New England States Consortium Systems Organization (NESCSO)
In 2021, NESCSO announced the release of the “New England States’ All-Payer Report on Primary Care Payments.” This report demonstrates a new and creative approach to combining multiple states’ all-payer claims databases (APCDs) using a “distributed” data model to achieve broader understanding than could be achieved by any one state on its own. The distributed model required transparent definitions and methodologies and systematic quality assurance procedures to advance a shared understanding of the impact of each state’s primary care investment. NESCSO’s Primary Care Investment Learning Community, led by Richard Slusky of Slusky Consulting, included state government employees from each New England state that had an interest in and responsibility for monitoring state-level primary care. Community members were galvanized by recommendations from NESCSO’s Primary Care Collaborative and other organizations that a standardized measure of primary care investment was needed before
it would be able to demonstrate that increased investment can lead to improved quality, increased access, and lower cost.
Delaware Health Information Network (DHIN)
DHIN has developed a number of channels for disseminating data that are crucial to the health and well-being of its customer base of patients, providers, and public health personnel. For patients, the DHIN disseminates data through its Health Check Connect Personal Health Record. The Health Check Connect PHR is on the web and is also available in native mobile app form for Apple iOS and Android devices. The Health Check Connect PHR offers a number of services to patients, including Digital Consent Management, Lab and Test Results, and Direct Secure Messaging. This innovative approach allows data to be used and transparent from all government agencies, providers and end users when applicable. DHIN added the capability to distribute COVID test results to patients. This feature of Health Check Connect, in particular, has driven an increase in the number of users of the Health Check Connect PHR from less than 1,000 in 2019 to more than 18,000 in 2021.
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| Elena Nicolella, NESCSO | Jan Lee, DHIN |