SlideShare a Scribd company logo
JULIA NAVA
PEER SUPPORT SPECIALIST &
ALCOHOL & DRUG COUNSELOR
HEATHER PAETOW, MSW
FAMILY PEER SUPPORT SPECIALIST &
ALCOHOL & OTHER DRUGS COUNSELOR
STACEY KURZ
CITY of CHULA VISTA
SR. PROJECT COORDINATOR
Introduction
• The Problem We See
• Behavioral health patients often have poor interactions with first
responders and other service providers due to lack of
identification or during episodic incidents where the cause of
behavior may be unknown.
Introduction
• The People Involved
• Persons with Behavioral Health Challenges
• First Responders
• Medical Providers
• Service Providers
• Greater Community
• Alzheimer’s/Dementia/Autism
• General Population
Introduction
• The Impact of the Problem
• Altercations or other poor outcomes
• Unnecessary incarceration
• Perpetuation of fear
• No access to treatment or medications
Problem Statement
• How Might We…
use technology to help the most vulnerable who have lost
their ID access their benefits & receive behavioral health
assistance?
Project Plan
The Idea Guy | Project Plan : Client
Problem Statement: How might we...
Process Tools Details 2-25-19 3-4-19 3-11-19 3-18-19 3-25-19 4-1-19 4-8-19 4-15-19 4-22-19 4-29-19
Empathize
Research What we will research
Observation What we will observe
Engagement: Focus Groups How we will engage
Ethnography How we will experience
Define
Synthesize Identify needs and insights
Reframe Expand problem to include all perspectives
Update Problem Statement Revise problem statement(s) based on what we learned
Ideate
Divergent Sketching Diverse concepts that may solve the problem
Collect Feedback Feedback on concepts
Convergent Sketching Selction of concept(s) with greatest potential
Prototype
Develop Prototype 1.0 Representation of the concept for segments
Develop Prototype 1.1 Updated prototype based on test
Test
Collect Feedback 1.0 Feedback from segments
Collect Feedback 1.1 Feedback from segments
Share
Story Sharing Template Formal presentation of what we have learned
Distribute Story Implement solutions
Collect Feedback Monitor, measure and report
Process Tools Details 2-25-19 3-4-19 3-11-19 3-18-19 3-25-19 4-1-19 4-8-19 4-15-19 4-22-19 4-29-19
Not All who Wander are LOST!
BUT, some can be lost when it comes to navigating through life
without a form of identification.
The most vulnerable being: Homeless Vets, Low Income Seniors, plus
men and women who suffer from Substance Abuse & Mental Health
challenges.
These most vulnerable are at greatest risk of having ID’s lost,
misplaced & stolen everyday and it practically takes an act of God to
get a DMV ID card. Birth Certificates must be presented just to get a
paper copy with no photo, meanwhile, benefits are denied & they
cannot access ANY of their needed meds or receive treatment
because of no identification!
I met many fitting these demographics while doing face to
face interviews for my IDA Project & I’ve met many in the
past while working on Point in Time Count.
I interviewed 20 people which included Seniors & Vets in the Downtown San
Diego area who identified as homeless.
I interviewed 1 Staff member from three different agencies BHHS (Gov), NAMI
(Non GMO) & St. Vincent’s (Non GMO)
I interviewed 6 Law Enforcement Officers from Rancho San Diego and Aero
Drive areas. (**Each group included Men & Women)
-Most of the information I am divulging is from their mouths and I got their
permission to present their circumstances to you through this project. I will not
be using these person’s last names, however I will be using the last names of the
Police Officers as that is how they identify themselves to the public. The staff
members from BHHS (Gov) & St. Vincent’s (Non GMO) both asked to remain
anonymous!
-The answers to my questions regarding using Facial Recognition were nearly
ALL positive in their responses and said they wouldn't feel threatened or
imposed upon with a facial recognition cell phone picture.
-The Law Enforcement Officers, R. Ortiz and N. Ortiz both said it would greatly
help in their day to day exchanges with some people who often don't have any
Identification. Ortiz also informed me that they have Gang member facial
pictures they work with presently. Officer Elena said he can see how it would
really help him with many persons he recently has encountered because many
people with mental health issues don’t like to be touched, so a facial
recognition with a cell like equipment might seem less intrusive.
-The Intake Person from St. Vincent’s who responded negatively voiced that her
clients would feel paranoid, though all of the person’s I interviewed outside her
establishment responded positively as mentioned above.
