SAMHSA Grant Kickoff Meeting
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SAMHSA Grant Kickoff Meeting March 14, 2012
description
SAMHSA Grant Kickoff Meeting. March 14, 2012. Kickoff Meeting Agenda. 11:00-11:30 Welcome, Introductions and Roll call Polly Mullins-Bentley, Acting Executive Director, CHFS, Governor’s Office of Electronic Health Information (GOEHI) - PowerPoint PPT Presentation
Transcript of SAMHSA Grant Kickoff Meeting
SAMHSA Grant Kickoff Meeting
March 14, 2012
11:00-11:30 Welcome, Introductions and Roll call Polly Mullins-Bentley, Acting Executive Director, CHFS, Governor’s
Office of Electronic Health Information (GOEHI)
– GOEHI/Kentucky Health Information Exchange 11:30-12:30 SAMHSA Grant Overview
Karen Chrisman, Staff Attorney, CHFS, GOEHI- What’s This All About?- GOEHI SAMHSA Project Plan- 42 CFR Consent Model- View of Clinical Information
>Continuity of Care Document (CCD)>NetSmart CCD
- Feedback Request 12:30-12:35 eHealth Summit Information12:35-1:00 Questions and Answers
Kickoff Meeting Agenda
Polly Mullins-Bentley, Acting Executive Director, CHFS, Governor’s Office of Electronic Health Information (GOEHI)
– KHIE /GOEHI Overview
KHIE Update
KHIE Implementation80 Combined Hospitals/Physicians by County
Updated 04/07/2011
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
JessamineJohnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Hospital Physician Both
KHIE Implementation Queue216 Combined Hospitals/Physicians/Labs/Other by County
Updated 06/30/2011
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
JessamineJohnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Hospital Physician Both
KHIE Implementation Contacts288 Combined Hospitals/Physicians/Labs/Other by County
Updated 09/28/2011
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
JessamineJohnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Hospital Physician Both
KHIE Implementation Contacts374 Combined Hospitals/Physicians/Labs/Other by County
Updated 01/04/2012
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
JessamineJohnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Hospital Physician Both
KHIE Implementation Contacts483 Combined Hospitals/Physicians/Labs/Other by County
Updated 03/09/2012
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
JessamineJohnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Hospital Physician Both
Impacting the Healthcare of Kentuckians
• Use of Policy Levers• Medicaid Claims Data
• KHIE was seeded with two years worth /now three years
• State Laboratory Results• Microbiology LIVE since July 2011/Newborn screenings in TEST
• Kentucky Immunization Registry• KHIE offers a LIVE interface for providers to report vaccinations and populate the
immunization registry
• Managed Care Organizations• Medicaid requires providers to connect to KHIE
• Access provided to Case Managers for comprehensive case management/improved continuity of care
KHIEA Value Added Proposition
• Policy Levers, continued..• Prescription Drug Monitoring Program (KASPER)
• Integration of KASPER into KHIE• Kentucky Cancer Registry
• Submit cancer data for providers to the KY Cancer Registry
KHIE A Value Added Proposition
Participation Agreements TrackingMarch 12, 2012
Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-120
20
40
60
80
100
120
140
160
KHIE Participation Agreements Signed
# PA's
KHIECC Coordinating Council
KHIE Coordinating Council serves as an advisory body to the Governor’s Office of Electronic Health Information. Membership includes stakeholders from hospitals, physicians, mental health, public health, health insurance companies, universities and State Government representatives. The Committees include:
KHIECC Accountability and TransparencyKHIECC Business Development and FinanceKHIECC Interoperability and Standards Development KHIECC Privacy and Security KHIECC Provider Adoption and Meaningful Use KHIECC Population Health KHIECC Clinical Advisory Committee (NEW)
“Substance abuse and its consequences have grave impacts on our society ‑‑ destroying lives, tearing apart
families, and introducing drug‑related violence to our neighborhoods.”
President Barack Obama
April 06, 2011
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President’s Vision for Health IT
Medical information will follow consumers so that they are at the center of their own care.
