[PC-BH-Integration] EHR thatworks forIntegration andMeaningfulUse

Wed Feb 3 09:19:19 EST 2010

I am learning how to ask follow-up questions as i gain knowledge from all these resources:

Are you sending behavioral health providers (PhD, LCSW, other therapists) to a primary care clinic to provide services which they document (successfuly, it appears) in e-MD? - if so, we don't have to consider CCHIT but need an product that allows successfully integrated charting.

Do you send MDs, PAs or NPs to a primary care clinic to see patients?  If the numbers are small, the primary care clinic will need CCHIT ambulatory certification if they want to recoup the incentive money  but CCHIT Behavioral Health certification is overkill.

Or do you have a fully integrated program with primary care docs and you entire mental health program (including psychiatrists/social workers,etc)  all working side by side?  If so, e-MD will not only have to be CCHIT Ambulatory certified but CCHIT BH certifed also.  

CCHIT is going to have two classes of certification:  "add-on" for companies like e-MD that want the BH certification to sell to folks like us and a full-on BH certified product for a stand alone mental health center (ie Qualifacts will need this certification so their MDs/NPs/PAs will be able to recoup incentives if they bill medicare/caid).

This is how the folks running the task  force on BH CCHIT certification have explained it to me as recently as yesterday.  As organizations move further into these levels of collaboration, a CCHIT certified Ambulatory EHR with an "add - on" BH certifed product is going to be the way to go.  The problem as I see it is  PCBH integration is not mainstream for the big ambulatory health care vendors - so there aren't any vendors that appear to be working on offering BH certified add-ons. I am interested in whether or not a vendor like Qualifacts will pursue an "add-on" BH module that is certifiable as a new product line - then we can tack it on to a good ambulatory product for our integrated care efforts. And no one is working on the reverse scenario (tack on ambulatory to BH module) - there is so much overlap that it's not worth it.  

Sharon - do you have a psychiatrist working in e-MD that I may contact?

Thoughts?

Lori Raney, MD
SWCMHC (aka Axis Health System)
Durango, CO

________________________________

From: pc-bh-integration-bounces at lists101.his.com on behalf of Sharon Beaty
Sent: Tue 2/2/2010 9:33 AM
To: pc-bh-integration at lists101.his.com
Cc: Kristen Nielsen
Subject: Re: [PC-BH-Integration] EHR thatworks forIntegration andMeaningfulUse

Lori,

We have a CCHIT certified product that meets the needs of both behavioral and medical clinicians in one combined database.  We are very happy with the way it works.

It has an integrated billing/management/scheduling system and it meets all our practice management needs.

The product is e-MDs

www.e-mds.com

Please feel free to call me if you have any questions.
Our IT coordinator is Kristen Nielsen.  She is very actively involved in our EMR processes.

I'm sure either of us would be happy to visit with you.

My direct line is below.  Hers is 603-536-4099 x 1003

Sharon Beaty
CEO
Mid-State Health Center
101 Boulder Point Drive
Suite 1
Plymouth, NH  03264

Direct line: (603)536-4099 x1001
Fax:  603-536-4001
? Please consider the environment before printing this email

-----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: 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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_______________________________________________
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_______________________________________________
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
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