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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
jchang@pcesystems.com

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Behavioral Health Information Exchange Overview Jeff Chang

  • 1. Behavioral Health Information Exchange Overview Jeff Chang, PCE Systems
  • 2. 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
  • 3. 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
  • 4. 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.
  • 5. 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
  • 8. 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
  • 9. 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
  • 10. Q&A Thank you! Jeff Chang PCE Systems Tel: (248) 932-4888 jchang@pcesystems.com