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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
Additional Audience
low-income
Miami-Dade Matters