Medical Informatics:Moving the Tipping Point of

Behavioral Health IntegrationSusan D. Wiley, MD Vice Chairman, Dept. Psychiatry

Maryanne Peifer, MD, MSIS, Associate Medical Director, Clinical Informatics

Gail Stern, MSN, Administrator, Dept. Psychiatry

Lehigh Valley Health NetworkAllentown, PA 18103

Collaborative Family Healthcare Association 13th Annual ConferenceOctober 27-29, 2011 Philadelphia, Pennsylvania U.S.A.

Session # D5aOctober 29, 20111:30 PM

Faculty Disclosure

We have not had any relevant financial relationships during the past 12 months.

Need/Practice Gap & Supporting Resources

Successful Behavioral Health Integration

requires the means to measure:

• Cost effectiveness• Quality enhancements• Service enhancements • Impact on patients and providers• Growth for the network

Objectives:

Upon completion of this presentation the participant will be able to:

• Describe strategies and challenges in measuring behavioral health integration.

• Identify critical indicators of Service, Quality, People, Growth and Cost.

• Quantify differences between primary care practices with and without behavioral health integration.

• List changes in practice behaviors which follow measurement of those behaviors.

Expected Outcomes

• Participants will be able to make use of features of EMR for measurement of BHI.

• Participants will be able to evaluate methods of measurement of BHI to utilize in their own settings.

• Participants will appreciate how measurement and feedback can alter provider behavior.

Private Practice Settings• Trexlertown: EMR, suburban, 7 MD• Hamburg: EMR, rural, 5 MD• Moselem Springs: EMR, rural, 6 MD

Training Settings:• Pleasant Valley: EMR, rural setting, 3 MD• Lehigh Valley Family Practice: paper chart,

urban setting, 2 MD + NP• Family Health Center: EMR, urban, 10 MD + 2

NPs

Lehigh Valley Health Network BHI: Primary Care Settings

LVHN BHI: Specialty Care Settings

• Adolescent Medicine

• Neuroscience Center

• Weight Management

• Cancer Center

• Bereavement & Hospice

Key Definitions

• “Treatment as Usual”:

Multidisciplinary group psychiatric practices: psychiatrists, psychologists, social workers & nurse providing MH services.

• “Comparison Practices”:

Family Medicine practices with comparable demographics but without BHI:

• “Experimental Practices”:

Family Medicine practices with comparable demographics AND BHI

LVHN Performance Pillars

• Service,

• Quality,

• Growth,

• People and

• Cost.

Data Sources

• Electronic Medical Record: Centricity

• Scheduling Software: IDX

• Billing Software: EPSI

• Patient Survey

• Provider Survey

Provider Survey

Patient Survey

Questions:

• What aspects of behavioral integration would you want to measure?

• Are there other questions that you would like to look at in the domains of: Quality, Growth, Cost, Service and People?

• What behaviors are you seeking to increase in your providers?

Conclusions:

• Medical Informatics is a powerful tool for investigating the value and costs of Behavioral Health Integration.

• Data can be used to point out deficiencies, identify problems and track progress towards programmatic goals.

• Measurement is a powerful tool for communicating about BHI to all stakeholders.

Session Evaluation

Please complete and return theevaluation form to the classroom monitor

before leaving this session.

Thank you!