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SMART
Apps
About SMART Apps
Automating the Medi-Cal Staying Healthy
Assessment
About SMART Apps
SMART Health IT is an open,
standards based technology platform that enables apps to seamlessly
and securely run across the healthcare system. SMART (Substitutable
Medical Applications and Reusable Technologies) applications were
featured in presentations at the 2012 and 2014 Redwood MedNet
conferences - see links below. In June 2017 Redwood MedNet launched
an initial SMART application project - Automating
the Medi-Cal Staying Healthy Assessment
REFERENCES
Mandel, Kreda, et al.,
SMART
on FHIR, JAMIA, February 2016.
SMART
App Demonstration, Joshua Mandel, Redwood MedNet Conference,
2014
SMART
C-CDA Scorecard, Joshua Mandel, Redwood MedNet Conference,
2014
D'Amore, Mandel, Kreda, et al.,
Findings
from the SMART C-CDA Collaborative, JAMIA, June 2014.
SMART
Apps, Joshua Mandel, Redwood MedNet Conference, 2012
Mandl & Kohane,
Escaping
the EHR Trap - The Future of Health IT, NEJM, June 14, 2012
Mandl, Mandel, et al.,
The
SMART Platform, JAMIA, March 2012
Mandl & Kohane,
No Small
Change for the Health Information Economy, NEJM, March 26, 2009
Automating the Medi-Cal Staying Healthy Assessment with a
SMART app [ June 28, 2017 ]
The Staying
Healthy Assessment (SHA) is an individual health education
survey developed by California Department of Health Care Services
(DHCS). The SHA consists of seven age-specific pediatric
questionnaires and two adult questionnaires. It is available in
English and in all Medi-Cal threshold languages. Providers are
required to administer the SHA to Medi-Cal beneficiaries as part of
the Initial Health Assessment, and to periodically re-administer the
assessment per contract requirements. Blank SHA forms are available
to download as a PDF from DHCS. The survey is typically filled out
by hand as a two page paper form.
During 2016 the Lake County Health Leadership Network, a rural
community health collaborative, investigated electronic solutions to
automate SHA data collection and to build a repository of SHA data
for use as a local population health quality measure. The Health
Leadership Network SHA Data Automation Project is funded by a
planning grant from HRSA
and an implementation grant from
Partnership HealthPlan of
California. In February 2017 Redwood MedNet demonstrated a
software solution for automating SHA data collection to the Health
Leadership Network, Partnership HealthPlan, and DHCS Office of Health
IT. In March 2017 the Health Leadership Network requested a proposal
from Redwood MedNet to build the SHA data service. In June 2017
Redwood MedNet and the Health Leadership Network signed a Letter of
Agreement to build a pilot instance of software to automate SHA data
collection. The pilot software deployment will begin testing the new
SHA data collection service in September 2017 at a community clinic
in Lakeport, California.
The Redwood MedNet SHA data collection service is built as an iPad
application using SMART on
FHIR as the software
stack, with Argonaut
profiles to access patient demographics from the EHR. The SMART app
exports assessment results as JSON
data objects, provides the outpatient practice with an electronic
file for each assessment, and populates a SHA repository for access
with data visualization tools. The illustration below shows a high
level diagram of the generic SMART on FHIR data service.
For more information about the Health Leadership Network SHA
Data Automation Project contact
smartonfhir@redwoodmednet.org.
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