Integrated Data

“Relationship building and trust are key to sharing data across sectors”.

Joe Prado 
Assistant Director
Fresno County Department of Public Health

 

THE VISION

Everyone who works with children and families will:

  • Have timely data to support good decision making
  • Provide the right supports at the right time
  • Allocate resources efficiently and effectively

THE CHALLENGE

There are huge gaps in understanding:

  • It is impossible to know if children and families are getting the support they need
  • Some are receiving duplicative services while others receive nothing at all
  • There is no way to know what works, or if new ideas are good ideas

THE SOLUTION

Fresno C2C is developing an Integrated Data System to link data across sectors:

  • Leaders, policymakers and providers will be able to allocate and align resources
  • Innovation and continuous improvement will be possible
  • We will know what works, why it’s working and how to scale those efforts

Unique Resident IDs

The Integrated Data System uses matching strategies to create and share Unique Resident IDs. Access to timely data at the person-level ensures that services and supports meet community needs and contribute to positive and equitable outcomes.

Matching individual data is part of the Referral/Care Coordination System development and the foundation for meeting the goals of the K-16 Collaborative including better understanding of how education and workforce pathways are operating.

The C2C Data Team is partnering with the County of Fresno to share data across their systems. This marks an important step in the quest to coordinate our health and education sectors. An initial goal is to improve coordination throughout the system including connecting with local school districts to support youth suicide prevention.

The K-16 Collaborative Data Pilot To Strengthen Dual Enrollment

The K-16 Collaborative is part of the DRIVE (Developing the Region's Inclusive and Vibrant Economy) Investment Plan. The C2C Data Team is working with the K-16 Collaborative to create and share Unique Resident IDs for students. The initial pilot is using matching strategies to identify students who were in K-12 and are now in higher education.

The project is designed to better understand the power of dual enrollment (students attending college-level classes while still in high school) which can significantly advance educational attainment and put students on career paths aligned with specific workforce needs of the region.

Participants in the K-16 project include Fresno Unified, Central Unified, Sanger Unified, Clovis Unified, State Center Community College District, Fresno Pacific, UC Merced and Fresno State.

Key insights include:

  • Reveal students who might benefit from, or be interested in, targeted dual enrollment pathways
  • Determine how students on a dual enrollment pathway fare in higher education
  • Analyze key attributes in a student’s high school experience that predict success in a pathway that extends through college completion
  • Discover students access to courses that support and enhance equity
  • Identify barriers to equity that necessitate a change

Creating A Purposeful Referral System

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Diagram of patient recieving a closed loop referral to a healthcare provider

Improving Coordination Phase 1:
Closing The Loop

Integrating person-level data across the education, health, and social services sectors makes it possible to understand the “whole person” and support their needs effectively.

Ideally, community members (e.g., teachers, nonprofit managers, clinicians) could flag a need, make a referral within the partnership, and learn when the needed services are in process - known as a “closed-loop referral.”

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Diagram of multiple service providers benefiting from using a Unique Resident ID

Improving Coordination Phase 2:
Understanding Outcomes/Improving Service Delivery

Closing the loop is essential, but to really improve systems and resident's lives, an effective and efficient referral system must be able to answer:

  • What was the outcome of the service?
  • Are we creating beneficial and equitable impact?
  • Are all the needs of the family now met?
  • Are services being duplicated?
  • Is the service or program delivering the desired results?
  • Are innovations working?

Once these questions are answered, the loop has truly been closed and important knowledge has been gained.

Our Commitment to Security and Safety

Just as Fresno C2C places a priority on the wellbeing of our community’s children and families,
we place the same priority on the care of their data.
We are committed to ensuring that data assets are utilized responsibly and effectively
to support and improve the lives of children and adults in our community.

The C2C Integrated Data System is being developed with the support of:

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Blue Meridian Partners Logo
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StriveTogether Logo - Every child. Cradle to career.
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Fresno K-16 Collaborative Logo
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FCSS Logo

Fresno County Superintendent of Schools provides primary financial and technical support for Fresno Cradle to Career