Integrating Behavioral and Physical Health Data Napa County Health and Human Services Agency March...
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Transcript of Integrating Behavioral and Physical Health Data Napa County Health and Human Services Agency March...
Integrating Behavioral and Physical Health DataNapa County
Health and Human Services Agency
March 21, 2013
Napa County HHSA Vision
Integration of services“Social determinants of health”
model
Why Share Health Data?
Improved health outcomes for clients
Expectations of recent health care
legislation
The County Campus Clinic
Integrated HHSA and Community Health Clinic Ole program on HHSA campus
Coordinated care for primary care, mental health, and substance use clients
Targets clients with co-occurring chronic illnesses
243 patients
Care coordination
target population: 90
Our Challenge
Communication across agencies and disciplines
Two EHRs – EClinical Works and Anasazi cannot communicate or effectively store information from other providers
Keep it compliant with HIPAA and Mental Health and Substance Use privacy requirements
Keep information off personal computers and out of paper files
Ways We Share Information
Client release
Faxed progress notes
Landline telephone
Face-to-face consultations
Warm handoffs
Case conferences
What Information to Share?
Need to know basis…depending on what is needed
Psychiatrist Therapist Case manager Care coordinator Peer support
Primary care provider
Nurse Medical assistant
Communication Form
Contact information, demographics Providers Client goals Joint problem list-diagnoses Medication lists, allergies and adverse
reactions, medications reconciled Conference actions Health indicators Social needs
Anasazi Data Anasazi Gateway
HHSA Interface
Clinic Ole Interface
ECW Gateway
ECW Data
Possible Next Steps
Encrypted e-mail – secure e-mail from Dr. A to Dr. B or from lab to doctor
Interface pilot project between Anasazi and EClinical Works
Privacy Issues
HIPAA42 CFR Part 2California laws