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. 2020 Jun 28;3(2):178-184.
doi: 10.1093/jamiaopen/ooaa019. eCollection 2020 Jul.

A case study of the 1115 waiver using population health informatics to address disparities

Amy M Sitapati  1 , Barbara Berkovich  2 , April Moreno Arellano  3 , Angela Scioscia  4 , Lawrence S Friedman  5 , Marlene Millen  6 , Patricia Maysent  7 , Ming Tai-Seale  8 , Christopher A Longhurst  9   10
Affiliations

A case study of the 1115 waiver using population health informatics to address disparities

Amy M Sitapati et al. JAMIA Open. .

Abstract

As participants in the California Medicaid 1115 waiver, the University of California San Diego Health (UCSDH) used population health informatics tools to address health disparities. This case study describes a modern application of health informatics to improve data capture, describe health disparities through demographic stratification, and drive reliable care through electronic medical record-based registries. We provide a details in our successful approach using (1) standardized collection of race, ethnicity, language, sexual orientation, and gender identity data, (2) stratification of 8 quality measures by demographic profile, and (3) improved quality performance through registries for wellness, social determinants of health, and chronic disease. A strong population health platform paired with executive support, physician leadership, education and training, and workflow redesign can improve the representation of diversity and drive reliable processes for care delivery that improve health equity.

Keywords: CMS 1115 waiver; clinical informatics; health IT; health disparities; population health.

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Figures

Figure 1.
Figure 1.
Patient data entry of gender identity and sexual orientation.
Figure 2.
Figure 2.
Physician performance report in the EHR based on registry inclusion with direct linkage to patients with care gaps.
See this image and copyright information in PMC

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