[PC-BH-Integration] EHR thatworks forIntegrationandMeaningfulUse

Mon Feb 1 14:36:59 EST 2010

Hi folks!  I've been watching the numerous posts on this topic and it seems like one of great interest to the list serve.  As you know we have been monitoring this list serve and using the "hot topics" from the list serve as Integrated Healthcare Webinar topics.  To that end, we at the National Council would be willing to put together a webinar on the topics of integrated EHR's, meaningful use and interoperability, if that is something folks would be interested in.  We would be unable to speak to or about any one vendor, but we could do some nice information related to what the standards are and are going to be, and how to know interoperability when you see it!  

It would probably take us about 30 days to get a webinar scheduled....please let us know if you'd like us to schedule it!

________________________________________
From: pc-bh-integration-bounces at lists101.his.com [pc-bh-integration-bounces at lists101.his.com] On Behalf Of Kessler, Rodger S. [Rodger.Kessler at vtmednet.org]
Sent: Monday, February 01, 2010 1:16 PM
To: pc-bh-integration at lists101.his.com
Subject: Re: [PC-BH-Integration] EHR thatworks  forIntegrationandMeaningfulUse

We use EPIC and my clinical notes are transparent to the docs and theirs to me. The issue is less with the EMR I think and more about getting in on the development to define and develop the work flow. R

Rodger Kessler Ph.D. ABPP
Coordinator, Primary Care Behavioral Health
Fletcher Allen Blueprint for Health
Patient Centered Medical Home
Research Director
Collaborative Care Research Network
Senior Scientist
National Research Network
American Academy of Family  Physicians
Research Assistant Professor
Department of Family Medicine
Faculty Scholar
Center for Clinical and 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 Lori Raney
Sent: Monday, February 01, 2010 1:08 PM
To: pc-bh-integration at lists101.his.com
Subject: Re: [PC-BH-Integration] EHR thatworks forIntegrationandMeaningfulUse

Thanks Roger-

I agreed with you - if we cannot find an EMR that works for both primary
care and behavioral health, then we use an information highway to bring
them together.  I know this is not the ideal in the Integrated Care
movement, but it may be the only way since those that have tried to
integrate emrs are struggling, from what I've heard.  We have a great
RHIO developing in Colorado that will tie the whole state together under
a 20 million dollar grant.  We can push data out from Qualifacts (if
they get CCHIT certified) to an ambulatory care EMR (certified of course
- like NextGen or AthenaHealth) and connect via our Quality Health
networks system.

What does the integrated care community think about this option?

Lori

-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of
Kessler, Rodger S.
Sent: Sunday, January 31, 2010 8:36 AM
To: pc-bh-integration at lists101.his.com
Subject: Re: [PC-BH-Integration] EHR thatworks forIntegration
andMeaningfulUse

This is a raidly changing ( monthly to weekly) landscape. At the moment
there are at least 2 federal initiatives out, 1 FQHC focused, i not, to
develop large multi system information exchanges that will integrate
EMR's for medical and behavioral health clinicians and..... medical and
behavioral health organizations.  If you are focusing on IT, it makes
sense to find out, if you are not aware, of your state information
exchange and to find out what direction your ste is moving in,. There
may be well funded opportunities to tie into such a network, accomplish
outcomes beyond what an individual organization is able to achieve and,
get financing. Rodger
Rodger Kessler Ph.D. ABPP
Coordinator, Behavioral Health in the Patient Centered Medical Home
Fletcher Allen Healthcare Blueprint for Health
Research Director, Collaborative Care Research Network
Senior Scientist, National Research Network
American Academy of Family Physicians
Research Assistant Professor
Department of Family Medicine
Faculty Scholar
Center for Clinical and Translational Science
University of Vermont College of Medicine
________________________________________
From: pc-bh-integration-bounces at lists101.his.com
[pc-bh-integration-bounces at lists101.his.com] On Behalf Of Lori Raney
[lraney at swcmhc.org]
Sent: Saturday, January 30, 2010 9:52 AM
To: pc-bh-integration at lists101.his.com;
pc-bh-integration at lists101.his.com
Subject: Re: [PC-BH-Integration] EHR that works forIntegration
andMeaningfulUse

The issue is if we want a "fully integrated" EMR that serves primary
care and behavioral health in one organization, we will want to have
CCHIT certified EMRs- given the reimbursement woes of the integration
process we are facing, we will definitely need the enhanced
reimbursement/incentive money from Medicare and Medicaid for the
physical health billing that comes with this certification.

I have reviewed the CCHIT website for current vendors and was wondering
who has experience with any of them.  NextGen is the only one i
recognized and i know Cherokee is using this one  Just trying to find
out if anyone else has tried to combine the two issues:  what vendor can
manage integrated care EMR needs while simultaneously being CCHIT
certified?  There appears to be software that works for one or the other
but not both - at least not yet.  We are trying to open an integrated
FQHC, so we need both in one EMR or we are going to have to find one for
each and hope an information highway can connect them - not an optimal
choice and not my understanding of where the intgration movement is
headed.

