to infinity and beyond? stretching the boundaries of ...najis 2015 - session 9] to... · 2015 najis...
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2015 NAJIS Conference
Becki Goggins, Director of Law and Policy
SEARCH, the National Consortium for Justice Information and Statistics
Richard Fiore, ASSURE Project Sponsor, State of Alabama
Facilitator: Debbie Allen, Criminal Justice Planner, Adams County, CO, Criminal Justice Coordinating Committee
TO INFINITY AND BEYOND? STRETCHING THE BOUNDARIES
OF JUSTICE INFORMATION SHARING
Justice Portal
Law Enforcement
Jails
Corrections
Courts Drivers’ License
Vehicle Registration
Probation and Parole
TRADITIONAL APPROACHES TO JUSTICE INFORMATION SHARING
Focused almost exclusively on justice agencies Non-robust architecture
• Non-standardized nomenclature
TRADITIONAL APPROACHES TO JUSTICE INFORMATION SHARING
(…CONTINUED)
Database 1
Fname
Mname
Lname
DOB
Charge1
Dispo1
DOR
Database 2
First Name
Middle Name
Last Name
Date of Birth
Charge Code 1
Disposition 1
Date of Release
Database 3
FirstName
MiddleName
SurName
Date of Birth
Charge at Arrest 1
Court Disposition 1
Release Date
Is this secure?
• Multiple User Accounts
TODAY’S APPROACH TO JUSTICE INFORMATION SHARING
• Global Reference Architecture (GRA)
• Removes direct dependencies between systems
• Follows well accepted industry standards rather than proprietary solutions
• Governance structure supports common approaches and technology infrastructure
• National Information Exchange Model (NIEM)
• Provides common language for data sharing
• Provides prescribed XLM schemas
• Provides meta-data about who, what, when and where data were collected to inform data recipient
• Global Federated Identity and Privilege Management (GFIPM)
• Allows systems to consume external credentials
• Allows each participating agency to add, modify and disable users
• Supports federated queries
ASSURE
Alabama Secure Sharing Utility for Recidivism Elimination
PURPOSE OF ASSURE PROJECT
• Create a secure, web-based portal to share appropriate information regarding clients,
probationers and inmates
• Organizations involved
• Alabama Department of Mental Health (ADMH)
• Community Mental Health Centers (CMHC)
• ADMH Substance Abuse Contract Providers
• Alabama Board of Pardons and Paroles (ABPP)
• Alabama Department of Corrections (ADOC)
BACKGROUND
• According to the USDOJ
• 56.2% of state prison inmates have a history of mental illness and/or behavioral health
problems
• 64.2% of local jail inmates have a history of mental illness and/or behavioral health
problems
• 74.1% of inmates with a history of mental illness and/or behavioral health problems have a
history of substance abuse or dependency
• 55.6% of inmates without a history of mental illness and/or behavioral health problems
have a history of substance abuse or dependency
SAMPLE USE CASES
• Allow probation officers to monitor probationers’ compliance with court-ordered mental health and substance
abuse treatment (25)
• Allow intake and classification personnel at ADOC to be aware of inmates with a history of serious mental
illness (13)
• Allow community mental health and substance abuse providers to view diagnosis and treatment history of
offenders re-entering the community (21)
Numbers in parenthesis indicate reference to item in Criminal Justice and Health Connections Matrix from
IJIS/Urban document Opportunities for Information Sharing to Enhance Health and Public Safety Outcomes.
See https://c.ymcdn.com/sites/ijis.site-ym.com/resource/resmgr/Docs/Opps_Info_Sharing_Enhance_He.pdf or
http://www.urban.org/publications/412788.html
ASSURE GOALS
• Increase effectiveness and efficiency of the intake and classification process
• ADMH, ABPP, DOC, CMCHs, SA Providers
• Reduce reliance on emergency department services
• Refer people leaving correctional facilities to community-based behavioral health and substance use treatment services
• Providing clinical information to assist with their treatment
• Ensure timely access to essential medications for people entering or leaving jail or prison
• Link correctional health providers to ADMH and community-based behavioral health services
• Reduce recidivism by ensuring that offenders – whether in a community or incarceration setting – receive services matched to their individual needs
• Educational, Vocational, Rehabilitation, Treatment
TECHNICAL CHALLENGES
• Lack of standards for trust and interoperability between justice and behavioral health
• Lack of a framework to enable trust
• Could implement simple pairwise trust
• But that would be un-scalable and further contribute to trust fragmentation in the Identity
Ecosystem
• What happens when more organizations or a 3rd community wants to use ASSURE?
• What happens when we want to support new/different use cases with different trust
requirements?