Consumers will be able to choose physicians and hospitals based on clinical performance results made available to them.
Clinicians will have a patient's complete medical history, computerized ordering systems, and electronic reminders.
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President’s Vision for Health IT (cont’d)
Quality initiatives will measure performance and drive quality-based competition in the industry.
Public health and bioterrorism surveillance will be seamlessly integrated into care.
Clinical research will be accelerated and post-marketing surveillance will be expanded.
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“The increased use of health information technology is a key focus of our reform
efforts because it will help to improve the safety and quality of health care generally
while also cutting waste out of the system.”
Kathleen SebeliusSecretary
U.S. Department of Health & Human Services September 29, 2009
The Impact of Health Reform
Prior to implementation of coverage expansion under Health Reform: 39% of individuals served by State Mental
Health Authorities did not have insurance 61% of the individuals served by State
Substance Abuse Agencies did not have insurance
Many of these individuals will be covered in 2014 (or sooner)—most likely by the expansion in Medicaid
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SAMHSA’s Strategic Initiative – (Health IT)
Purpose: Ensure the behavioral health provider network, including prevention specialists and consumer providers, fully participates with the general health care delivery system in the adoption of Health Information Technology.
Primary role of SAMHSA’s Health IT effort is to support the behavioral health aspects of the Electronic Health Record based on the standards and systems promoted by the Office of the National Coordinator for Health IT.
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SAMHSA’s Strategic Initiative “Health IT Goals”
Develop the infrastructure for interoperable Electronic Health Records, including privacy, confidentiality, and data standards.
Provide incentives and create tools to facilitate the adoption of Health IT and EHRs with behavioral health functionality in general and specialty healthcare settings.
Deliver technical assistance to state health IT leaders, behavioral health and health providers, patients/consumers, and others to increase adoption of EHRs and health IT with behavioral health functionality.
Enhance capacity for the exchange and analysis of EHR data to assess quality of care and improve patient outcomes.
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IMPORTANCE OF HEALTH INFORMATION EXCHANGE (HIE)
Secure information sharing between Behavioral Health Care and Primary Care Organizations; State, Federal and Other Payers.
Inclusion and Reporting of Behavioral Health Data within the requirements of the State-wide Strategic and Operational Plans (Committees, Governance, & Workgroups, etc.)
Infrastructure to exchange Behavioral Health and Physical Health Data using Certified EHR Systems in support of Integrated Care Delivery & Performance Reporting
Interoperability – Demonstration of Behavioral Health Care Organizations participation in the Nation-wide Health Information Network (NWHIN)
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State Designated Entity Health Information Exchange Sub AwardeeFive states chosenKentucky IllinoisRhode IslandOklahomaMaine
Develop infrastructure supporting the exchange of health information among behavioral health and physical health providers through the development or adaptation of HIE systems
SAMHSA Grant Overview
GOEHI’s Plan• Assist the existing PBHCI recipient with KHIE
connectivity
• Provide connectivity for other CMHCs
• Enhance the capability of the KHIE and the current CCD
• Develop a 42 CFR 2 compliant consent
• Develop consent training protocols
• Inform both healthcare providers and consumers about this process
SAMHSA Grant Overview
Kentucky HIE-SDE Sub Awardee Plan
• Query based model• Consent workgroup• Interface from behavioral health providers to KHIE• Lab results reporting to behavioral health providers
using KHIE as the delivery system• Training for behavioral health staff in the consent
process and with the KHIE portal• Continuing education support about this program
for both primary care and behavioral health providers
SAMHSA KY Plan
CCD COMPONENTS
> Patient: Given Name Family Name , Jr. or Sr., etc...Street Address City, State, Zip Codetel:+19995551212 MRN: 123456789 Birthdate: January 1, 1954 Sex: Male Guardian:
> Next of Kin: Given Name + Family Name Street Address City, State, Zip Codetel:(999)555-1212
> Table of Contents> Purpose : Automated Medical History Summary > Payers > Problems > Family history > Social History > Allergies, Adverse Reactions, Alerts > Medications > Immunizations > Vital Signs > Results > Procedures > Encounters
CCD Components
ADDED CCD ELEMENTS FOR BEHAVIORAL
HEALTH
42 USC § 290dd-2 & 42 CFR Part 2
The purpose of the statute and regulations prohibiting disclosure of records relating to substance abuse treatment, except with the patient's consent or a court order after good cause is shown, is to encourage patients to seek substance abuse treatment without fear that by doing so their privacy will be compromised
Statutes and Regulations
Q1. Does the federal law that protects the confidentiality of alcohol and drug abuse patient records allow information about patients with substance use disorders to be included in electronic health information exchange systems?
