Behavioral Health Information Exchange Overview

Jeff Chang, PCE Systems

The “Problem” of Behavioral Health Information Exchange• Physical Health Focus of the Industry• Privacy Laws and Regulations – Mental Health Code and

42 C.F.R. Part 2• Party-Specific Consents• Redisclosure• Expiration

• The “Risk of Being Wrong”• Engaging Stakeholders• Software Vendors

The Real Problem

• Integration of Behavioral Health and Physical Health is really, really important!

• Behavioral Health and Substance Use Disorders affect Physical Health outcomes, and vice versa• High Utilizers• Increased Rate of Inpatient Readmission• Decreased Mortality Age

HIE Must Support Integrated Health Initiatives

Why not just change the laws?

• Privacy laws and regulations aren’t just annoying hurdles to overcome.

• We must serve the healthcare consumer

• The laws have a purpose• Stigma• Fear of disclosure and

dissemination• There’s no time.

Behavioral Health VQO Solution

• Engagement from Two Levels• Grassroots• Top-Down

• Establishment of the Virtual Qualified Organization (VQO) for Behavioral Health Exchange

• Consent Management Platform serves as a buffer between Physical Health and Behavioral Health communities

• Balance of technology, legal, business process, and customer service

Behavioral Health VQO Solution

Behavioral Health VQO Solution

Technologies in Use• Industry Standards (where possible)• Service-Oriented-Architecture / SOAP Web Services• HL7 Transactions• NwIN Standards / IHE Profiles using CONNECT 4.1• Available Data:

Laboratory Test Results Medication List Diagnosis List / Problem List Allergies and Adverse Reactions Vital Signs Treatment Plan (IPOS) Clinical Documents (PDF and/or

structured) CCR / CCD / CDA

Appointments / Schedule Care Team / Secure

Messaging Staff Service Activity Log Demographics (MDCH QI) Insurance Information Admissions Consents

Current Projects

• MiHIN CCD Gateway Pilot• MiHIN (Nitor), NorthCare Network (PCE), and

UPHIE (ICA)• Policy Recommendation Workgroup• Metro-Region Integrated Care Collaboration

• Macomb, Oakland, and Wayne County CMH Boards + Medicaid Health Plans

• Washtenaw Community Health Organization Integrated Care projects

• Other BH-to-BH Projects

Q&A

Thank you!

Jeff Chang

PCE Systems

Tel: (248) 932-4888

jchang@pcesystems.com