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This video module discusses core objectives and measures for behavioral health providers to achieve meaningful use. It covers key terms, patient exclusions, and specific objectives such as recording vital signs, smoking status, and clinical quality measures.
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Series 1: “Meaningful Use” for Behavioral Health Providers From the CIHS Video Series “Ten Minutes at a Time” Module 3: Core Objectives/Measures for Behavioral Health Providers Part 2 - Objectives 8 through 15 9/2013
Module 3, Part 2 Overview • Review of key terms and concepts from Part 1 • Core Objectives and Measures 8 through 15 from the perspective of the Behavioral Health provider
Key Terms/Concepts • Unique patient • Patient seen one or more times, only counted once during the EHR reporting period • Used for arriving at the denominator in many of the measures • Attestation • Some measures require that the EP confirm that certain EHR functionality has been enabled and is in use • Exclusion Rule • Not all measures can be met by every EP, due to different types of practices and patients. These types of measures have an “exclusion” rule that excludes the EP from having to meet that particular Objective. Each application of the exclusion rule reduces the total number of Core Objectives that must be met.
More about this Objective, in General http://www.healthit.gov/providers-professionals/achieve-meaningful-use/core-measures/record-vital-signs • More about collecting vital signs in the Behavioral Health setting http://www.muforbh.com/vital-signs-are-vital
More about this Objective http://www.healthit.gov/providers-professionals/achieve-meaningful-use/core-measures/record-smoking-status • More about tobacco cessation and intervention in behavioral health http://www.integration.samhsa.gov/resource/tobacco-cessation-for-persons-with-mental-illnesses-a-toolkit-for-mental-health-providers
More about this Objective http://www.healthit.gov/providers-professionals/achieve-meaningful-use/core-measures/clinical-quality-measures
More about this Objective http://www.healthit.gov/providers-professionals/achieve-meaningful-use/core-measures/clinical-decision-support-rule
More about this Objective http://www.healthit.gov/providers-professionals/achieve-meaningful-use/core-measures/electronic-copy-of-health-information • More the Electronic Specifications for Certification http://www.gpo.gov/fdsys/pkg/FR-2010-07-28/pdf/2010-17210.pdf
More about this Objective http://www.healthit.gov/providers-professionals/achieve-meaningful-use/core-measures/clinical-summaries • More about Behavioral Health and Sharing Patient Information http://www.healthit.gov/sites/default/files/bh-roundtable-findings-report_0.pdf
More about this Objective http://www.healthit.gov/providers-professionals/achieve-meaningful-use/core-measures/electronic-exchange-of-clinical-information • More about the EHR Certification Criteria http://www.gpo.gov/fdsys/pkg/FR-2010-07-28/pdf/2010-17210.pdf
More about this Objective • http://www.healthit.gov/providers-professionals/achieve-meaningful-use/core-measures/protect-electronic-health-information • More about HIPAA Privacy and Security • http://www.hhs.gov/ocr/privacy/hipaa/understanding/special/healthit/
Summary • Each Objective has its own Measure • Determine Objective was attained • Calculate the number of unique patients seen by the EP during the reporting period (denominator), and; • Calculate the number of unique patients who received the service (numerator) • Expressed as a percent • Compared to the Measure requirement • Some Objectives have an “exclusion rule” and some only require that the EP attest that the functionality is in use
We Have Solutions for Integrating Primary and Behavioral Healthcare Contact CIHS for all types of primary and behavioral health care integration technical assistance and training needs 1701 K Street NW, Ste 400 Washington DC 20006 Web: www.integration.samhsa.gov Email: integration@thenationalcouncil.org Phone: 202-684-7457 Prepared and presented by Colleen O’Donnell, MSW, PMP, CHTS-IM for the Center for Integrated Health Solutions