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Kentucky Primary Behavioral Health Care Integration. Karen Chrisman, JD MA CHP CSCS Staff Attorney Governor’s Office of Electronic Health Information. Kentucky HIE Background. Query based model CCD exchange 200+ “Live” facilities Participation Agreements from - PowerPoint PPT Presentation
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KentuckyPrimary Behavioral Health Care Integration
> Karen Chrisman, JD MA CHP CSCS> Staff Attorney> Governor’s Office of Electronic Health Information
• Query based model• CCD exchange• 200+ “Live” facilities• Participation Agreements from 108 of approximately 130 hospitals in the Commonwealth • 27 of 29 Participation Agreements are CAH• No further consent needed state• Kentucky Cabinet for Health and Family Services (CHFS)
funds and provides support to the Commonwealth’s 14 CMHCs but does not have direct control of the centers
Kentucky HIE Background
Primary Behavioral Health Care Integration
Pennyroyal Center
received a grant under the PBHCI initiative
Pennyroyal Center has a primary care
license
KHIE delivered KHIE CCD to Pennyroyal
with Medicaid claims data
and all “live” provider lab
results10-31-2012
Pennyroyal will share
consolidated CCD with medical trading
partners (needs 42 CFR
Part 2 language)
Current live medical trading
partners Baptist Health, Madisonville,
Lourdes Hospital, Paducah
11-01-2012
Community Mental Health Center
KHIE CCD to Pathways with Medicaid claims data and all “live” provider lab
results (requires development)
Pathways shares consolidated CCD with
medical trading partners, primary care providers
currently live King’s Daughters Medical Center, Fleming County Hospital,
St. Claire Regional Medical Center (ready
with connection to Care Connect)
Primary Behavioral Health Care Integration
Primary Behavioral Health Care Integration
Community Mental Health Center
Currently teaming with primary care
providers
KHIE CCD to Kentucky River
Community Care with Medicaid claims data, all
“live” provider lab results
Kentucky River identified team practices: ARH, Quantum Healthcare, Mercy Medical Clinic.
KRCC co-located with St. Joseph Martin but
unable to share medical records Will use KHIE to
deliver KRCC CCD consolidated with
Medicaid claims data, all “live”provider lab results.
Primary Behavioral Health Care Integration
Community Mental Health
Center
Partnering with FQHC Primary
Plus
KHIE CCD to Comprehend with Medicaid claims data, all “Live”
provider lab results including
St. Claire Regional Medical Center
and Fleming County Hospital
Comprehend using KHIE to
deliver Comprehend CCD,
Medicaid data and lab results to
Primary Plus
• KHIE required modifications Must release all patient data Must release all patient data to all
providers in the HIE Must release all types of data Must release all data for all uses TPO
• TPO is also required by the GOEHI participation agreement• Requires a 6 month consent period• If another consent is not signed within 6
months the consent expires
Consent Form
Importance of explaining use of health information for treatment
Background explaining source and development of the consent form gives it credibility
Importance of explaining form for release of behavioral health records and 42 CFR Part 2 only
Finding
Goal to determine if consumers understood the consent form
Consumer Input
The patient needed assistance from medical office staff, advocate, or mental health mentor to complete the form
Finding
Goal to determine if consumers agreed form needed staff assistance for completion
Consumer Input
Consumer Input
Open comments received:
Form should have larger font even if increased number of pages
Signature from guardian only allowed if guardianship order produced
Suggestion that KHIE video Kentucky doctors discussing the use of KHIE and how it helps doctors treat patients
Behavioral Health Education Center Partnership
UK HealthCare CECentral
Mission StatementUniversity of Kentucky HealthCare CECentral delivers high-quality live and enduring continuing professional development activities to health care professionals using evidence-based practice, adult learning principles and innovative web-based technology.
Vision StatementUK HealthCare CECentral aims to be the premier provider of continuing professional development for health care professionals in Kentucky and to establish our educational and technological resources worldwide.
PurposeUK HealthCare CECentral provides health care professionals continuing professional development activities to increase knowledge, competence and performance levels for better patient-centered care, improved patient safety and enhanced clinical outcomes.
UK HealthCare CECentral
KHIE will be hosting Behavioral Health Education Center modules on the University of Kentucky HealthCarewebsite. http://www.cecentral.com/behavioralhealth
UK HealthCare CECentralplans to issue statementsfor up to 1 hour of creditper module for AMA PRACategory 1 Credit™,Social Work andPsychology to eligibleparticipants completingthe CE Activity.
UK HealthCare CECentral
Planned Modules for Behavioral Health CE Credit include:
I. An OverviewII. Integrated Care IIII. Integrated Care
IIIV. Consent Form
OverviewV. Consent Form
Case Studies
KHIE & UK HealthCare CECentral collaborated in developing a needs assessment, learning objectives, goals, expected outcomes and an evaluation tool for the CE Activity.
UK HealthCare CECentral
Activity Modules
Overview
• What is KHIE?• National Perspectives• Behavioral Health
Overview
Integrated Care I
• Overview of IC• Reflection from a
Primary Care perspective on IC
Integrated Care II
• Traditional IC• Pennyroyal’s
Story• Non Traditional IC
• Kentucky River
Consent Form I
• Overview• Why, Who,
When?• Form Details
• Screen Demo
Consent Form II
• Cases in Consent• Patient
Situations• Options
• Refusal?
UK HealthCare CECentral will issue statements of continuing education credits to eligible participants once training has been completed.
Training
I. IntroductionII. BackgroundIII. Connectivity
I. Connectivity Option 1: Participants with CCD Capability
II. Connectivity Option 2: Participants without CCD Capability
IV. Presentation• The KHIE Connection
Partnering to Improve PATIENT Health Outcomes
KHIE Consent Form for Behavioral Health Centers
V. Patient Consent and Authorization Form for Disclosure of Certain Health Information to the Kentucky Health Information Exchange
VI. Kentucky Health Information Exchange Consent Explanation for Behavioral Health Patient Records
VII.Training for the KHIE Consent Form for use in Behavioral Health Centers
I. Consent Explanation FormII. Rules Regarding Consent
Kentucky Behavioral Health Stakeholders Training ManualTable of Contents
Projected Consent Form Use
Centra
l Stat
e Hosp
ital
Centra
l Stat
e ICF-M
R
Del Mari
a ICF-M
R
Easter
n State
Hospital
Glasgo
w SNF
Hazelw
ood ICF-M
R
Kentucky
Correctional P
sychiat
ric Cen
ter
Meadows IC
F-MR
Oakwood
Outwood
Western
State
Hospital
Western
State
Nursing
Windsong IC
F-MR
61
24
8
125
84
118
50
7
121
43
113103
8
Average Daily Census
Kentucky State-OwnedBehavioral Health Facilities
For additional information contact:[email protected]
For information on Kentucky’s Behavioral
Health Training Manual contact Charlese Blair at