One of the additional advantages of the CCHIT certified EMRs is that
they must have the abilty to collect aggregate data for reporting
purposes.  I am finding the collection of the data in integrated care
studies is painstaking -  we should be able to program a data base to
produce PHQ-9 and HgA1c values over time for a population of patients.
the CCHIT certified EMRs will have to do this, which will help us gather
data.

Thanks for all the comments out there.  This has been helpful. I will
let you know if i find a nearly perfect EMR!  As any of you talk to
vendors for your integrated care needs, make sure you ask them if they
can provide both - they all know the CCHIT certification process is
coming with the final standards being announced Feb 10th and the target
date for incentives rapidly approaching.  I would recommend not buying a
product that isn't guaranteeing (or your money back) that they can do
this for you.

Lori Raney, MD

________________________________

From: pc-bh-integration-bounces at lists101.his.com on behalf of Sarah
Bannon
Sent: Fri 1/29/2010 9:47 PM
To: pc-bh-integration at lists101.his.com
Subject: Re: [PC-BH-Integration] EHR that works forIntegration
andMeaningfulUse

Hello Dr. Raney:

Is your organization following the C-CHIT standards for behavioral
health?  The physical health standards have been out for a while, and
many EMR vendors have already gotten their national certification. Some
of those vendors also have beh health/integrated health EMR offerings.

The review/response period for behaivoral health C-CHIT standards for
EMRs just closed mid-December so a final set of standards and the
ability for (beh health) EMR vendors to be certified by the National
Office will be coming soon.  The EMRs that have already achieved their
certifications in physical health can be found at the Office of the
National Coordinator for Health IT (ONCHIT). (this is also a really easy
Google search) These IT/EMR standards have been nationally vetted and
are widely considered to be the "credential"  that will be (and already
is) being deferred to with respect to "proof" that an EMR meets
meaningful use criteria.

The world of HIT in this country is still emerging (to say the least)
but following the efforts of ONCHIT and the certification process is
something important to keep an eye on as you consider purchasing.

Regards-Sarah

Sarah B. Bannon, CEO
Lakeview Consultants, LLC
www.lakeviewconsultants.com <http://www.lakeviewconsultants.com/>

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________________________________

To: pc-bh-integration at lists101.his.com
Date: Fri, 29 Jan 2010 22:25:25 -0500
From: jjbuild96 at aol.com
Subject: Re: [PC-BH-Integration] EHR that works for Integration
andMeaningfulUse

Check out www.carepaths.com <http://www.carepaths.com/>

Dave Johnson

-----Original Message-----
From: Blount, Alexander <Alexander.Blount at umassmemorial.org>
To: pc-bh-integration at lists101.his.com
Sent: Fri, Jan 29, 2010 2:45 pm
Subject: Re: [PC-BH-Integration] EHR that works for Integration
andMeaningfulUse

Their website indicates they are engaged with the issue.  I don't know
where it stands. http://www.allscripts.com/
I do not have any financial interest in the company.

________________________________

From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com
<mailto:pc-bh-integration-bounces at lists101.his.com?> ] On Behalf Of Lori
Raney
Sent: Friday, January 29, 2010 2:35 PM
To: pc-bh-integration at lists101.his.com
Subject: RE: [PC-BH-Integration] EHR that works for Integration
andMeaningfulUse

does it meet certification requirements for meaningful use?

________________________________

From: pc-bh-integration-bounces at lists101.his.com on behalf of Blount,
Alexander
Sent: Fri 1/29/2010 12:11 PM
To: pc-bh-integration at lists101.his.com
Subject: Re: [PC-BH-Integration] EHR that works for Integration
andMeaningfulUse

We use Allscripts.  A lot of the functionality they did for us.  It
works well for primary care behavioral health, as long as they are
around to keep tweeking it.  Psychiatry is resisting going joining up.

Alexander Blount, EdD
Professor of Family Medicine and Psychiatry
University of Massachusetts Medical School
Director of Behavioral Science
Department of Family Medicine and Community Health
Editor, Families, Systems, & Health
55 Lake Avenue North
Worcester, MA 01655
O. 774.443.2147,   F. 774.441.7799
Alexander.Blount at umassmemorial.org
www.umassmed.edu/PCBH.aspx
www.integratedprimarycare.com <http://www.integratedprimarycare.com/>

-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Lori
Raney
Sent: Friday, January 29, 2010 1:15 PM
To: pc-bh-integration at lists101.his.com
Subject: [PC-BH-Integration] EHR that works for Integration and
MeaningfulUse

I am looking for an electronic health record that will meet both the
needs of PCBH integration and meets the "meaningful use" standards so it
can be CCHIT certified.

I have looked at AthenaHealth and EClinical Works for the primary care
side and have e-mailed them about behavioral health capability.  I have
spoken to Gregg Perry MD about his experience with NextGen at Cherokee.
I have been in contact with Kendall Alexander at North Range in Colorado
about their attempts to use Cyntricity.

Any thoughts out there?
Thanks for your input.

Lori Raney, MD
Medical Director
Southwest Colorado Mental Health Center (aka Axis Health System)
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_______________________________________________
Reply to this message to send to the group
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or call Bob Beckwith at (301) 984-6200

_______________________________________________
Reply to this message to send to the group
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or call Bob Beckwith at (301) 984-6200