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