Monthly Update
May 2015

CCC Board of Directors Meetings:

All CCC Board of Directors meetings are held at 1111 E. Cesar Chavez St., Austin, TX 78702.

  • Next Meeting: August 11, 2015 from 2:00-4:00 pm.

The CCC Board will also meet on the following date at 2:00 p.m. These dates are subject to change pending Board approval:

  • September 22, 2015.
:: 512-978-8164

Contact: Mark Hernandez

CMO Message -


Mark Hernandez, MD

As I talk with individuals in the area about the need for better integration of healthcare services for the uninsured and underinsured in Travis County, one foundational element identified as necessary to integration is access to data. Timely access to data is critical for two important reasons: support of point-of-service care and population health management.


We are fortunate that we have a solid history of collaboration in the sharing of data by safety net providers in Central Texas through the Integrated Care Collaboration (ICC).  As you will read below, the ICC already operates a health information exchange, known as ICare, which will serve as the initial backbone of our data efforts in the CCC.  The CCC, and our target population, are benefitting from this community's early recognition of the importance of data to healthcare delivery and its commitment to making this a reality.


- Mark

ICC - Formation and Goals


In the spring of 1997, a group of Travis County safety net health care organizations formed the Indigent Care Collaboration (ICC) to address shared issues around the provision of care to low-income, uninsured residents of Central Texas. Original goals for the ICC included the development of collaborative programs and projects to help increase access, improve quality, and lower the costs of providing health care services to low income clients across Central Texas.  A main focus of this work was the development of an internet-based, longitudinal patient health record database to identify and track care of the target population.  To create the database, the organizations signed business associate agreements that allowed them to share a limited set of patient demographic and encounter data that could be aggregated for population analysis.  To make data available to be shared and viewed for patient care, individuals agreed to have their data shared through an opt-in process at the point of care.  The ability to collect data around shared patients assisted ICC members in -

  • sizing the target population,
  • identifying health care needs, and
  • facilitating the adoption of more coordinated care practices.

The participating entities changed the name of the organization to the Integrated Care Collaboration in 2008 to better reflect the goals and mission of the organization. 

ICC -- ICare


Through the efforts of these visionary providers, the foundation of a community health record was initiated and the first exchange of data among safety net providers began in 2002.This was the start of the ICare system, which now contains data on approximately 1 million patients and 7 million encounters.


As the ICare system grew in both the type and volume of data collected, the ICC was able to generate reports on a variety of subjects such as hospital emergency department (ED) and inpatient utilization versus primary care utilization. In addition, data collected was made available to diabetes, asthma and other disease-specific coalition groups to inform program/project development and allow for the ability to stratify care interventions based on patient's severity of need.


Between 2010 and 2014, the ICC and its members made major design changes to the ICare system to expand and enhance its health information exchange (HIE) performance, including:

  • Enhancing the HIE platform to support technology-enabled, patient-centric delivery and the ability to measure defined care outcomes;
  • Supporting both query-based (i.e., allows for a provider portal to view data) and Direct-protocol (i.e., allows providers to send secured messages) based HIE solutions; and
  • Pairing a Data Warehousing and Analytics solution with the data to facilitate performance-based outcome analysis, validate patient information, and assist with community health research.


The enhanced ICare system ensures that the ICC and its members are able to achieve federal Meaningful Use standards, expand and enhance existing care coordination programs, research and evaluation capabilities, and meet the goals of both the Texas Health and Human Services Commission (HHSC) and the Texas Health Services Authority (THSA) under the State Strategic Plan. 


The ICC has achieved full accreditation with the Texas Health Information Exchange Accreditation Program (TX-HIEAP) and from the Electronic Healthcare Network Accreditation Commission (EHNAC) which means that the ICC's processes for data collection, storage, and exchange comply with established laws and public policy.  Additionally, it allows the ICC to exchange data with state and federal programs.


ICare is not the only HIE in the State of Texas, but it is the oldest. As the ICC approaches its 20th anniversary, it is poised to move into the next phase of its evolution by building upon the significant foundational work already accomplished to transform ICare into a more robust and fully functional regional Health Information Exchange (HIE).

ICC - Relationship with CCC


Over the past year, the ICC has been restructured to focus exclusively on the continued enhancement of ICare. Since August 2014, the ICC has been co-located with the Central Health Joint Technology Team to more easily support the CCC with its technology projects.  Initial CCC-focused projects for the ICC have included -

  • Creating daily electronic reports of emergency department and inpatient utilization data for CommUnityCare to support the CCC patient navigation project;
  • Participating with CCC and Seton staff on the "One Button" project that will make hospital discharge data directly accessible via clinic electronic medical record (EMR) systems; and
  • Loading patient care plans created by paramedics into ICare to allow for community access in support of the CCC's Community Health Paramedic (CHP) program.

