State of California Interoperability and Integration Project


Project Summary

California hosted two interoperability symposia for state, local, non-profit, legal, and association representatives to assemble and identify opportunities for data sharing. The first symposium created awareness of the need for sharing data and created four workgroups that developed strategies for breaking down barriers and creating interoperable systems.  The following is a list of the workgroups and their associated deliverable products:

Technology: Developed technology-related recommendations for the state plan focused on: enterprise architecture, information technology (IT) initiatives to be leveraged for interoperability and identification of top priorities for data sharing in CHHS that can realistically be initiated within the next five years and implemented within the next ten years.

Legal: Established a written Privacy and Confidentiality Framework that will establish short (immediate to six months), medium (up to two years), and long-term (beyond two years) protocols for information data sharing among departments, agencies, service providers, and clients.

Organizational Change Management: Developed recommendations and draft an organizational change road map for data sharing across California Health and Human Services (CHHS) departments. The road map is based on Human Services 2.0 Theory of Change methodology. It provides an organizational change management framework to guide decision makers in the process of leading their departments through changes that support new ways of sharing data.  

Governance: Recommended a governance model for implementation of electronic data sharing across CHHS departments. The model is a framework to guide decision-making related to infrastructure (i.e.: policy adjustments, standard agreements for data sharing, evaluation criteria, approval process for new IT systems and modernizations, standard language for system access and data sharing agreements, and operation (data access and access control).

Needs Addressed

In addition to the workgroup products, California identified a test case presented and discussed by participants at the second symposium.  The Psychotropic Medication Approval Process (PMAP) for children in foster care is an existing paper-based process that could benefit from access to data in multiple existing systems and automation of the movement of data among the parties requiring access.


California enlisted volunteers from the vendor community to develop custom demonstrations of how the PMAP process can be improved using automated tools and interoperability among the existing system to better serve the Children in Foster care.  These custom demonstrations were shared at the second symposium and incorporated into the overall roadmap.

Deliverables (click on each deliverable below for more information)

  • Final Report
    This Final Report provides a high level summary of California’s efforts to identify activities that should be accomplished in the areas of technology, policy, organizational change management, and governance that will move the state toward a more interoperable environment within Health and Human Services.
  • California Interoperability Plan (Final)
    This document provides a framework for the California Health and Human Services’ agency heads to move in the direction of seamless systems interoperability and integration, focused on a proof of concept related to foster care use cases and the administration of psychotropic medication. 
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