[PC-BH-Integration] EHR thatworks forIntegrationandMeaningfulUse

Mon Feb 1 16:23:47 EST 2010

This would be extremely helpful as more organizations are integrating 
primary care and behavioral health services.

----- Original Message ----- 
From: "Kathy Reynolds" <kathyr at thenationalcouncil.org>
To: <pc-bh-integration at lists101.his.com>
Sent: Monday, February 01, 2010 2:36 PM
Subject: Re: [PC-BH-Integration] EHR thatworks 
forIntegrationandMeaningfulUse

> 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/>
>
>
> This email and its attachments, if any, is intended only for the
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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
> Help can be found at
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> or call Bob Beckwith at (301) 984-6200
>
> _______________________________________________
> Reply to this message to send to the group
> Help can be found at
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> 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
> _______________________________________________
> 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
>
> _______________________________________________
> 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
> 