• Existing Safety Programs
Safe Return
• Existing Systems to Inform Care
Define
• Synthesize
• Several systems already exist
• Varying technology is being used
• Efficiency is not being met
• Clients are not being helped
Key Retinal Scan/Facial Recognition to Access Electronic
Health record(EHR) ProgRam components
• -INTEROPERABILITY:
• Historically, EHR vendors haven’t been all that keen on
making their systems easy to integrate with others.
• -SECURE ACCESS per USER PRIVILEGE:
• An EHR should be configured to offer varying levels of access
depending on the type of practice employee accessing the
system.
• -REMOTE ACCESS:
• Documentation isn’t always completed at time of Client
encounter. Remote Access is particularly helpful when
clinicians receive important information after the Client
leaves or a CMH Dr needs critical/time-sensitive info from a
Client's regular Psychiatrist, Psychologist &/or MD after
hours.
• -CROSS-CONTINUUM ANALYTICS:
• Many Agencies are being pressed to look not just at the
services they offer, but care too. Collaboration between
Acute, Post-Acute, and Community Care Agencies will also
yield valuable data that can measure the efficacy of
population-based health measures.
• -ENHANCED DATA SECURITY:
• To ensure data privacy, all information communicated via EHR
should be encrypted - this exceeds HIPAA requirements and
provides further protection against accidental misdirects and
hackers and lock users out after a set number of incorrect
password entries.
• -AUTOMATED DATA SYNCING:
• Charting module should be fully integrated with other systems
that are frequently used by the various agencies. Where relevant,
clinicians should be able to send any orders or results directly
from the charting portal. Additionally, as clinicians finish
encounter notes, they should be automatically placed at the top
of the notes that all agencies should then gain real time access.
• -AUTOMATIC CARRYOVER OF DEMOGRAPHIC DATA:
• Charting module should automatically carry over demographic
info so Agencies don’t have to input demographic on more than
one occasion. This will also get all Agencies in alignment with
each other regarding categories, descriptions, etc.
Updated Problem Statement
• How Might We…
use use technology to help those in crisis who have lost
their ID access their benefits & receive better & more
efficient coordinated delivery of care and behavioral health
services.
Ideate
Ideate
Summary
• How this will innovate behavioral health?
Reduce identification time & help the most vulnerable Clients
access needed benefits
Summary
What will this require to move forward?
• Technology
• Funding
Q&A
• Questions, comments and suggestions.

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BeHealth.Today | IDA

  • 1.
  • 2. JULIA NAVA PEER SUPPORT SPECIALIST & ALCOHOL & DRUG COUNSELOR HEATHER PAETOW, MSW FAMILY PEER SUPPORT SPECIALIST & ALCOHOL & OTHER DRUGS COUNSELOR STACEY KURZ CITY of CHULA VISTA SR. PROJECT COORDINATOR
  • 3. Introduction • The Problem We See • Behavioral health patients often have poor interactions with first responders and other service providers due to lack of identification or during episodic incidents where the cause of behavior may be unknown.
  • 4. Introduction • The People Involved • Persons with Behavioral Health Challenges • First Responders • Medical Providers • Service Providers • Greater Community • Alzheimer’s/Dementia/Autism • General Population
  • 5. Introduction • The Impact of the Problem • Altercations or other poor outcomes • Unnecessary incarceration • Perpetuation of fear • No access to treatment or medications
  • 6. Problem Statement • How Might We… use technology to help the most vulnerable who have lost their ID access their benefits & receive behavioral health assistance?
  • 7. Project Plan The Idea Guy | Project Plan : Client Problem Statement: How might we... Process Tools Details 2-25-19 3-4-19 3-11-19 3-18-19 3-25-19 4-1-19 4-8-19 4-15-19 4-22-19 4-29-19 Empathize Research What we will research Observation What we will observe Engagement: Focus Groups How we will engage Ethnography How we will experience Define Synthesize Identify needs and insights Reframe Expand problem to include all perspectives Update Problem Statement Revise problem statement(s) based on what we learned Ideate Divergent Sketching Diverse concepts that may solve the problem Collect Feedback Feedback on concepts Convergent Sketching Selction of concept(s) with greatest potential Prototype Develop Prototype 1.0 Representation of the concept for segments Develop Prototype 1.1 Updated prototype based on test Test Collect Feedback 1.0 Feedback from segments Collect Feedback 1.1 Feedback from segments Share Story Sharing Template Formal presentation of what we have learned Distribute Story Implement solutions Collect Feedback Monitor, measure and report Process Tools Details 2-25-19 3-4-19 3-11-19 3-18-19 3-25-19 4-1-19 4-8-19 4-15-19 4-22-19 4-29-19
  • 8. Not All who Wander are LOST! BUT, some can be lost when it comes to navigating through life without a form of identification. The most vulnerable being: Homeless Vets, Low Income Seniors, plus men and women who suffer from Substance Abuse & Mental Health challenges. These most vulnerable are at greatest risk of having ID’s lost, misplaced & stolen everyday and it practically takes an act of God to get a DMV ID card. Birth Certificates must be presented just to get a paper copy with no photo, meanwhile, benefits are denied & they cannot access ANY of their needed meds or receive treatment because of no identification!
