2. The âProblemâ of Behavioral Health
Information Exchange
⢠Physical Health Focus of the Industry
⢠Privacy Laws and Regulations â Mental Health Code
and 42 C.F.R. Part 2
⢠Party-Specific Consents
⢠Redisclosure
⢠Expiration
⢠The âRisk of Being Wrongâ
⢠Engaging Stakeholders
⢠Software Vendors
3. The Real Problem
⢠Integration of Behavioral Health and Physical Health is
really, really important!
⢠Behavioral Health and Substance Use Disorders affect
Physical Health outcomes, and vice versa
⢠High Utilizers
⢠Increased Rate of Inpatient Readmission
⢠Decreased Mortality Age
HIE Must Support Integrated Health Initiatives
4. Why not just change the laws?
⢠Privacy laws and regulations
arenât just annoying hurdles
to overcome.
⢠We must serve the
healthcare consumer
⢠The laws have a purpose
⢠Stigma
⢠Fear of disclosure and
dissemination
⢠Thereâs no time.
5. Behavioral Health VQO Solution
⢠Engagement from Two Levels
⢠Grassroots
⢠Top-Down
⢠Establishment of the Virtual Qualified Organization
(VQO) for Behavioral Health Exchange
⢠Consent Management Platform serves as a buffer
between Physical Health and Behavioral Health
communities
⢠Balance of technology, legal, business process, and
customer service
8. Technologies in Use
⢠Industry Standards (where possible)
⢠Service-Oriented-Architecture / SOAP Web Services
⢠HL7 Transactions
⢠NwIN Standards / IHE Profiles using CONNECT 4.1
⢠Available Data:
ďź Laboratory Test Results
ďź Medication List
ďź Diagnosis List / Problem List
ďź Allergies and Adverse Reactions
ďź Vital Signs
ďź Treatment Plan (IPOS)
ďź Clinical Documents (PDF and/or
structured)
ďź CCR / CCD / CDA
ďź Appointments / Schedule
ďź Care Team / Secure
Messaging
ďź Staff Service Activity Log
ďź Demographics (MDCH QI)
ďź Insurance Information
ďź Admissions
ďź Consents
9. Current Projects
⢠MiHIN CCD Gateway Pilot
⢠MiHIN (Nitor), NorthCare Network (PCE), and
UPHIE (ICA)
⢠Policy Recommendation Workgroup
⢠Metro-Region Integrated Care Collaboration
⢠Macomb, Oakland, and Wayne County CMH Boards
+ Medicaid Health Plans
⢠Washtenaw Community Health Organization Integrated
Care projects
⢠Other BH-to-BH Projects