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Behavioral Health Information Exchange. Review and engagement process for requirements gathering process. Review/Information Gathering Objectives. Review the current data elements to support for Behavioral Health information exchange
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Behavioral Health Information Exchange Review and engagement process for requirements gathering process
Review/Information Gathering Objectives • Review the current data elements to support for Behavioral Health information exchange • Review for completeness: are the data elements sufficient to support the needs of the stakeholders • Information exchange requirements included so far • Referral/transfer-of-care (with primary care) • Reporting to state/federal agencies • New information exchange opportunities may need to validated • Electronic information exchange with state systems • Education • Criminal Justice • Homeless • Employment • Training • Allowed values/codes to for coded data elements
Data Elements: Requirements • New data elements required to support existing and new interoperability requirements • E.g. last date used • Changes to data elements to represent the information correctly • Clarify definitions • Clarify purpose of data • Specify if a data element is numeric, a range of values, a textual string, a date, a time, a true/false finding, optional/required, repetitions of data elements • Change to value sets for encoded data elements • Specify a list of allowable values for encoded data elements(e.g. administrative gender, biological gender, etc.) • Provide complete values/list items, if consensus exists • Provide representative values/list items (e.g. representative assessment types, assessment sections)
Work Sessions Walkthrough (Review Changes) Walkthrough(initial) 3 1 2 Revised New requirements RIM and Vocabulary Harmonization Cycles Review and Engagement Process Completed data requirements document
Proposed Review Process • Initial walkthrough to review/presentation the current data set • Including proposed value sets • Date: Thu. Feb. 7th, 2013 @ 11 am (90 minutes) • Three interactive work sessions proposed (90 minutes each): • Tues. Feb. 12th@ 4 pm EST • Thu. Feb. 14th @ 10 am EST • Mon. Feb. 18th @ 3 pm EST • We recommend that you plan to attend: • Initial Walkthrough • One work session • Final Review Walkthrough • The feedback received in each seminar will be incorporated in the materials for the next reviews • Data elements, value sets • Final Review Walkthrough of the proposed changes • Wed. Feb. 20th @ 1 pm EST
Orientation How to review the data set spreadsheet ioana@eversolve.com
Behavioral Health data elements • Organized along domains • Patient Demographics • Episode Of Care • Assessment • Problems/diagnoses • Procedures • Medications • Immunizations – not elaborated in this spreadsheets, using standard immunization records • Substances of abuse
Episode of care Problems Medication Immunization Procedures Social History Patient Demographics Substances of Abuse Assessments
The first tab “Orientation” provides quick guidance to the reviewers regarding the contents and organization of the spreadsheet and the purpose of this review and requirements gathering
Each “domain” contains data elements described below: Each element has a name and definition and a format/type Second tab contains the complete list of data elements organized by domain “Coded type” indicates that there is a list of items (value set) associated with this data element
Gender identity data element “Coded type” indicates that there is a list of items (value set) associated with this data element –link to the value set worksheet “
List of allowable items for “GenderSelfIdentity” – this is an example value set, you can suggest additional changes Changes to existing items will be suggested here New items will be added at the end of the list
Structured Data • If a data element contains sub-elements they are detailed in the “Field Format/Type” column Provider details… verify if any are missing, suggest changes
Repetitions, optional/required • Some data elements are optional or required to meet the business requirements • Other data elements may repeat Indicator regarding optional/required and repeating fields
How to review this document • For completeness (30 min or less)– to ensure that all the data elements relevant are included • Review “Behavioral Health Elements” • Second worksheet • Value sets contents – if in addition to completeness you would like to review how encoded data elements are represented • Follow the links in the “Value set” column and open the worksheets associated with the list of allowable items for that data element Data elements by domain Value set contents
Next … let’s review • 30 minute review of the spreadsheet • To communicate your requirements • Off line at your convenience • Review • Add your comments • Email to ioana@eversolve.com (cc: serafina@eversolve.com) • During on-line work sessions • Join the web meetings • Add your comments • Discuss