[PC-BH-Integration] PC-BH-Integration Digest, Vol 49, Issue 8

Tue Feb 17 15:43:31 EST 2009

Though some of it may not translate to other states, we have an article about confidentiality of mental health information in primary care settings on our website that might prove useful. It was furnished for us by health care attorney Elizabeth Saviano. Go to ibhp.org, then "Procedures", then "Confidentiality of Client Records". Click on "article regarding medical records requirements for primary care clinics" to download it.

Barbara Demming Lurie
IBHP (Integrated Behavioral Health Project)

-----Original Message-----
From: Michael Dow [mailto:michaelmdow at gmail.com]
Sent: Saturday, February 14, 2009 06:56 AM
To: pc-bh-integration at lists101.his.com
Subject: Re: [PC-BH-Integration] PC-BH-Integration Digest, Vol 49, Issue 8

Hi Jaffy! How funny that you're on this list! I didn't realize you were interested in this area. We'll have to talk. Anyway, I'm working in an integration project in Boulder at the People's Clinic and can tell you what we're doing here in terms of shared records. It's fairly complex so email me back channel if you want to talk more about it (michaelmdow at gmail.com). Our behavioral health staff work alongside the pcps in a fully integrated team and enter their notes directly into the EMR just like providers, except we generally use a behavioral health template. Focus is on treatment plan, and they are kept brief. Sensitive information (sexual abuse history, substance abuse treatment) is documented in a confidential note for which patients would need to explicitly specify consent before it would be released. The unique aspect of our integration project is that though our behavioral health team all work in the same way, half are employed on the primary care side, and half by community mental health. The community mental health staff (like myself) have access to the CMHC data base, which is very helpful, since the two agencies share a lot of clients. Those of us employed by the CMHC can look at the database without a release, though to disclose information to primary care providers we need to get a release from patients. That make sense? Anyway, email me if you want to talk more. We have some other interesting stuff in the works. Hope Boston is treating you well! michael On 2/13/09, pc-bh-integration-request at lists101.his.com wrote: > Send PC-BH-Integration mailing list submissions to > pc-bh-integration at lists101.his.com > > To subscribe or unsubscribe via the World Wide Web, visit > http://lists101.his.com/mailman/listinfo/pc-bh-integration > or, via email, send a message with subject or body 'help' to > pc-bh-integration-request at lists101.his.com > > You can reach the person managing the list at > pc-bh-integration-owner at lists101.his.com > > When replying, please edit your Subject line so it is more specific > than "Re: Contents of PC-BH-Integration digest..." > > > Today's Topics: > > 1. Re: Electronic records in collaborative care? (Kessler, Rodger S.) > > > ---------------------------------------------------------------------- > > Message: 1 > Date: Fri, 13 Feb 2009 16:24:04 -0500 > From: "Kessler, Rodger S." > Subject: Re: [PC-BH-Integration] Electronic records in collaborative > care? > To: "'pc-bh-integration at lists101.his.com'" > > Message-ID: > <4CF36A3AB2AEF1408C6593AAE50EDD348439E7062E at EMAIL1.fahc.fletcherallen.org> > > Content-Type: text/plain; charset="us-ascii" > > See paper reviewing issues and rules in March Journal of Clinical Psychology in Medical Settings. Most of resistance to combing in is a straw man. There are only a couple of regulatory issues that must be respected-psychotherapy notes under HIPPA and CFR rules for sending SA records. We have just moved to combined paper record and development of EMR in Vermont is geared towards an integrated record. R > > Rodger Kessler Ph.D. ABPP > Research Assistant Professor > Department of Family Medicine > Center for Translational Science > University of Vermont College of Medicine > Berlin Family Health > Fletcher Allen Healthcare > > > -----Original Message----- > From: pc-bh-integration-bounces at lists101.his.com [mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Jaffy Phillips > Sent: Friday, February 13, 2009 3:25 PM > To: pc-bh-integration at lists101.his.com > Subject: [PC-BH-Integration] Electronic records in collaborative care? > > Hi, > > I'm interested in the "shared records" aspect of collaborative care- > particularly electronic records shared between different providers > and/or organizations. How have issues of privacy, consent and record > access (who has access) been addressed, in terms of the behavioral > health content? Has the content of the shared behavioral health data > been limited to medications and diagnoses, or is the complete record > made available to the the primary care physician? What has been the > response from patients? I'm interested in anything on the spectrum > from research papers to personal/anecdotal experiences (most of the > literature I have been able to find on collaborative care and/or EMRs > has not included this information). > > Thanks very much. > > Jaffy > > > Jaffy Phillips, MA > Psychotherapist in private practice > Health Policy Intern: Massachusetts Health Data Consortium > MPH student: Boston University School of Public Health > > Jaffy at pobox.com > 781-752-9599 > _______________________________________________ > Reply to this message to send to the group > Help can be found at http://lists101.his.com/mailman/listinfo/pc-bh-integration > or call Bob Beckwith at (301) 984-6200 > > > > ------------------------------ > > _______________________________________________ > Reply to this message to send to the group > Help can be found at http://lists101.his.com/mailman/listinfo/pc-bh-integration > or call Bob Beckwith at (301) 984-6200 > > > End of PC-BH-Integration Digest, Vol 49, Issue 8 > ************************************************ > > _______________________________________________ Reply to this message to send to the group Help can be found at http://lists101.his.com/mailman/listinfo/pc-bh-integration or call Bob Beckwith at (301) 984-6200 
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