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HIE-SDE Sub Award Kentucky Progress

HIE-SDE Sub Award Kentucky Progress. Karen Chrisman Governor’s Office of E lectronic Health Information. Kentucky HIE Background. Query based model CCD exchange 127 “Live” facilities Participation Agreements from 96 of approximately 130 hospitals in the Commonwealth

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HIE-SDE Sub Award Kentucky Progress

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  1. HIE-SDE Sub AwardKentucky Progress Karen Chrisman Governor’s Office of Electronic Health Information

  2. Kentucky HIE Background • Query based model • CCD exchange • 127 “Live” facilities • Participation Agreements from • 96 of approximately 130 hospitals • in the Commonwealth • 26 of 31 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 CBHCs but does not have direct control of the centers

  3. Kentucky Plan • Kentucky HIE-SDE Sub Awardee Plan • December 2011 • Query based model • Consent workgroup • Interface from behavioral health providers to KHIE • Lab results reporting to behavioral health providers using KHIE as the delivery system • Training for behavioral health staff in the consent process and with the KHIE portal • Continuing education support about this program for both primary care and behavioral health providers

  4. Sub Award Press Release

  5. Parallel Tracks • Development of • Consent Form • Development • of Technology

  6. Consent Form • Created ‘Consent Form Workgroup’ • Input from the Kentucky Cabinet for Health and Family Services • Protection and Advocacy • Multi-State Consortium • Adopted the CIHS HIE workgroup form with modifications for the KHIE environment

  7. Consent Form • 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

  8. CCD Components • GOEHI Executive Director • KHIE Project Manager • Behavioral Health Project Lead • and other members as required • Objectives Developed: • Business requirements • Consent requirements • Considered additions to CCD CCD Technology Workgroup

  9. CCD Components • Patient: Given Name Family Name , Jr. or Sr., etc...Street Address City, State, Zip Codetel:+19995551212 MRN: 123456789 Birthdate: January 1, 1954 Sex: Male Guardian: • Next of Kin: Given Name + Family Name Street Address City, State, Zip Codetel:(999)555-1212 • Table of Contents • Purpose : Automated Medical History Summary • Payers • Problems • Family history • Social History • Allergies, Adverse Reactions, Alerts • Medications • Immunizations • Vital Signs • Results • Procedures • Encounters

  10. Behavioral Health Providers

  11. Onboarding Behavioral Health Vendor Behavioral Health Vendor never connected to HIE previously Next steps:

  12. Security NetSmart provides a security certificate that is unique to Pennyroyal

  13. Security

  14. Security

  15. What about Consent??

  16. Training

  17. SAMHSA-HRSA Center for Integrated Solutions • PowerPoint Presentation • Michael R. Lardiere, Vice President Health Information • Technology and Strategic Development • The National Council for Community and Behavioral Healthcare • Introduction • Patient Consent and Authorization Form for Disclosure • Of Certain Health Information to the • Kentucky Health Information Exchange • Consent Explanation Health Information Exchange Services • Behavioral Health • Assessment • CCD Examples: • KHIE CCD Screen Shot • KHIE example CCD • Behavioral Health example CCD

  18. Healthcare IT News “5 Things to Know About CCD” • KHIE Virtual Health Record VHR Example • Health Information Exchange and 42 CFR Part 2 Compliant Consent • PowerPoint Presentation • Maureen Boyle, PhD SAMHSA • KHIE Update • KHIE Training PowerPoint

  19. KHIE “Patient Consent” Training for Behavioral Health Providers • Objective: To assist behavioral health providers in understanding the consent form created to authorize the disclosure and sharing of behavioral health records with primary care providers via the Kentucky Health Information Exchange. • Consent Required: • 42CFR Part 2 • Federal regulation that requires specific consent by a patient in a federally-assisted drug and alcohol treatment program before the patient’s records can be transferred to another entity. • KRS 210.235 • State regulation that requires specific consent by a patient before a Kentucky Cabinet for Health and Family Services record of a hospitalization can be transferred to another entity.

  20. KHIE “Patient Consent” The Plan • A. Incorporate KHIE “Consent Form” into provider’s existing workflow • Site visit to review provider work flow • Additions may be made to the Consent form but no language may be removed • Created “Consent Explanation” • Created to guide the initial training program; use as support for ongoing training and training for new employees • Created Training Guide • B. ‘Train the Trainer’ approach • Outreach Coordinators • Assist behavioral health providers with training staff on “consent form” • Educate staff on benefits of sharing data through KHIE and how it can be used to improve the overall healthcare of their patients • Focus additional outreach efforts to primary care providers of behavioral health centers

  21. Making Sense of Consent

  22. Making Sense of Consent

  23. 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 StatementUK 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. PurposeUK 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. • Behavioral Health Education Center Partnership

  24. UK HealthCare CECentral • KHIE will be hosting Behavioral Health Education Center modules on the University of Kentucky HealthCare • CECentral.com • website. • 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.

