Home > Promising Practices > Connecting Partners through the Community Information Exchange

Connecting Partners through the Community Information Exchange

An Evidence-Based Practice

Description

2-1-1 San Diego developed the Community Information Exchange (CIE), a cloud-based platform that enables participating providers to better understand a client’s interactions with health and community services. The CIE includes a social risk assessment tool, provides alerts, and facilitates connections across multiple agencies and providers. The rich client information collected through the CIE is also used to monitor community trends and address local challenges.

Goal / Mission

Improve care coordination for vulnerable patients through an online platform.

Impact

Among clients enrolled in the CIE, participants experienced a reduced number of emergency medical services trips and increased stable housing rates.

Results / Accomplishments

Given the nature of 2-1-1 San Diego’s multiple collaborations, the security of data sharing is paramount to program success. Clients consent to participate in the CIE and authorize information sharing across participating provider and community-based partners. Several factors are considered accomplishments with the CIE: decreased patient social vulnerability scores, decreased EMS utilization, reduced ED admissions, reduced hospital readmissions, reduced jail recidivism, and increased self-reported patient self-efficacy.

About this Promising Practice

Organization(s)
2-1-1 San Diego
Primary Contact
P.O. Box 420039, San Diego, CA 92142
858-300-1211
resourcecenter@211sandiego.org
https://211sandiego.org
Topics
Health / Health Care Access & Quality
Organization(s)
2-1-1 San Diego
Date of implementation
2011
Location
San Diego, CA
For more details
https://www.chcs.org/media/2-1-1-San-Diego-Case-St...
Additional Audience
low-income

Related Promising Practices

  1. Access to Care
  2. CDC COMMUNITY GUIDE: Early Childhood Development Programs: Comprehensive, Center-Based Programs for Children of Low-Income Families
  3. Managing Multiple Chronic Conditions with a Community Health Worker Intervention
  4. Patient-Centered Community Health Worker Intervention to Improve Post-hospital Outcomes
  5. Partnering with a Bakery to Provide Breakfast to Low-Income Schools
  6. The Pacific Hotel: Low-Income Housing

More

Related Content for: Connecting Partners through the Community Information Exchange

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
SUPPORT US
Coastal Georgia Indicators Coalition