PRIVACY CHALLENGES
• Develop information sharing capabilities among agencies that have not necessarily shared
information previously
• Criminal justice officials may not understand laws governing access to behavioral health
information
• Mental health and substance abuse treatment providers may not understand laws governing
access to criminal justice information
• Information to be shared is very sensitive and people often do not understand the laws
governing access to this information
• Health Insurance Portability and Accountability Act of 1996 (HIPAA)
• Code of Federal Regulations, Title 42: Public Health, Part 2 Confidentiality of Substance
Abuse Patient Records (42 CFR Part 2)
ASSURE ARCHITECTURE
ASSURE CORE Web
Portal
Login
Module
Dept. of Corrections
Dept. of Mental Health
IDP Service
Board of Pardons & Paroles
Data SP
IDP Service Data SP
IDP Service Data SP
Users
Users
Users
Future Users & Services
Community Mental
Health Centers CAPS
FUTURE PROSPECTS FOR CROSS-DOMAIN INFORMATION
SHARING
To infinity and beyond…
OTHER POTENTIAL DATA EXCHANGES BEYOND TRADITIONAL
JUSTICE EXCHANGES
• Jails/Prisons to State Medicaid Agencies
• Submit eligibility and enrollment data for offenders leaving jail or prison
• Health Information Exchanges (HIE) and/or Electronic Health Records (EHR) to Jails/Prisons
• Improve continuity of care between free-world and incarceration – e.g., treatment and prescription history
• Reduce unnecessary diagnostic testing
• Jails/Prisons to HIEs and EHRs
• Improve continuity of care between incarceration and free-world– e.g., treatment and prescription history
• Reduce unnecessary diagnostic testing
• State Medicaid Agencies, HIEs and EHRs to courts and/or probation and parole
• Diagnostic information can assist in risk/needs assessment
• Case management and discharge planning
AOC
MIDAS
SJIS JUPITIR
DHR FACTS
ADMH
ACSIS
ADIDIS
CARES
WORx
ASAIS
MICRS
ABHAS
Certification
ADMH
ACSIS
ADIDIS
CARES
WORx
ASAIS
MICRS
ABHAS
Certification
DHR FACTS AOC
MIDAS
SJIS JUPITIR
Medicaid
HIE
CARES
RCOs
MMIS
DYS DOC Education
Rehab
ADPH
CHIP
PDMP
Labor
SHPDA
ServeAlabama Tele
Health SHCC
HCIDC
OTHER CHALLENGES TO CROSS-BOUNDARY INFORMATION
SHARING Setting Expectations
Very few “simple” queries! Advocacy vs. Reality
Allow sufficient time to ensure correct reporting/analyses
Inconsistent vocabulary/jargon
“Referral” vs. “Complaint” vs. “Warrant”
Communication and Collaboration with IT
“IT” speak vs. Subject Matter Expert knowledge base
OTHER CHALLENGES TO CROSS-BOUNDARY INFORMATION
SHARING (…CONTINUED) Documentation and Personnel Changes
Documentation may not exist at all…
Folks who designed and/or understand systems are retired or otherwise no longer available
Technology Inconsistency
Systems developed at different times…
…by different people…
…with different technologies…
…and different data structures…
…and often without documentation!
IMPORTANCE OF STANDARDS BASED APPROACH
• GRA
• Provides separation between applications and services
• NIEM
• Provides semantic precision
• Especially important for cross-boundary exchanges where users will not be familiar with terminology
• GFIPM
• Allows users to use native credentials to access systems
• Supports distributed user management which is essential for multi -agency exchanges
• Allows for enforcement of access controls – user attributes, entity attributes and resource attributes
• Trustmarks
• Allows agencies to participate at the level needed to support business drivers
COULD JUVENILE JUSTICE FIT IN HERE?
IS THERE A ROLE FOR JUSTICE HERE?
USING UNCONVENTIONAL DATASETS TO DISCOVER
TRAINING/RESOURCE NEEDS
• Prescription Drug Monitoring Program (PDMP)
• Identify concentrations of high opioid use
• Train officers to recognize symptoms of opioid poisoning
• Determine if there is a need for naloxone toolkits
• Data on accidental deaths (state departments of public health or medical examiners)
• Identify areas where heroin use is increasing by examining accidental overdoses
• Ramp up education and enforcement efforts
• Identify officer training and equipment needs
• Use to supplement crash data to assist with enforcement
MORE UNCONVENTIONAL DATA SOURCES
• Connecting code violations with burglaries – “Broken Windows Theory”
• Arlington, Texas
• For every unit increase of physical decay, there was a six-fold increase in residential burglaries
• The police department and other city agencies now work more efficiently in the neighborhoods to help prevent crime
• Modernizing the Nation’s Crime Statistics – National Academies of Science – Public Health Model
• Census data
• Economic data
• Household and business surveys
• Health and social welfare
• Science, technology and innovation indicators
QUESTIONS?
Contact Information:
Becki Goggins
916.392.2550 x306
Richard Fiore
334.242.3117