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Informatics Center

The Community Care of North Carolina “Informatics Center” is an electronic data exchange infrastructure maintained in connection with health care quality initiatives for the State of North Carolina sponsored by the Department of Health and Human Services' Division of Medical Assistance (DMA), Office of Rural Health and Community Care, and the US Department of Health and Human Services' Centers for Medicare & Medicaid Services (CMS).

Currently, the Informatics Center contains health care claims data provided by Medicaid, as well as health information about program participants obtained directly from health care providers and care managers and/or the primary care medical record. Medicaid provides a monthly update of Medicaid enrollment files and a weekly refresh of paid claims. Additional data sources include: Labcorps (laboratory results) for the statewide Medicaid population; real-time hospital admission/discharge/transfer data from 48 large NC hospitals (as of February 2011); and Medicare claims and Surescripts pharmacy data for people who are dually-eligible for Medicare and Medicaid and a part of the CMS 646 Demonstration waiver program.

Information is accessed by the Community Care networks to identify patients in need of care coordination; to facilitate disease management, population management, and pharmacy management initiatives; to enable communication of key health information across settings of care; to monitor cost and utilization outcomes; and to monitor quality of care and provide performance feedback at the patient, practice, and network level.

For a video overview of the Community Care Informatics Center, go to: