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ONC Behavioral Health Overview

ONC Behavioral Health Overview. SAMHSA – Sponsored 2011 Health Information Technology Regional Forum June 16-17, 2011. State Alliance for e-Health. Expert panel: December 2010 Workshop: April 2011 Massachusetts, New Hampshire, New Jersey, North Carolina, Vermont, Virgin islands ,Virginia

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ONC Behavioral Health Overview

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  1. ONC Behavioral Health Overview SAMHSA – Sponsored 2011 Health Information Technology Regional Forum June 16-17, 2011

  2. State Alliance for e-Health • Expert panel: December 2010 • Workshop: April 2011 • Massachusetts, New Hampshire, New Jersey, North Carolina, Vermont, Virgin islands ,Virginia • Regional Meetings: July and August 2011

  3. State Health Policy Consortium • Behavioral Health Consortium • AL, FL, KY, MI and NM • Goal: Develop behavioral health data exchange policies and procedures, consistent with state and federal law

  4. Regional Extension Centers (RECs) • 45 RECs have signed behavioral health providers • 560 behavioral health providers • 382 Psychiatrics • 101 Psychologists • 72 Social Workers • 5 Counselors

  5. Top 4 RECs Enrolling BH Providers

  6. NYC REACH – 76 LA Health Care Quality Forum – 30 CA Health Info Partnership Services Org, North – 30 DC REC – 22 CA Health Info Partnership Services Org, South – 22 HITEC-LA – 21 WI HIT EC – 13 O-HITEC (OR) – 13 S FL REC – 13 Ponce Med School Found. (PR) – 12 Quality Insights of DE – 12 CHITREC – 11 Health Tech Services REC (MT & WY) - 11 Top 13 RECs Enrolling Psychiatrists

  7. Quality Insights DE – 32 Health Tech Services REC (MT & WY) – 9 KA Foundation for Medical Care – 7 CA Health Info Partnership Service Org, South – 7 CHITREC – 6 REACH (MN & ND) – 6 S FL REC – 4 NYC REACH – 5 Wide River TEC (NE) – 4 LA Health Care Quality Forum – 3 Ponce Medical School Foundation, Inc (PR) – 3 CA Health Info Partnership Service Org, North – 2 HITEC – LA – 2 IFMC (IA) – 2 KY REC – 2 TN REC – 2 5 additional – 1 RECs Enrolling Psychologists

  8. NYC REACH – 21 LA Health Care Quality Forum – 14 CHITREC – 13 KA Foundation for Medical Care – 11 HIT-LA – 5 AFMC/HIT AR – 2 Quality Insights DE – 1 WI HIT Ext Center – 1 Greater Cincinnati Health Bridge – 1 KY REC – 1 TN REC – 1 Paper Free FL Collab. HIT REC – 1 RECs Enrolling Social Workers

  9. RECs Enrolling Counselors • Center East (TX) – 2 • Chesapeake Regional Information System for our Patients (CRISP) – 1 • Health Technology Services REC (MT & WY) – 1 • Wide River TEC (NE) – 1

  10. HHS Committees (*ONC Participation) Behavioral Health Coordinating Committee* • Alcohol Policy/Underage Drinking Work Group • Communications Work Group • Early Intervention Work Group • Primary Care/Behavioral Health Integration* Work Group • HIT Subcommittee* • Prescription Drug Abuse* Work Group • Prescription Drug Abuse & HIT Work Group* • Education & Public Awareness Work Group*

  11. HHS Behavioral Health Coordinating Committee • Consensus on recommendations for 10 behavioral health meaningful use/clinical quality measures • HHS Behavioral Health Coordinating Committee • Co-Chairs: • Pam Hyde, SAMHSA Administrator • Dr. Howard Koh, Assistant Secretary for Health • Office of National Drug Control Policy (ONDCP) Electronic Health Records Interagency Working Group/David K. Mineta, Deputy Director, ONDCP

  12. Clinical Quality Measures Workgroup 8 Measures that will need to be e-specified Centers for Medicare and Medicaid list of measures to go into MU stage 2 or 3 2 E-specified measures Nested Measures: Depression remission at 6 and 12 months ADHS: Follow-up care fore children prescribed attention deficit/hyperactivity disorder (ADHD) medication BH Meaningful Use Recommendations

  13. CQM Development Process June 3, 2011 – Quality Measures Workgroup Meeting (work group of the Policy FACA) accepted all clinical quality measures June 8, 2011 – HIT Policy Committee accepted all the clinical quality measures recommended by the Quality Measures Workgroup Has not seen the transmittal letter with details June – HITPC sends stage 2 MU recommendations (transmittal letter) to HHS (includes CQMs) for approval

  14. MU Stage 2 Development June – HITPC Stage 2 recommendations to HHS End of 2011 – CMS MU Stage 2 NPRM released Mid 2012 – Stage 2 MU Final Rule October 1, 2012 – Stage 2 MU begins for eligible hospitals January 1, 2013 – Stage 2 MU begins for eligible providers

  15. MU, Certification and Standards Meaningful Use Objective & Measures Certification Criteria Criterion 1 – Standard(s) Criterion 2 – Standard(s) Criterion 3 – Standard(s)

  16. Prescription Drug Abuse • On April 19, 2011, the Administration released a comprehensive action plan to address the Prescription Drug Abuse Crisis • Expands upon the Administration’s National Drug Control Strategy • 4 major action areas: • Education • Monitoring • Proper medication disposal • Enforcement

  17. Illustrations of the Problem • Drug-induced deaths now outnumber gunshot deaths in America • In 17 states and DC drug-induced deaths outnumber motor vehicle crashes as leading cause of death • FL practitioners purchased over 40M oxydone pills a compared to a total of 4.5M oxydone pills in the rest of the US • Highest abuse: taken from, given to or sold to by friends and relatives

  18. HHS Rx Drug Abuse & HIT Work Group Goal: Reduce opioid-related drug deaths by increasing timely access to Prescription Drug Monitoring Programs (PDMPs), including exploring HIT and State HIEs Membership • Chairs: • WestleyClark, SAMHSA • FarzadMostashari,ONC • Membership • SAMHSA, ONC, NIDA, FDA, CDC, OASH, ASPE, NIH, IHS, CMS, DOJ/Bureau of Justice Assistance (BJA)

  19. Rx Drug Abuse & HIT Work Group • Improve the effectiveness of PDMPs though HIT • No new data sources • Leverage existing technology • Expand upon DOJ’s pilot efforts to build PDMP’s interoperability and data sharing across state lines, including leveraging State HIEs

  20. White House Summit on HIT & Rx Drug Abuse: June 3, 2011 Composition • Vendors • State HIEs • State Medicaid • State PDMPs/PMP • Chain Pharmacies • Other Stakeholders • Associations • Licensing board • Federal Partners Leadership • Director Kerlikowske, ONDCP • Terrel McSeeney, OVP • Aneesh Chopra, Chief Techology Officer, OSTP • PolicyFarzad Mostashari, ONC

  21. White House Summit on HIT & Rx Drug Abuse: June 3, 2011 • Developed task list of policy and technical issues • Established work groups

  22. Next Steps • Rx Drug Abuse & HIT Work Group is establishing a timeline to work through issues • PILOTS – interested?

  23. Questions? • ONC: • healthit.hhs.gov • Contact Information • Betsy.Ranslow@hhs.gov • (202) 205-4387

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