Alameda County Community Health Record Delivering Consumer-Centered, Data-Informed Care


The Alameda County Community Health Record (CHR), scheduled to launch in mid-2019, is a groundbreaking innovation to improve care for Alameda County residents who face the most difficult combination of physical health, mental health, housing, and social challenges. Over the next year, Alameda County Care Connect will work with partners to implement the CHR that will link consumers to resources, such as Care Management and Housing Navigation.

The CHR is an electronic record application that will summarize curated information from different organizations involved in consumer care. Qualified care coordinators and physicians will be able to access curated consumer information from multiple providers to coordinate care across organizations and have the ability to leverage consumer information to deliver the right care, at the right time, in the right place. Information from multiple providers including: physical health (inpatient, emergency departments, outpatient, primary care), mental health, housing resource centers, and social services can be used to coordinate care across organizations. Consumers will receive more efficient and effective care by allowing providers to share information that improves outcomes and accelerates the delivery of services. The development of the CHR is significant because historically, if a consumer needed mental health care, housing, and physical health care, providers in these systems were not able to exchange and access information to improve patient outcomes. Social Health Information Exchange (SHIE) The SHIE is the engine that powers the CHR and it can integrate with other core systems, including the electronic health record, case management, and claims.


Key components of the SHIE:

Legal Framework – a universal data sharing agreement that governs sensitive datasets inside and outside federal, state and local regulations

Secure Data Transport – a standardized protocol and secure channels for data sharing

Consent Management – identifying what can be shared, with whom it can be shared and when it has expired or has been rescinded as directed by the consumer Person

Identity Management – Enterprise Master Person Index (EMPI) to stitch together multiple incomplete records for a consumer into a single “golden record”

Record locator services – to support “query-through” functionality

User authentication and authorization – to support privacy through access control

Data Warehousing – a centralized data repository storing medical, mental health, substance use, housing, social care, crisis response and legal data Reports and Self-service

Analytics – county-wide utilization and outcome monitoring for population health management.


Data Sharing Agreements

  • As of June 2018, data sharing agreements have been established with nine organizations including Alameda Alliance for Health, Abode Services, Alameda Health System, Anthem Blue Cross, East Bay Innovations, Housing and Community Development, Lifelong Medical Care, Pathway to Wellness, and Tri-City Health Center. Data feeds from these organizations will be used for the CHR’s data repository. The County is working to allow access to providers across different organizations that work with Medi-Cal beneficiaries in Alameda County.

Next Steps

Alameda County Care Connect received nine responses to the Request for Proposals for the development of the CHR. The evaluation period and vendor interviews are in progress and will result in the contract being awarded to the highest ranked bidder. A Board letter recommending the award to the selected vendor is scheduled to be presented in September 2018 and the contract for the new vendor to develop the CHR is estimated to start in October 2018.

Jul 26, 2018