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  • Selected PMW products


Title Author/presenter(s) Target audience Date
Role of data in transforming health and human services Ro M, DrPH and Kern E, MPH RN Policy brief for ACHs 2/1/2017
Beginning to unpack the data needs of Medicaid waiver transformation projects in King County Kern E, MPH RN King Co. ACH Performance Measurement Work Group 11/8/2016
Toward improved data sharing, linkage and dissemination among King County government agencies and their partners Ro M, DrPH Presented at WA State Public Health Association Annual Conference 10/4/2016
Accountable Communities of Health: Influence on local health and human service departments' ability to develop cross-sector shared data and care coordination Thornhill L, MHA Poster presented at AcademyHealth Annual Research Meeting 6/25/2016
Data Sharing: A Review of Privacy and Security Regulations Alexander MJ, Franzen R, and Jensen K King Co. ACH Performance Measurement Work Group 6/15/2016
The changing practice of public health surveillance: Examples from King County, Washington Ro M, DrPH and Chan N, PhD MPH Discussion paper  commissioned by AcademyHealth 6/1/2016
How to identify key data sources for Accountable Communities of Health Thornhill L, MHA and Laurent A, PhD MPH ACHs 4/6/2016
A King County perspective on data integration and Accountable Communities of Health Kern E, MPH RN Presented via webinar for National Association of County & City Health Officials’ Health Systems Integration Fellowship Program 3/9/2016
Initial recommendations to the Interim Leadership Council on data sharing and integration in King County King Co. ACH Performance Measurement Work Group King Co. ACH Interim Leadership Council 12/16/2015
A perspective on data integration and the emerging ACH context Kern E, MPH RN Presented via webinar for ACH Development Council 1/30/2015
Performance Measurement Work Group: Proposed 2015 scope of work Kern E, MPH RN King Co. ACH Performance Measurement Work Group 1/30/2015
  • Meeting schedule and materials

Upcoming meetings

Day Date Time Meeting format Location Download
Monday 4/10/17 10:30 am - 12:00 pm Technical Subcommittee 401 5th Ave., Seattle
Room 120
Meeting packet
Monday 5/8/17 10:30 am - 12:00 pm Full PMW 401 5th Ave., Seattle
Room 120
 
Monday 6/12/17 10:30 am - 12:00 pm Technical Subcommittee 401 5th Ave., Seattle
Room 120
 
Monday 7/10/17 10:30 am - 12:00 pm Full PMW 401 5th Ave., Seattle
Room 120
 
Monday 8/14/17 10:30 am - 12:00 pm Technical Subcommittee 401 5th Ave., Seattle
Room 120
 
Monday 9/11/17 10:30 am - 12:00 pm Full PMW 401 5th Ave., Seattle
Room 120
 
Monday 10/9/17 10:30 am - 12:00 pm Technical Subcommittee 401 5th Ave., Seattle
Room 120
 
Monday 11/13/17 10:30 am - 12:00 pm Full PMW 401 5th Ave., Seattle
Room 120
 
Monday 12/11/17 10:30 am - 12:00 pm Technical Subcommittee 401 5th Ave., Seattle,
Room 120
 

Past meetings

  • PMW background materials

PMW Roster

Name and Affiliation Work Group Role
Mary Jane Alexander
Privacy Officer
Public Health – Seattle & King County
Data sharing must protect individual confidentiality and follow regulations
Jeff Duchin
Health Officer
Public Health – Seattle & King County
Perspective on individual-and population-level use of health and human services data
Rene Franzen
Privacy Officer
Community & Human Services, King County
Data sharing must protect individual confidentiality and follow regulations
Tracy Hilliard
Director of Data Integrity
City of Seattle
The City of Seattle is a key partner in transformation initiatives and has a role in administering HMIS
Jutta Joesch
Health Care Economist
Executive’s Office, King County
Reducing health care costs is one element of the Triple Aim
Eli Kern
Epidemiologist
Public Health – Seattle & King County
To serve as technical lead
Kathy Lofy
State Health Officer
Department of Health, WA
Promote alignment with Analytics, Interoperability & Measurement work of Healthier Washington
David Mancuso
Director, Research & Data Analysis Division
Department Social & Health Services, WA
Promote alignment with Analytics, Interoperability & Measurement work of Healthier Washington
Diep Nguyen
IT Service Delivery Manager
Information Technology, King County
Shared and integrated data requires IT infrastructure
Laura Pennington
Performance Measures Program Manager
Office of Health Innovation & Reform
Health Care Authority, WA
Promote alignment with Analytics, Interoperability & Measurement work of Healthier Washington
Marguerite Ro
Co-Lead CDIP Chief, APDE Chief
Public Health – Seattle & King County
DCHS and PHSKC are two primary providers of health & human services information
Caitlin Safford
Manager, External Relations
Coordinated Care
Critical link with the Leadership Council, to which the PMW is accountable
Debra Srebnik
Analyst
MHCADSD Community & Human Services, King County
DCHS and PHSKC are two primary providers of health and human services information
Amina Suchoski
Co-Lead Vice President, Business Development
United Healthcare
Critical link with the Leadership Council, to which the PMW is accountable
Brent Veenstra
IT Manager
Information Technology, King County
Shared and integrated data requires IT infrastructure
Maria Yang
Medical Director
Community & Human Services, King County
Perspective on individual-and population-level use of health and human services data
Lee Thornhill
Social Research Scientist
APDE, Public Health – Seattle & King County
To provide backbone support to the PMW

