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The Next Revolution: The Role of Informatics in Improving Health Care
Health Passport Program
Slide Presentation by J. Terry Williams (Text Version)
On July 26, 2001, J. Terry Williams, M.P.H., made a presentation during the Web-assisted teleconference, The Next Revolution: The Role of Informatics in Improving Health Care entitled "Health Passport."
This is the text version of Terry Williams's slide presentation. Select to access the PowerPoint® slides (196 KB).
Health Passport Program (HPP)
Presented to Agency for Healthcare Research and Quality (AHRQ) Informatics Web conference
July 26, 2001
J. Terry Williams, M.P.H.
Western Governors Association (WGA)
Key Findings of the Demonstration by Urban Institute
liked the concept, clients were positive about the card.
was not a problem for clients.
- Clients felt
empowered in using the card and managing their child's health data.
Who Is Benefiting?
Mothers and Children:
- True access is the engagement of parents so they are a partner in the delivery
of health care for their children.
—Terry Williams, Health Passport Manager, WGA.
Health Care Providers:
- In most communities, providers function in almost total isolation—they
have little opportunity to share ideas, learn new skills or provide support
and guidance to one another.
—Starting Points, Meeting the Needs of Our Youngest Children, the Carnegie
Health Passport Demonstration
- Western regional pilot.
- Pilot sites: Cheyenne, WY; Reno, NV; Bismarck, ND.
Bismarck & Cheyenne—June 1999
- 20,000 moms and kids.
- 17 local partner organizations.
- Retail Stores: WY & NV.
- Private medical providers.
- Use of Technology:
- Focus on the End Result, not the Process.
- Empowerment, not government control.
- Gaining acceptance:
- Make HPP transparent to users, providers.
Phase I Card
slide displays an example of the front and back of a Health Passport Card.
Like a credit card, the individual's name appears on the card, along with
an identification number.
- One card per family member.
- Multi-application hybrid architecture (mag
stripe for backward integration).
- 8 k microprocessor.
- Internet back-up from host using
data encryption via network.
The HPP Card
captures data from each legacy system and has the ability to send new
information to the legacy system
This slide features a
diagram of how the legacy systems work together. The HPP card is in the
center, surrounded by the different systems, with arrows illustrating that
data can go both ways from a legacy system to the card. The systems surrounding
the card are (Clockwise from top right):
- MCH [Maternal-Child Health].
- Head Start.
- WIC [Women, Infants, and Children].
On the Card: Programs with Status
Programs with Detailed Information:
- WIC & Electronic Benefit Transfer (EBT).
- Nutrition Program.
- Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT).
- Maternal and Child Health.
- Public Health Nursing.
- Private Providers:
- Cheyenne Children's Clinic.
- Med-Center One: Family Doctor's Clinic.
Programs with Status Only:
- Food Stamps, commodity food program.
- Oral Health (Dental).
- Children's Special Health Services.
- Well Baby Clinic.
- Housing or Fuel Assistance.
- Aid to Families with Dependent Children (AFDC)/Power/Temporary Assistance for Needy Families (TANF).
- Food Pantry.
- School Lunch & Breakfast.
- Family Planning (Reproductive Health).
- Tracking System (Children).
- Supplemental Security Income (SSI).
- Extension, Expanded Food and Nutrition Education Program (EFNEP), Family Nutrition Program (FNP).
- Presumptive Eligibility for Pregnant Women.
On the Card: Medical Results
Medical results and date last updated:
- Height and weight.
- Hemoglobin/Hematocrit test results.
- Pregnancy Status and Due Date.
- Centers for Disease Control and Prevention (CDC) Breast Feeding Information.
- Client Exam Data: Coded Results, Source Code, Date Stamp:
- Blood Pressure.
- U.S. Department of Health & Human Services (HHS): Public Health Service (PHS), MCH, & Head Start.
- State Immunization Program.
- U.S. Department of Agriculture (USDA)—Food & Nutrition.
- National Library of Medicine.
- General Services Administration (GSA)—Technical evaluation.
- Several large pharmaceutical companies.
- Blue Cross/Blue Shield North Dakota.
Current as of August 2001
Williams, JT. Health Passport Program. Slide Presentation (Text Version) presented at The Next Revolution: The Role of Informatics in Improving Health Care, Web-Assisted teleconference, July 26, 2001. Agency for Healthcare Research and Quality, Rockville, MD.
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