CalAIM Data Exchange Roadmap We would like to get your feedback and thoughts on the program. Question Title * 1. What type of organization do you represent? Managed care plan Healthcare provider Social service provider/community-based organization County government State government Health information organization HIT vendor Consulting or other professional services firm Other Question Title * 2. Please rank the following Roadmap Issues you and your organization are most concerned about (from highest concern to lowest concern): 1 2 3 4 5 Legal and regulatory alignment for data exchange 1 2 3 4 5 Statewide infrastructure for data exchange 1 2 3 4 5 Care management, shared care plans, and assessments 1 2 3 4 5 Community resource closed loop referrals for social and human services 1 2 3 4 5 Performance reporting and ECM and ILOS billing Question Title * 3. Are there any best practices, templates, or models that you or your organization know of that might be helpful in resolving any of the Roadmap Issues discussed today? Question Title * 4. Were there any data-related regulatory, business, or technical concerns that you or your organization have about ECM and ILOS implementation that were not mentioned today? Question Title * 5. What are your and your organization’s most pressing questions and concerns about the ECM and ILOS programs’ data- and system-related requirements? Question Title * 6. Please rank the following data-dependent program functions (or “use cases”) you and your organization are most concerned about (from highest concern to lowest concern): 1 2 3 4 5 6 7 ECM Member identification, review, and authorization 1 2 3 4 5 6 7 ECM assignment and member engagement 1 2 3 4 5 6 7 ECM care plan development, sharing, and use 1 2 3 4 5 6 7 ECM care coordination and referral management 1 2 3 4 5 6 7 ECM and ILOS billing and encounter reporting practices 1 2 3 4 5 6 7 ECM and ILOS quality measure and performance reporting 1 2 3 4 5 6 7 ILOS needs assessment and referral management Question Title * 7. How helpful was the webinar as an introduction to the types of data exchange requirements expected of future ECM and ILOS program stakeholders, and the challenges that will need to be resolved for successful implementation? 1 - not helpful 2 3 - helpful 4 5 - extremely helpful 1 - not helpful 2 3 - helpful 4 5 - extremely helpful Question Title * 8. Would you and your organization be willing to be contacted with follow-up questions? If so, please complete the following: Name Company Title Email Address Done