Statutes and Regulations
Yes. The federal confidentiality law and regulations (codified as 42 U.S.C. § 290dd-2 and 42 CFR Part 2 (“Part 2”)) permits patient information to be disclosed to Health Information Organizations (HIOs) and other health information exchange (HIE) systems.
However, the regulation contains certain requirements for the disclosure of information by substance abuse treatment programs; most notably, patient consent is required for disclosures, with some exceptions.
This consent requirement is often perceived as a barrier to the electronic exchange of health information.
It is possible to electronically exchange drug & alcohol treatment information while also meeting the requirements of Part 2.
Statutes and Regulations
Q11. What are the required elements of a patient consent under Part 2?
Statutes and Regulations-Consent
A written consent to a disclosure under the Part 2 regulations must be in writing and include all of the following items (42 CFR § 2.31): 1) the specific name or general designation of the program or
person permitted to make the disclosure; 2) the name or title of the individual or the name of the
organization to which disclosure is to be made; 3) the name of the patient; 4) the purpose of the disclosure; 5) how much and what kind of information to be disclosed;
Statutes and Regulations-Consent
6) the signature of the patient and, when required for a patient who is a minor, the signature of a person authorized to give consent under § 2.14; or, when required for a patient who is incompetent or deceased, the signature of a person authorized to sign under § 2.15 in lieu of the patient;
7) the date on which the consent is signed; 8) a statement that the consent is subject to revocation at any time
except to the extent that the program or person which is to make the disclosure has already acted in reliance on it. Acting in reliance includes the provision of treatment services in reliance on a valid consent to disclose information to a third party payer; and
9) the date, event or condition upon which the consent will expire if not revoked before. This data, event, or condition must insure that the consent will last no longer than reasonably necessary to serve the purpose for which it is given.
Statutes and Regulations-Consent
Q12. What must a Part 2 program do to notify the HIO, or any other recipient of Part 2 protected information, that it may not redisclose Part 2 information without patient consent?
Part 2 requires each disclosure made with written patient consent to be accompanied by a written statement that the information disclosed is protected by federal law and that the recipient cannot make any further disclosure of it unless permitted by the regulations.
Thus, when information is disclosed electronically, an
accompanying notice explaining the prohibition on redisclosure must also be electronically sent.
Statutes and Regulations-Consent
References for SAMHSA FAQs http://www.samhsa.gov/healthprivacy/docs/ehr-faqs.pdf
http://www.samhsa.gov/HealthPrivacy/
http://www.samhsa.gov/about/laws/SAMHSA_42CFRPART2FAQII_Revised.pdf
FAQS
KY eHealth SummitReminder!
MARK YOUR CALENDAR!
September 17 KHIECC and eHealth Network Board Joint Meeting 5:00 – 6:30 p.m. Hyatt Regency,
Lexington, KY Welcome Reception 6:30 – 9:00 p.m. Hyatt Regency,
Lexington, KYSeptember 18 eHealth Summit
9:00 – 4 p.m.
Invited speakers include:H. Westley Clark, M.D., J.D., M.P.H., CAS, FASAM Regional DirectorCenter for Substance Abuse TreatmentSubstance Abuse Mental Health Services AdministrationU.S. Department of Health and Human Services Michael R. Lardiere, LCSWVice President Health Information Technology and Strategic DevelopmentThe National Council for Community Behavioral Healthcare
Keynote Speaker:Kathleen SebeliusSecretary Health and Human Services
Thank-you for participating!
