The Policy Stack From Policy to Practice: The Real Work of Cross-Sector Data Sharing Implementation
Sep 25, 2025
Timi Leslie, a health IT and policy practitioner who leads BluePath Health and built cross-sector data-sharing programs, discusses implementing California’s new data exchange framework. She talks about bringing healthcare and social services together. She explores technical interoperability limits, workflow and trust-building across organizations. She shares design studios, surprises from street-medicine pilots, and pragmatic steps that move policy into practice.
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State Law Forces Cross‑Sector Sharing
- California's Data Exchange Framework explicitly requires cross-sector sharing beyond clinical systems.
- This makes the state approach unique and forces coordination across health, social services, and housing.
Coalition Built To Back The Law
- Timi formed a coalition to support California's legislative leadership and keep momentum for data exchange.
- The coalition meets regularly and offers advocacy, education, and technical assistance to implement the policy.
Interoperability Isn't Just Technology
- Technical interoperability is necessary but insufficient for meaningful data sharing.
- Meaningful exchange requires real-time, use-case driven data that avoids creating extra steps and phone calls.