PMW Charter

Background

The King County Accountable Community of Health (ACH) aims to "build healthier communities through a collaborative regional approach focusing on social determinants of health, clinical-community linkages, and whole person care". Embodied in this mission is an awareness that to achieve the Triple Aim of better health, better quality, and lower costs, we must increasingly focus on prevention and seek solutions both within and outside of the health care delivery system. Due to the complex nature of the upstream social drivers of health (i.e. where we live, work, and play), cross sector, cross agency and cross community strategies are essential in order to achieve the Triple Aim.
Not surprisingly, the same is true for information – cross sector, cross agency, and cross community sharing of data is required for rigorous and full assessment of the health and social needs of individuals and their communities, prioritization of strategies, and measurement of progress towards the Triple Aim and equity. No one organization can sustainably improve health or fully measure progress while working alone.

To address the current state of data fragmentation within King County, and the need for alignment with the state and other ACHs, the King County ACH interim Leadership Council formed the Performance Measurement Workgroup (PMW), one of three ACH workgroups designed to address "cross-cutting" roles of the ACH (and meet deliverables laid out in the Health Care Authority Design contract).

Purpose

The purpose of the PMW is to provide an initial set of recommendations to the ACH Leadership Council and support the data and evaluation needs of cross-sector health improvement initiatives and the overall ACH. With the ACH model, there is a clear intent to regionalize certain aspects of assessment, evaluation, and purchasing of health care contracts. To support this regional role, the King County ACH should assure coordination with the state’s investments in Analytics, Interoperability, and Measurement (AIM) made through Healthier Washington, as well as the work of other ACHs. The aim is to avoid duplication and ensure access to shared data assets so that the King County ACH and its local initiatives can assess needs, prioritize strategies, and evaluate progress in a timely and accurate manner.

Accountability

The PMW will be accountable to and seek guidance from the ACH Leadership Council as it develops its initial set of recommendations. Specifically, the PMW co-leads will attend interim ACH Leadership Council meetings to present updates and request feedback on key issues. Additionally, the PMW will request support as needed to resolve data barriers for the four linked initiatives.

Core principals

Adapted from the five core conditions of collective impact and the King County ACH planning process, the following core principles express important, shared beliefs of the PMW and will guide its behaviors and decision-making over the course of the year.

  • Backbone function. In this initial phase of building shared data, leverage dedicated staff with specified skills to accelerate cross sector and cross agency data sharing. Build on data systems and structures that are already in place. Ensure a sufficient level of administrative and operational support to move the PMW agenda forward.

  • Shared data/measurement. Shared data is needed to understand the whole picture of an individual or community. When data is shared across stakeholder groups, everyone benefits.

  • Common agenda. Build a common vision for shared and integrated data in King County. Align with state and other ACHs to avoid duplication and promote consistency across data systems.

  • Mutually reinforcing activities. Consider both qualitative (community-sourced) and quantitative (organization-sourced) information when building shared data. No one organization holds the data necessary to evaluate the full Triple Aim for all communities.

  • Continuous communication & phased approach. Demonstrate early successes and use learning and rapid feedback to continually readjust approach. Under the guidance of the ACH Leadership Council, ensure that both the PMW membership and scope of work remain flexible to adapt to changing needs and partnerships over time.

