Transcript Camilla and Todd`s Powerpoint

Health Information Exchange
Opportunities and Barriers
For Behavioral Health
NAITx May 11, 2011
Todd Rowland, HealthLINC
Camilla Hull Brown, Strategies for Tomorrow
4/10/2016
1
Todd Rowland MD Background
Dr. Rowland has been a leader within
physician and health care communities
working toward advancing their development
and implementation of electronic solutions.
He brings over 17 years experience as a
practicing physician, ensuring a practical
understanding of the health care system and
workflow issues. Dr. Rowland is a graduate
of Indiana University Medical School and
completed a post doctoral fellowship in
Medical Informatics at Harvard/MIT, Division
of Health Sciences and Technology.
2
Camilla Hull Brown Background
Camilla Hull Brown is Principal and Founder of
Strategies for Tomorrow. She brings 25 years
of experience in strategic planning, change
management, and collaboration building to
assist community and state collaborations
implement HIT/HIE initiatives.
Most recently, she has helped communities
respond to the massive changes and
opportunities that have arisen as a result of the
HITECH Provision of the American Recovery
and Reinvestment ACT (ARRA).
Cam holds a BA degree from the University of
Illinois, an MBA degree from the University of
Mexico. She has worked all across the country
including the West to the East Coast.
3
Agenda
Background on HIE
Core trends
Impact of HITECH Act
Impact of Healthcare Reform Act
Impact of trend toward coordinated care
How HIE enables engagement of behavioral health
Opportunities -- Where it’s being done
Barriers and Response
4
A Compelling Vision: Patient Centric Care
(Right data available at the “Point of Care”)
5
Health Information Exchange Enables
Coordination of Care
4/10/2016
Event Name
6
The Forces of Change
Feb. 2009 HITECH Act with massive funding
Federal funding of rural broadband, telehealth
March 2010 Healthcare Reform Legislation
Technology innovation (Health 2.0)
Meaningful Use as a driver with incentives to
change
More innovation, more changes, more
collaboration…more, more, more, and faster
7
9
10
Regional Extension Centers: A Very Big Task
Many physicians have a long way to go to become electronic
Physicians may feel incentives may not be worth journey
11
Difficulty of Integrating Behavioral
Health Patient into Medical Care
Behavioral health patients are complex patients
 Difficult to treat
 Multiple, chronic diagnoses
 Source of high costs of care in US
Typically intersect with the human services system as
well as the health care system – two systems don’t
intersect well
Patient Centered Medical Home Model is a response to
that
12
New Model of Primary Care:
Patient Centered Medical Home (PCMH)
Personal physician with team support and greater patient
access
Coordination across providers, family, and communitybased services including behavioral health
Use of Health IT and analytic tools
Use of Health Information Exchange for coordination
Financial incentives – for cost savings & quality
improvements
13
Behavioral Health is Becoming Central to
PCMH and More
Essential to Coordinated Care, PCMH, and Emergency
Care
Primary care treats 50% of all behavioral health disorders
and 30-50% of patients referred to a behavioral health
clinic do not go
High cost patients are often treated by behavioral health
providers; costs to system not being managed
Behavioral health has key missing diagnoses, treatment
and medications; high value to other providers
Improving outcomes and managing costs means
engaging behavioral health
14
Examples:
Engaging with Behavioral Health
Vermont Blue Print for Health
 Coordinated care model and HIE
Capital Area RHIO, Lansing, Michigan
 CEI Community Mental Health is on the HIE Board
HealthLINC HIE, Bloomington, Indiana
 Data exchange with local community health center
15
Examples:
Engaging with Behavioral Health
Patient-centered Primary Care Collaborative
 Active in promoting behavioral health nationally
Health TeamWorks (formerly Colorado Clinical
Guidelines Collaborative)
 Coaches PCMH models with a deliberate focus on
behavioral health
 Developed guidelines on universal substance
screening for primary care settings
16
Key Barriers to Behavioral Health
Participation in HIE
Privacy and security consideration
Funding issues
17
HIEs –Addressing Privacy & Security
HIEs establish patient consent agreements –
opt in vs. opt out
Break the glass access – Emergency care
More HIEs are having role based access
 Some physicians, not others
Provider obtains patient permission to share
basic electronic medical data (meds, diagnosis,
treatment) through the HIE
Provider sends alerts when patient is admitted,
discharged or transferred
18
Funding of EHR and HIE
S 539 – Bill to extend EHR incentive funding to
behavioral health, mental health, and substance
abuse professionals and facilities for Medicare
and Medicaid
Potential for “pay for performance” payments as
part of PCMH model as behavioral health
becomes recognized as key to care team
19
Go Forward Questions
?