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Patagonia Health Webinar Transcript: Public Health 3.0

Patagonia Health [0:05]
Amanda Girard:
Welcome to the Patagonia Health 2022 Health IT Webinar Series! Today’s webinar focuses on Public Health 3.0: Why It Is Important and What It Means for Public Health Agencies and Health IT System Developers.

My name is Amanda Girard, Marketing Associate at Patagonia Health, and I’ll be your moderator today.

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Patagonia Health [1:09]
Today’s session features insight from two experts:

1. Ashok Mathur – Founder and CEO of Patagonia Health, leveraging years of experience in healthcare IT and Software-as-a-Service (SaaS) models to improve public health and behavioral health services.

2. Rajib Ghosh – Founder and CEO of HealthRoads., a consulting company specializing in Health IT strategies for public entities. He provides thought leadership and actionable solutions for public health agencies, including innovative technology applications like social HIE (Health Information Exchange).

Keynote Introduction

Ashok Mathur [2:12]:
Thank you, Amanda. I'm pleased to introduce Rajib Ghosh, a visionary and thought leader with on-the-ground expertise in public health. Rajib served as Technology Advisor for Social HIE in Alameda County, California, and holds the distinction of being the only ONC Health IT Fellow, amplifying national-level Health IT solutions.

Rajib Ghosh [3:10]:
Thank you, Ashok. Our focus today on Public Health 3.0 addresses the transformation of public health agencies and Health IT systems to embrace social determinants of health and multi-sectoral collaboration.

I’ll share insights based on my work at HealthRoads, a Health IT consulting company specializing in solutions for local governments, community-based organizations (CBOs), and public entities. We assist with technology strategy alignment for systems like EHRs (Electronic Health Records), Health Information Exchanges, telehealth platforms, case management systems, analytics, and social care solutions such as HMIS (Homeless Management Information Systems).

Public Health 3.0: Framework & Components

Rajib Ghosh [8:04]:
Public Health has evolved significantly over the centuries:

• Public Health 1.0 focused on disease prevention and treatment.

• Public Health 2.0 emphasized governmental public health initiatives and accreditation but led to uneven public health capacity.

• Public Health 3.0, the emerging framework, highlights the importance of social determinants of health combined with multi-sector and multi-system approaches.

Five Pillars of Public Health 3.0:

1. Workforce Transformation – Public health leaders must act as Chief Health Strategists, equipping workforce members with cross-sector collaboration skills and capabilities.

2. Infrastructure – Building networks across organizations to support IT-enabled data sharing, outreach, and marketing capabilities.

3. Partnerships – Emphasizing strategic multi-sector collaboration with entities like hospitals, labs, homeless shelters, health plans, and more.

4. Data Analytics – Leveraging technology to manage population health outcomes dynamically.

5. Sustainable Funding – Overcoming reliance on short-term grants by fostering long-term funding relationships with state agencies, Medicaid waivers, and foundational partnerships.

Transitioning EHR Systems to Meet Public Health 3.0 Standards

Current EHR systems primarily focus on data entry, reporting, and compliance, often neglecting features critical to community health, such as referral management, social determinants of health, and outreach capabilities. Future-ready systems must incorporate:

• Social Determinants recording.

• Interoperability between systems.

• Mobile functionality to support outreach workers.

• User-friendly interfaces inspired by modern digital tools.

Highlighting Patagonia Health's Role in Public Health 3.0

Ashok Mathur [25:03]:

Patagonia Health has implemented solutions across 150 health departments in 27 states to integrate Public Health 3.0 requirements with EHR systems efficiently.

Key Components of Patagonia Health's  Roadmap

1. Client Engagement Features – Solutions for streamlined outreach and education programs.

2. Population Health Management – Tools focused on analyzing trends within vulnerable communities based on social determinants.

3. Interoperability Solutions – Seamless data sharing across health departments, labs, and community-based organizations.

Leveraging Social Determinants of Health (SDOH)

We’ve developed tools to track SDOH metrics such as housing stability, transportation access, veteran status, incarceration history, domestic violence, and more within encounter notes and program workflows. Capturing this data enables health departments to better manage and assist individuals within broader population health initiatives.

Referral Management Capabilities

Patagonia Health's systems allow health departments to:

• Refer clients to external community resources (e.g., housing agencies and domestic violence support organizations).

• Seamlessly receive referrals and share relevant client data with external agencies for cohesive community care management.

Supporting County Health Departments

Rajib Ghosh [55:02]:

How can HealthRoads help county health departments transition to Public Health 3.0?
We guide agencies from strategic planning to implementation, offering:

• Vision document creation based on existing county roadmaps.

• Workflow analysis and benchmarking against best practices.

• RFP development and vendor collaboration for systems procurement.

Questions from Attendees

1. Q: How can public health staff transform to meet IT literacy requirements?
   A: (Rajib): Workforce training must become integral to operations:

   • Invest in super users capable of ongoing system management and training.

   • Build partnerships with vendors for system updates and user education.

2. Q: What funding strategies support Public Health 3.0?
   A: (Ashok/Rajib): Sustainable funding sources include:

   • CARES Act allocations for digitization and infrastructure improvements.

   • Medicaid 1115 Waivers facilitate decade-long funding opportunities for public health initiatives.

   • Partnerships with managed care health plans to establish recurring reimbursements.

Patagonia Health [1:00:13]
Amanda Girard:
Thank you for joining us for this insightful session.

A recording of this webinar will be available shortly on the Patagonia Health website.

Thank you! Have a great day.