The ICare system is the foundation for much of the technology structure and exchange capabilities needed to create the "integrated" aspect of the CCC's planned integrated delivery system (IDS) to transform care delivery. 


The ICC remains a 501(c)(3) organization that is governed by a board of health care providers that serve a multi-county region and desire to collaboratively address shared issues in the care of the safety net population. These organizations include Austin Travis County Integral Care (ATCIC), Central Health, St. David's, and Seton Healthcare Family.  The ICC has 27 participating provider organizations that currently submit data through the Health Information Exchange.  As the ICC heads into its 20th year and beyond, it plans to expand its base membership and data services beyond the safety net to include insurance companies, regional provider groups, and the new UT Dell Medical School.  The core ICare system can assist all providers in helping the CCC and Central Health in achieving its goal for a model healthy community by leveraging the data to create new models of care as well as to create a possible academic center for excellence in analytics and population health. 


For more information on the ICC, please see the website at:

Leader Spotlight -- ICC Team    



The ICC staff pictured above from left to right:

  • Tony Nelson -- Director, HIE Operations and Security
  • Patricia Davis -- Interface & Production Analyst
  • Cheryl Coleman -- Executive Assistant & Office Manager
  • Edie Morris -- Executive Director & CFO
  • Carole Tamayo -- Director of Technology Projects
  • Jeff Strickland -- Senior Linux & Network Engineer

ICC not pictured:

  • Jarrod Knox -- Senior Developer Architect
  • Stephanie Dozier -- Senior Business Data Analyst
System Facility Updates   

Central Health Downtown Campus Redevelopment Planning


Thanks to everyone who participated in the online survey for the Central Health Brackenridge Campus Redevelopment project.  The comment period for the online survey is closing on Friday, May 29. Please be sure to send thesurvey link out to your community contacts.


COMING UP IN JUNE: Central Health will host a Community Open House on the master planning process for the Central Health Brackenridge Campus. Be on the lookout for more details at

University of Texas Dell Medical School




The future of medical education in Austin . . .  Dell Medical School's four-year M.D. curriculum has earned state approval, bringing the school one step closer to welcoming its first class. The medical school's innovative approach was the focus of a Forbes Online story "Austin's most radical new idea may be in medical education." A nationally recognized mental health leader has joined the medical school's team to run the landmark partnership with Huston-Tillotson University. The Inaugural Chair of Women's Health Dr. Amy Young recently presented her vision to help women in Travis County get and stay healthy. If you missed her presentation, the video will be available soon, stay tuned.


Inaugural Chair of Pediatrics Dr. Steve Abrams presented his vision for the Department of Pediatrics in April, if you missed his talk you can watch it here. Get a bird's eye view of the future Medical District, including the Dell Seton Medical Center at The University of Texas and the three medical school buildings surrounding it. Team members from the Design Institute for Health recently talked with a national, top-tier publication about the intersection of design and medical education. The institute will be participating in a panel on Friday, May 29th about The Future of Cancer Care.

Dell Seton Medical Center at The University of Texas




The Seton Healthcare Family is reshaping the delivery of health care to meet Central Texas' future needs. Seton Austin, UMC Brackenridge, Dell Children's and Seton Shoal Creek Hospital, Central Texas' nonprofit mental health hospital, will partner closely with Dell Medical School at The University of Texas at Austin, which is being built alongside Dell Seton Medical Center at The University of Texas, a new teaching hospital being constructed by Seton.


The expansion of academic medicine and research will foster medical innovation in Central Texas and train more physicians in the face of a local doctor shortage.


The Dell Seton Medical Center at The University of Texas at Austin (DSMCUT) is rapidly taking shape. It doesn't open until 2017, but there's steady work going on behind the scenes, including getting the staff at University Medical Center Brackenridge (UMCB) ready for move in. Several departments, currently on different floors at UMCB, will be on the same floor when the new medical center opens. To help with the transition, it took creativity to transform a portion of Zilker Park into the new hospital's layout.


Watch the video -




"We're getting in shape for our new space. It's the first kickoff event for the operational process redesign team. We're trying to wrap our heads around how we're going to work together differently and so the best way to do that is to get everybody in a space together," said Marnie Wheeler, RN, clinical transformation site lead/team lead for operational process redesign.


"It gives us an idea of how big and how small we are in certain areas," Sean Warren, central sterile processing manager said.


"We're here to challenge each other's ideas, suggestions and recommendations so that we can deliver excellent patient care," Quincy Jackson, environmental services director added.


Surgical Services Director, Mara Rosalsky agreed, "This actually gets us to feel what this space is going to look like that we might not have thought about just looking on paper. This will provide immediate access and ability to provide much more efficient care to the community and patients that depend on us, so merging and centralizing is critical to improve our processes."


That's ultimately the goal - coming together to continue Seton's mission to deliver Humancare, excellent care with the dignity and respect that everyone deserves.