection process could be inadvertently creating undue harm and burden. Are there checks and balances that factor in this hidden cost of data collection? 4) THERE ARE CRITICAL DATA GAPS THAT IMPEDE CARE. Data sharing among stakeholders is not always comprehensive enough to fully cover all of a client's issues. Critical social care issues are often not addressed in current data models. 5) COMPLIANCE AND LEGAL ISSUES ARE SLOWING PROGRESS. Compliance and legal guardrails around data sharing play an important role. But, when multiple stakeholders all have different procedures and policies, it adds complexity when building consensus and specifying contractual obligations. Thank you to the thoughtful presenters and contributors to this discussion! I learned a lot from you. Partnership to Align Social Care Eviset Camden Coalition https://lnkd.in/e2utbcNM

Reflecting on the need we have, as practitioners working in health care, to work together and support each other in the work we do. I just had a moment of connection with some fellow practitioners in the hub where I practice. We chatted about the ethical requirements of our caseloads and how this impacts us, and the ways we manage this. Spaces to share these things are important. #multidisciplinarypeersupport #teamwork #sharedgoals

My career has centered around integrating social care into healthcare. Through research, education and practice, I developed, along with an amazing team of health professionals, a novel, highly effective approach to addressing social needs called "Screen and Intervene." Today, I'm proud to announce the launch of Docs for Health, a platform built on this paradigm! We address the social needs of patients in real time. Because healthcare involves more than just medicine. #socialdeterminantsofhealth #healthcareequity

We are thrilled to officially announce the launch of Docs for Health! 🌟 At Docs for Health, we're not just a team, but a diverse family of healthcare professionals united by a common goal: addressing patients' social needs. From community health workers to social workers, lawyers to physicians, our journey began with a shared mission and a passion for addressing social risk factors from within the health system. What started as providing free resources has now blossomed into a comprehensive platform empowering health systems nationwide. But amidst our growth, we remain rooted in real-world experiences, understanding the critical importance of addressing social determinants of health. We are proud to offer a HIPAA-secure platform that identifies patients' social needs and provides intervention tools right at the point of care. By enabling health systems to routinely address social risk factors, we pave the way for improved outcomes and significant cost savings. Join us in revolutionizing healthcare through social care integration! 💪 #socialdeterminantsofhealth #healthcare #healthadvocacy #hipaacompliant #socialcare

Improve finances to improve more and better delivery team members. This better practice environment will be more productive and will improve finances. The practice will also save on turnover, orientation, recruitmente, and retention costs and losses. The focus is specific to the only innovation that matters - the one on one innovation between delivery team member and patients. HRSA must tell CMS to let their people go - their community health centers. HRSA must tell CMS to stop voting their 1.4 trillion dollars against primary care, mental health, womens health, geriatrics, and care for most Americans most behind. CHCs are trying to make a differences where Americans most need care, but CMS defeats them. CMS also defeats any training intervention, including its own Graduate Medical Education dollars. Training interventions including pipelines and special training such as Teaching CHC residency programs, are only rearrangements of the deck chairs until there is substantial increases in funding - such as an annual upgrade to 400 billion. This is far beyond the 250 billion pittance for primary care which is actually even less due to more costs of delivery and more burdens placed on delivery team members. Our patients that are most vulnerable need our full attention. We should stand together and tell the cost cutting/obsessive measurement disorder/micromanagement from far away crowd that the only innovation that matters is one on one with each patient. And when there is better support, we can allow them some polishing activities - but after not until major funding changes.

Conflict in Healthcarre Conflict in the healthcare field can extend beyond physician-to-physician disputes and include conflicts between different healthcare professionals. It is essential for healthcare professionals to collaborate, work as a team, and communicate effectively to prevent and resolve conflicts in the workplace.

Interesting developments... As reported in the Health Service Journal today, the Department of Health and Social Care has commissioned a review of the Care Quality Commission, along with other public bodies. Sources tell the HSJ that the terms of the review, launched under the Cabinet Office public bodies review programme, will consider “whether the regulator has the necessary leadership and staffing for its new role overseeing local government adult social care functions, a source said, as well as how changes to inspections of adult social care providers are working”. It will also examine how the CQC’s recently updated assessment framework is working, and how it links to NHS England’s national oversight framework. The piece of work will be led by Penny Dash, current North West London Integrated Care Board chair and formerly a senior McKinsey & Company consultant. Investigations will consider whether the CQC’s ratings were properly rewarding and incentivising the improvement of care, and how the regulator is taking into account service user and patient voices, sources told HSJ. The review is not expected to be completed before autumn and is therefore very likely to report to a new government. #healthandsocialcare