[PC-BH-Integration] EHR thatworks forIntegration andMeaningfulUse
Shelly Burke
sburke at swcmhc.org
Wed Feb 3 10:23:20 EST 2010
Good detective work...
p.s. in your signature line it should read d.b.a Axis (doing business
as) instead of aka.
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Lori
Raney
Sent: Wednesday, February 03, 2010 7:19 AM
To: pc-bh-integration at lists101.his.com
Subject: RE: [PC-BH-Integration] EHR thatworks forIntegration
andMeaningfulUse
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
P 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/>
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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_______________________________________________
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
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