kentucky khie - 2013 conference... · lourdes hospital, paducah 11-01-2012 . community mental...
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Kentucky Primary Behavioral Health Care Integration
> Karen Chrisman, JD MA CHP CSCS
> Staff Attorney
> Governor’s Office of Electronic Health Information
• Query based model
• CCD exchange
• 200+ “Live” facilities
• Participation Agreements from
108 of approximately 130 hospitals
in the Commonwealth
• 27 of 29 Participation Agreements are CAH
• No further consent needed state
• Kentucky Cabinet for Health and Family Services (CHFS) funds
and provides support to the Commonwealth’s 14 CMHCs but
does not have direct control of the centers
Kentucky HIE Background
Primary Behavioral Health Care
Integration
Pennyroyal Center
received a grant under the PBHCI initiative
Pennyroyal Center has a primary care
license
KHIE delivered KHIE CCD to Pennyroyal
with Medicaid claims data
and all “live” provider lab
results
10-31-2012
Pennyroyal will share
consolidated CCD with medical trading
partners
(needs 42 CFR Part 2
language)
Current live medical trading
partners Baptist Health, Madisonville,
Lourdes Hospital, Paducah
11-01-2012
Community Mental Health Center
KHIE CCD to Pathways with Medicaid claims data and all “live” provider lab
results
(requires development)
Pathways shares consolidated CCD with
medical trading partners, primary care providers
currently live King’s Daughters Medical Center, Fleming County Hospital,
St. Claire Regional Medical Center (ready
with connection to Care Connect)
Primary Behavioral Health Care
Integration
Primary Behavioral Health Care
Integration
Community Mental Health Center
Currently teaming with primary care
providers
KHIE CCD to Kentucky River
Community Care with Medicaid claims data, all
“live” provider lab results
Kentucky River identified team practices: ARH, Quantum Healthcare, Mercy Medical Clinic.
KRCC co-located with St. Joseph Martin but
unable to share medical records Will use KHIE to
deliver KRCC CCD consolidated with
Medicaid claims data, all “live”provider lab results.
Primary Behavioral Health Care
Integration
Community Mental Health
Center
Partnering with FQHC Primary
Plus
KHIE CCD to Comprehend with Medicaid claims data, all “Live”
provider lab results including
St. Claire Regional Medical Center
and Fleming County Hospital
Comprehend using KHIE to
deliver Comprehend CCD,
Medicaid data and lab results to
Primary Plus
• KHIE required modifications Must release all patient data
Must release all patient data to all
providers in the HIE
Must release all types of data
Must release all data for all uses TPO
• TPO is also required by the
GOEHI participation agreement
• Requires a 6 month consent period
• If another consent is not signed within 6 months
the consent expires
Consent Form
Importance of explaining use of health information for treatment
Background explaining source and development of the consent form gives it credibility
Importance of explaining form for release of behavioral health records and 42 CFR Part 2 only
Finding
Goal to determine if consumers understood the consent form
Consumer Input
The patient needed assistance from medical office staff, advocate, or mental health mentor to complete the form
Finding
Goal to determine if consumers agreed form needed staff assistance for completion
Consumer Input
Consumer Input
Open comments received:
Form should have larger font even if increased number of pages
Signature from guardian only allowed if guardianship order produced
Suggestion that KHIE video Kentucky doctors discussing the use of KHIE and how it helps doctors treat patients
Behavioral Health Education Center
Partnership
UK HealthCare CECentral
Mission Statement University of Kentucky HealthCare
CECentral delivers high-quality live and
enduring continuing professional
development activities to health care
professionals using evidence-based
practice, adult learning principles and
innovative web-based technology.
Vision Statement UK HealthCare CECentral aims to be the
premier provider of continuing professional
development for health care professionals in
Kentucky and to establish our educational
and technological resources worldwide.
Purpose UK HealthCare CECentral provides health
care professionals continuing professional
development activities to increase
knowledge, competence and performance
levels for better patient-centered care,
improved patient safety and enhanced
clinical outcomes.
UK HealthCare CECentral
KHIE will be hosting Behavioral Health Education Center
modules on the University of Kentucky HealthCare
website. http://www.cecentral.com/behavioralhealth
UK HealthCare CECentral
plans to issue statements
for up to 1 hour of credit
per module for AMA PRA
Category 1 Credit™,
Social Work and
Psychology to eligible
participants completing
the CE Activity.
UK HealthCare CECentral
Planned Modules for
Behavioral Health
CE Credit include:
I. An Overview
II. Integrated Care I
III. Integrated Care II
IV. Consent Form
Overview
V. Consent Form
Case Studies
KHIE & UK HealthCare CECentral collaborated in developing a
needs assessment, learning objectives, goals, expected outcomes
and an evaluation tool for the CE Activity.
UK HealthCare CECentral
Activity Modules
Overview • What is KHIE? • National Perspectives • Behavioral Health
Overview
Integrated Care I
• Overview of IC • Reflection from a
Primary Care perspective on IC
Integrated Care II
• Traditional IC • Pennyroyal’s
Story • Non Traditional IC
• Kentucky River
Consent Form I
• Overview • Why, Who,
When? • Form Details
• Screen Demo
Consent Form II
• Cases in Consent • Patient
Situations • Options
• Refusal?
UK HealthCare CECentral
will issue statements of
continuing education
credits to eligible
participants once training
has been completed.
Training
I. Introduction
II. Background
III. Connectivity I. Connectivity Option 1: Participants with CCD
Capability
II. Connectivity Option 2: Participants without CCD
Capability
IV. Presentation • The KHIE Connection
Partnering to Improve PATIENT Health
Outcomes
KHIE Consent Form for Behavioral Health
Centers
V. Patient Consent and Authorization Form for
Disclosure of Certain Health Information to the
Kentucky Health Information Exchange
VI. Kentucky Health Information Exchange
Consent Explanation for Behavioral Health
Patient Records
VII.Training for the KHIE Consent Form for use in
Behavioral Health Centers I. Consent Explanation Form
II. Rules Regarding Consent
Kentucky Behavioral Health
Stakeholders Training Manual Table of Contents
Projected Consent Form Use
61
24
8
125
84
118
50
7
121
43
113 103
8
Average Daily Census
Kentucky State-Owned
Behavioral Health Facilities
For additional information contact:
For information on
Kentucky’s Behavioral
Health Training Manual
contact Charlese Blair at