  25. UK HealthCare CECentral • KHIE & UK HealthCare CECentral collaborated in developing a needs assessment, learning objectives, goals, expected outcomes and an evaluation tool for the CE Activity. • Planned Modules for Behavioral Health CE Credit include: • An Overview • Integrated Care I • Integrated Care II • Consent Form Overview • Consent Form Case Studies

  26. UK HealthCare CECentral • Integrated Care I • Overview of IC • Reflection from a Primary Care perspective on IC • MCO Implications for BH • Activity Modules • Integrated Care II • Traditional IC • Pennyroyal’s Story • Non Traditional IC • Overview • What is KHIE? • Medicaid Patient PCP and BH Case Study • National Perspectives • Behavioral Health Overview • 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.

  27. Outreach • SAMHSA Stakeholders Kickoff Meeting March 12, 2012 • Pennyroyal/Netsmart Weekly Status Call Weekly • KHIE/REC by-weekly touch point Bi-Weekly (March – July 2012) • SAMHSA Grantee Status Call Monthly • KHIE Monthly Update Call Monthly (March – October 2012) • National Council for Comm Behav Healthcare Conf April 14-17, 2012 • Pathways - Official Intake Call May 1, 2012 • KY Health Info Management Association Meeting June 4, 2012 • Site Visit Pennyroyal Center June 13, 2012 • SAMHSA - UK CECentral Meeting July 16, 2012 • National Council Sub Award Consent meeting July 17, 2012 • KHA Advisory Committee Mtg July 26, 2012 • SAMHSA Consent Mtg-Washington DC August 7, 2012 • REC/QIO/KHIE Joint Training Session August 15, 2012 • GOEHI Privacy and Security Meeting August 20, 2012 • PAIMI Consumer Group August 28, 2012 • UK CeCentral/KHIE Behavioral Health Mtg September 13, 2012 • Bost Forum-HIE-SDE Presentation September 17, 2012 • SAMHSA Stakeholders Statewide Mtg/Training September 18, 2012 • Voices for Healthy Kentucky September 28, 2012 • Multi-State Coordination and Communication Webinar October 9, 2012 • Kentucky Primary Care Association Conference October 15, 2012 • PC-BH Collaboration Universal Consent October 16, 2012 • KHIE/Pathways Site Visit October 18, 2012

  28. Kentucky Health Information Exchange Outreach Coordinator Regions Campbell Boone Kenton Region 1 – Laura Shonk Region 2 – Teresa Poff Region 3 – Ann O’Hara Region 4 – Dawn Gasser Region 5 – Pat Robinson Gallatin Bracken Pendleton Carroll Grant Mason Trimble Owen Greenup Robertson Lewis Henry Harrison Oldham Fleming Nicholas Carter Franklin Boyd Scott Shelby Rowan Bourbon Jefferson Bath Elliott Woodford Lawrence Spencer Fayette Bullitt Montgomery Anderson Menifee Clark Hancock Jessamine Meade Morgan Powell Johnson Mercer Henderson Martin Nelson Breckinridge Washington Wolfe Estill Union Daviess Madison Magoffin Hardin Garrard Boyle Lee Larue Marion Floyd Breathitt Webster McLean Pike Lincoln Ohio Jackson Owsley Grayson Rockcastle Crittenden Taylor Knott Hart Casey Livingston Perry Hopkins Edmonson Green Butler Muhlenberg Clay Caldwell Pulaski Leslie Laurel Letcher Adair Ballard McCracken Metcalfe Russell Lyon Warren Barren Carlisle Marshall Christian Knox Logan Todd Cumberland Harlan Trigg Wayne Whitley Graves Simpson Allen Hickman Clinton McCreary Monroe Bell Calloway Fulton

  29. Kentucky Regional Extension Center Service Area Map

  30. Regional Extension Center County Listing

  31. Consumer Input

  32. Consumer Input

  33. Primary Behavioral Health Care Integration

  34. Primary Behavioral Health Care Integration

  35. Primary Behavioral Health Care Integration

  36. Primary Behavioral Health Care Integration

  37. Behavioral Health in Kentucky

  38. Identified – Future Needs Kentucky State-Owned Behavioral Health Facilities

  39. Summary • Infrastructure • 1. Policy Development • KHIE Policy for primary care provider receiving a 42 CFR Part 2 record • Behavioral Health Provider Policy requiring the use of Consent Form • 2. Workforce Development • Training KHIE Intake Coordinator and 5 Outreach Coordinators trained • Behavioral Health identified consent resources within CBHC trained • Development of web training materials • 3. Financing • KHIE designated resource to track financing for project and to assist with Medicaid/Meaningful Use questions • 4. Organizational change • KHIE Intake Coordinator developed new training manual and training protocol • Outreach Coordinators, Staff Attorney, Technical Analyst trained in new manual and protocol • CBHC changed consent form to be consistent across state • 5. Partnerships/Collaborations • Foundation for a Healthy Kentucky • PAIMI Protection and Advocacy • Kentucky Voices for Health • Kentucky REC, GOEHI, and Department for BHDID • 6. Accountability • User name, facility ID, attestation • Security certificate, pre-fetch the patient record

  40. For additional information contact: • Karen.Chrisman@ky.gov or • Polly.Mullins-Bentley@ky.gov

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