  • Equity. In all decisions, consider whether equity is being prioritized. Assess whether groups have had an opportunity to be represented in our data systems, as well as an opportunity to opt out of shared data. Ask whether our data systems are enabling King County to measure progress towards equity and social justice.

Membership

Key members will include sectors represented on the ACH Leadership Council (e.g. managed care organizations), King County agencies, and technical experts. The PMW will also draw in state partners from the WA Department of Social and Human Services (DSHS), the WA Health Care Authority (HCA), and the WA Department of Health (DOH) to support alignment with state priorities and data investments.

This membership represents an initial phase of building shared data in King County relative to the four "linked initiatives," and we expect that the PMW composition and its work will evolve over time.

Initial membership

The PMW will initially comprise representatives from the following sectors/entities.

  • *Public Health - Seattle & King County (PHSKC) Chief of Assessment, Policy Development and Evaluation
  • *Member of the ACH interim Leadership Council – managed care organization (MCO) member of ACH interim Leadership Council, to rotate through 5 MCOs on a quarterly basis
  • King County government leaders and staff involved in data sharing and use (Department of Community and Human Services) and PHSKC privacy officers; King County Information Technology; DCHS medical director and PHSKC health officer; and DCHS analyst
  • Health economist
  • State agency partners: Department of Health; Department of Social and Health Services; Health Care Authority
  • Others as appropriate, as the work evolves

*Co-leads

In addition to the membership, there will be a technical lead (PHSKC analyst) to provide staffing for the PMW.

Participation

A monthly meeting series for the PMW has been established. The PMW may decide to add, cancel, or modify meetings as appropriate throughout the year.

The PMW technical lead will prepare objectives and materials for each meeting. Agenda and meeting materials will be distributed at least three business days in advance. The PMW technical lead will co- facilitate meetings with the PMW co-leads.

Additionally, a project staff member (PHSKC social research scientist) will attend all PMW meetings to represent PHSKC and DCHS's 2-year, grant-funded evaluation of building shared data in the ACH context. This project staff member will record and distribute meeting summaries to the PMW membership, and collect as well as rapidly share back information to identify issues and opportunities as they unfold over the course of this innovative work.

The initial scope of the PMW will include providing recommendations to the ACH Leadership Council and supporting data and evaluation needs of the linked initiatives. To this end, the PMW will:

  • Identify components for building shared data in King County
  • Develop a value proposition for shared data
  • Explore alignment with other ACHs and the state around metrics, access to data, and interoperability
  • As appropriate, support data needs of King County cross sector initiatives
  • Recommend future role, home and structure of PMW in 2016

Through this work, the PMW will produce the following deliverables:

  • Summary of required elements and value proposition for data sharing in King County
  • Recommended approach for alignment with other ACHs and the state around metrics, access to data, and interoperability
  • A proposed future role, home and structure of the PMW in 2016
  • Final report to the ACH Leadership Council summarizing the above work

Because achieving voluntary agreement and building trust among different partners is essential for building shared data in any environment, the PMW will make decisions and recommendations by consensus. This approach encourages putting the good of the whole above the interests of a single person/organization, and finding solutions that all parties support or at least can live with. Decisions will be documented in meeting summaries. The figure on the right outlines the process steps in consensus decision making.1

Levels of agreement

  • I can say an unqualified "yes."
  • I can accept the decision.
  • I can live with the decision.
  • I do not fully agree with the decision, however, I will not block it.
  • I cannot live with the decision and will block it.
Performance Work Group decision-making flow chart

The PMW aims to reach decisions by full consensus. The PMW will work to understand and integrate perspectives of all members until an agreeable solution can be found in a reasonable amount of time. Consensus may not mean 100% agreement on all parts of an issue, but rather that all members have reviewed a decision and are fully supportive, can accept the decision, can live with the decision, or do not fully agree, but will not block a decision. In the event that consensus is not possible, the PMW can invoke "consensus-minus-one" and move forward with a decision or proposal with a maximum of one member not supporting the decision.

Key decisions will be made in person at PMW meetings. Members will be provided with adequate advance notice about decision items. The PMW will attempt to reach consensus and if accomplished, this decision will be communicated by email to all absent PMW members, who will have 4 business days to submit their level of agreement to the PMW technical lead. If a member's response is not received by the end of the 4th business day, this implies consent on the behalf of this member. For more routine items, decision making may be conducted over email and/or phone.


1 "Consensus-flowchart" by grant horwood, aka frymaster - . Licensed under CC BY-SA 3.0 via Wikimedia Commons