  • 9. I met many fitting these demographics while doing face to face interviews for my IDA Project & I’ve met many in the past while working on Point in Time Count. I interviewed 20 people which included Seniors & Vets in the Downtown San Diego area who identified as homeless. I interviewed 1 Staff member from three different agencies BHHS (Gov), NAMI (Non GMO) & St. Vincent’s (Non GMO) I interviewed 6 Law Enforcement Officers from Rancho San Diego and Aero Drive areas. (**Each group included Men & Women) -Most of the information I am divulging is from their mouths and I got their permission to present their circumstances to you through this project. I will not be using these person’s last names, however I will be using the last names of the Police Officers as that is how they identify themselves to the public. The staff members from BHHS (Gov) & St. Vincent’s (Non GMO) both asked to remain anonymous!
  • 10. -The answers to my questions regarding using Facial Recognition were nearly ALL positive in their responses and said they wouldn't feel threatened or imposed upon with a facial recognition cell phone picture. -The Law Enforcement Officers, R. Ortiz and N. Ortiz both said it would greatly help in their day to day exchanges with some people who often don't have any Identification. Ortiz also informed me that they have Gang member facial pictures they work with presently. Officer Elena said he can see how it would really help him with many persons he recently has encountered because many people with mental health issues don’t like to be touched, so a facial recognition with a cell like equipment might seem less intrusive. -The Intake Person from St. Vincent’s who responded negatively voiced that her clients would feel paranoid, though all of the person’s I interviewed outside her establishment responded positively as mentioned above.
  • 11. • Existing Safety Programs Safe Return
  • 12. • Existing Systems to Inform Care
  • 13. Define • Synthesize • Several systems already exist • Varying technology is being used • Efficiency is not being met • Clients are not being helped
  • 14. Key Retinal Scan/Facial Recognition to Access Electronic Health record(EHR) ProgRam components • -INTEROPERABILITY: • Historically, EHR vendors haven’t been all that keen on making their systems easy to integrate with others. • -SECURE ACCESS per USER PRIVILEGE: • An EHR should be configured to offer varying levels of access depending on the type of practice employee accessing the system. • -REMOTE ACCESS: • Documentation isn’t always completed at time of Client encounter. Remote Access is particularly helpful when clinicians receive important information after the Client leaves or a CMH Dr needs critical/time-sensitive info from a Client's regular Psychiatrist, Psychologist &/or MD after hours. • -CROSS-CONTINUUM ANALYTICS: • Many Agencies are being pressed to look not just at the services they offer, but care too. Collaboration between Acute, Post-Acute, and Community Care Agencies will also yield valuable data that can measure the efficacy of population-based health measures. • -ENHANCED DATA SECURITY: • To ensure data privacy, all information communicated via EHR should be encrypted - this exceeds HIPAA requirements and provides further protection against accidental misdirects and hackers and lock users out after a set number of incorrect password entries. • -AUTOMATED DATA SYNCING: • Charting module should be fully integrated with other systems that are frequently used by the various agencies. Where relevant, clinicians should be able to send any orders or results directly from the charting portal. Additionally, as clinicians finish encounter notes, they should be automatically placed at the top of the notes that all agencies should then gain real time access. • -AUTOMATIC CARRYOVER OF DEMOGRAPHIC DATA: • Charting module should automatically carry over demographic info so Agencies don’t have to input demographic on more than one occasion. This will also get all Agencies in alignment with each other regarding categories, descriptions, etc.
  • 15. Updated Problem Statement • How Might We… use use technology to help those in crisis who have lost their ID access their benefits & receive better & more efficient coordinated delivery of care and behavioral health services.
  • 18. Summary • How this will innovate behavioral health? Reduce identification time & help the most vulnerable Clients access needed benefits
  • 19. Summary What will this require to move forward? • Technology • Funding
  • 20. Q&A • Questions, comments and suggestions.