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Ben Butler

Jails and Health Information Technology: A Framework For Creating Connectivity

An underlying connectivity framework of three macro systems collects and communicates health care data about incarcerated individuals: jail management systems, jail health systems, and community health systems. Ideally, all three systems would communicate seamlessly.

connectivity framework: please click display images

But no jail serves as a model for connecting all three systems. Five case studies presented in this paper, detail how different jurisdictions have implemented or are attempting to implement various parts of this connectivity framework. It is intended that jurisdictions can learn from these case studies and use them as templates for their own connectivity efforts.

Author
Ben Butler, COCHS

The Impact Of Policies Promoting
Health Information Technology
On Health Care Delivery In Jails And Local Communities

In Health Affairs Ben Butler and Judy Murphy examine how decisions largely external to jails —coming from the Supreme Court, Congress, and local policy makers— have contributed to the growth of health IT within jails and health information exchange between jails and local communities.

Authors
Ben Butler, chief information officer, COCHS.

Judy Murphy, deputy national coordinator for programs and policy at the Office of the National Coordinator for Health Information Technology, Department of Health and Human Services.

Health Information Exchange between Jails and Their Communities:
A Bridge That Is Needed under Healthcare Reform

Topic
This article, published in AHIMA's Prespectives in Health Information Management, examines the impact of the Affordable Care Act (ACA) and the Health Information Technology for Economic and Clinical Health Act (HITECH) on the adoption of health information technology in correctional environments --especially the role of health information exchange in breaking down silos between jail health care and community health providers.

Author
Ben Butler, COCHS

HITECH Act and the ACA—New Opportunities for Correctional Providers

In this article, Ben Butler, COCHS' CIO, examines the important ways in which jail correctional health programs can now benefit from provisions of the Health Information Technology for Economic and Clinical Health Act (HITECH Act) that provide generous cash incentives for health providers who migrate to and share data electronic health records (EHRs). Under the original HITECH provisions, jails were excluded from participation; but passage of the ACA, which included the expansion of Medicaid to individuals based solely on income, had the effect of lifting the prohibition on CMS payments to programs treating inmates. Jails now can enjoy significant new funding under the revised criteria. This article explains, in detail, how. View article...

Predictive Analytics in Health Care and Criminal Justice: Three Case Studies

In this issue paper, Ben Butler, COCHS' CIO, examines three case studies where predictive analytics are being used to assist health care providers along with criminal justice professionals in reducing incarceration, improving health, and maintaining public safety. Read issue paper...

New HIE Funding Opportunities for Corrections:
Health Information Technology’s Role in Reducing Mass Incarceration

The Centers for Medicare and Medicaid Services (CMS) on February 29, 2016 released a Dear State Medicaid Director letter which expanded the list of providers that could participate in the 90 percent federal matching funds (90/10) on state activities to promote health information exchange (HIE). The new expanded list includes correctional health providers. This addition is a recognition that coordinating care of individuals cycling through the criminal justice is an important contribution in assisting eligible Medicaid providers in the community to meet EHR Incentive objectives of Meaningful Use

To coincide with this announcement, COCHS is disseminating a new issue paper by COCHS CIO Ben Butler, New HIE Funding Opportunities for Corrections: Health Information Technology’s Role in Reducing Mass Incarceration. In this paper, Ben outlines the potential of HIE to vastly improve connectivity between community and correctional healthcare and possibly help reduce mass incarceration. Read more...

Health Affairs Publishes Ben Butler's Letter:
Health Information Exchange and Jails

In the June, 20 issue of Health Affairs, Ben Butler, responds to a March 2015 Health Affairs' article, Despite The Spread Of Health Information Exchange, There Is Little Evidence Of Its Impact On Cost, Use, And Quality Of Care, by Saurabh Rahurkar and coauthors. In his letter, Ben suggests that jails offer an interesting opportunity to test the efficacy of health information exchange (HIE) for improving the health of a very vulnerable population.

FierceHealthIT: HIE A Bridge That Is Needed under Healthcare Reform

Topic
This article, published on FierceHealthIT's website quotes at length the work of COCHS' CIO Ben Butler, HIE A Bridge That Is Needed between Jails and Their Communities: Under Healthcare Reform. This article was published on AHIMA's website, Perspectives in Health Information Management.

Author
Susan D. Hall, FierceHealthIT

Correctional Health Care Report Reprints -
Jails and Health Information Technology:
A Framework For Creating Connectivity (Part 1)

Correctional Health Care Report Reprints -
Jails and Health Information Technology:
A Framework For Creating Connectivity (Part 2)

Topic
Correctional Health Care Report republished in a two part series, Jails and Health Information Technology: A Framework For Creating Connectivity. This study was written by COCHS' CIO, Ben Butler, and is available on this website .

Author
Ben Butler, COCHS

Meaningful Use In Corrections: Unknown Opportunities
Interest in meaningful use among correctional health services (including both in-house health care providers and contract providers) is manifesting itself at different levels. A few correctional health services have recently begun to participate in meaningful use. Others are thinking about it, while still others are pursuing plans to acquire and implement EHR systems associated with meaningful use, even though they do not intend to participate in the program.

However, jails face a serious obstacle to participating in meaningful use, which was not designed with jails in mind. But as the meaningful use program undergoes a period of adjustment and public comment,there is an opportunity both for jails to provide their input and make their challenges known and for policymakers to gain a better understanding of how they can make meaningful use more accessible to jails, thus promoting health care connectivity. Read more...

Author
Ben Butler
Chief Information Officer, COCHS




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