Date post: | 14-Dec-2014 |
Category: |
Health & Medicine |
Upload: | mihinpr |
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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