Edward Castillo, PhD, MPH
San Diego Beacon Community Evaluation Director
Assistant Professor of Emergency Medicine
Department of Emergency Medicine
University of California, San Diego
Beacon Community Program
A Program of the Office of the National Coordinator for the
Health Information Technology
“These pioneering communities are going to lead the way
in bringing smarter, lower-cost health care to all
Americans through use of electronic health records.”
Vice President Joseph Biden, May 2010
White House Announcement of Beacon Community Awardees
Beacon Community Program
Local Perspective:
San Diego Beacon Community
San Diego Beacon Goals
• Reduce Hospital 30 day Readmissions
– Quality, Cost
• Improve Immunization Reporting/Rates
– Population Health, Cost
• Improve Acute Cardiac Care
– Quality, Population Health
• Reduce Unnecessary Repeat CT scanning
– Quality, Cost
The San Diego Approach
• Utilize Innovative Approaches to Improve Care
– Share health information through a community HIE
– Change care processes
– Engage patients, providers and others in innovative
health IT
• Measure Outcomes
– Large scale implementations
– Smaller pilot research studies
State/Local Government
Community B
NwHIN
VA/DOD
County PH
CDC
SD VA/DOD
EMS
Clinics
Community A
Hospitals
NwHIN
Public Health
Clinics
Health System w/HIE
EMS
Medical Groups
Changing the Landscape
• Quality Improvement Activities
• New and Expanded Data Sources
– Regional data from HIEs
– Improved Public Health infrastructure
– Increased patient participation
• Mixed Methods Research
• More Opportunities for Community-Based Participatory
Research
Opportunities
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Care Transitions
Clinical Decision Support
Data Integration and Utilization
Population Health
New Technology
– Wireless/Mobile technology
– Data integration and utilization
• Many Others…