Regional Extension Center Strategies in

OhioCathy Costello,JD

REC Project ManagerOhio Health Information

Partnership

6/16/2011

Ohio’s REC Strategies

2

Core Strategies

3

#1: A Regional Approach

4

#2: Set Clear Goals

Over 60,000 physicians have signed up nationally to receive REC services

5

OHIP’s Progress Toward 6000 PPCP Signed Contracts by REC

600

1200

1800

2400

3000

3600

4200

4800

5400

6000

As of 6.13.11 9:15 AM

Region PPCP Quota

Contract Signed

Pipeline % Goal Met(not including pipeline)

COHIE (Columbus) 1352 747 300 55%

CWRU(Cleveland) 1765 988 100 56%

DWCO REC (Dayton) 644 532 75 83%

NECO REC(Akron) 873 550 175 63%

NEOHC(Youngstown)

323 220 30 68%

NW Ohio REC (Toledo) 639 530 30 83%

OU(Athens/SE) 404 380 94%

TOTAL 6000 3,059 (3,144 overall)

810 66% #

#3: Leverage Vendor Relationships

7

#4: Assist with Funding

8

#5: Enhance Workforce

1,500 graduates in June in Midwest

80% have a college degree

Job Board coordination

9

#6: Eliminate eRx Barriers

• Aligned BOP with DEA requirements

• Addressing mail order prescription issues

• Conducted pharmacy survey

• Conducting physician survey

• Education and awareness

10

#7: Coordinate with HIE

11

Behavioral Health Strategies

12

#1: Convene Stakeholders

Behavioral Health Sub-Committee

•Encourage EHR and HIE adoption regardless of incentive program eligibility•Educate community•Align with emerging health policy

13

#2: Raise Awareness of Challenges

Most of my clinicians are not

eligible for incentive payments

RECs are not

reimbursed to help me

My funding has been

cut for years

I’m hesitant to buy new

solutions until new Ohio

policies are in place

I want to look at new solutions that support integrated care delivery, but

can they really meet my needs?

Can I afford them?

I don’t know who to believe

about a vendor’s certification

status

14

#2: Raise Awareness of Challenges

MU Clinical Quality Measures

3 Core, 3 Alternate

15

#3: Demonstrate Success

• Recipient of SAMHSA Primary Care and Behavioral Health Integration Grant (2009)

• Using technology to enable a patient-centered medical home model

• Joining efforts with Ohio Medicaid, REC and HIE Teams

16

#3: Demonstrate SuccessInclude a behavioral health provider

as one of the first community connections to the HIE to show

providers it can be done

HL7

EMR

Early Adopter

Health System

Paper-based

EMR

PDF EMR - No HL7

EMR - HL7

17

#3: Demonstrate Success

Help a psychiatrist in the community register and receive their Medicaid Incentive Payment to show other

providers it can be done

18

#4: Seek Support from Alternative Sources

Foundations•Have historically supported BH community•Seek funding to REC, Boards or BH associations to assist providers with adoption•Channels for assistance exist; just no funding

County Boards•50 County Alcohol, Drug Addiction and Mental Health Boards in Ohio•Members of Ohio Association of County Behavioral Health Authorities (OACBHA)•Many currently engaged in projects to assist providers in their county with adoption

State Health Agencies•Ohio Dept of Mental Health•Ohio Dept of Alcohol and Drug Addiction Services•Report to new Office of Health Transformation•Considering block grants to providers implementing integrated care delivery models

19

#5: Educate Providers on Benefits

20

#6: Keep the faith!

“Don’t Split Mind and Body”

Dr. Harold Pincus, MDTestimony to ONC Health IT

Policy Committee

21