Behavioral Health Information Network of Arizona
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1 Behavioral Health Information Network of Arizona NextGen Ohio Behavioral Health User Group Meeting
2 Highlights Ways in which exchanging BH data differs from physical health data exchange Alerts 42 CFR Part Requirements Handling Consent in NextGen Proposed Rule Changes Provider buy-in and education Review of the HIE Technology
3 Who is Behavioral Health Information Network of Arizona (BHINAZ)? Community Stakeholder Owned Officially formed as a Limited Liability Company (LLC) in Arizona June 2013 Arizona statewide initiative
4 Behavioral Health Information Partners (BHiP) Behavioral Health Information Partners (BHiP) is our consulting division. BHiP offers specialty services around Behavioral Health Information Exchange. Behavioral Health Gap & HIE Workflow Analysis Consent Services & Solutions Behavioral Health Crisis-System Services HIE Education & Training Staff and Consumer Groups
5 Differences between Physical and Behavioral HIEs Privacy Rules: HIPAA vs. 42 CFR Part 2 Consent models: Granularity Data Sets: Different provider needs Workflows: Use of HIE
6 BH Data Set Structured Data Elements Demographics, Labs, Medications, Allergies, & Diagnosis Clinical Documents BH/SA Screening Tools, Psychiatric Evaluations, Assessments, Crisis & Safety Plans, Discharge/Transitions Plans, Progress Notes, etc.
7 BH Data Set NPI Numbers are typically group or organization level NPIs Much larger numbers of encounters for BH Patients
8 Crisis Use Case BHINAZ has connected multiple NextGen clinics that provide SMI Case-Management services for bi-directional exchange Data from the SMI Clinics is available via a portal viewer for crisis providers Allows for consolidated look-up Specific information needed for crisis treatment Real-time Crisis Alerts route to the NextGen system for BHINAZ connected providers anytime their client has interacted with a crisis provider
9 Real-time Alerts We route real-time ADT information received from hospitals and other sources to our NextGen provider systems. We can also configure custom alerts for out-of-range lab values, medication concerns or for other meaningful data.
10 Real-time Alerts
11 Data Where Needed* Our system has the flexibility to have data download directly to the NextGen EHR Providers can choose from medication history, labs or any available documents Data is also always viewable via our data viewer *Viewable data is always based on applicable patient consent
12 Key HIE Factors Understanding of Legal Landscape Federal requirements around 42 CFR Part 2 State requirements Requirements for minors
13 Opt In vs. Opt Out Opt Out Patient must OPT OUT Otherwise, they are Opted IN by default Opt In Patient must OPT IN Otherwise, they are Opted OUT by default
14 Behavioral Health Privacy Complicated Federal Laws around Privacy - 42 CFR Part 2 Requires explicit opt-in consent from patient to share data Specific requirements for consent form Must have an expiration date Break-the-Glass or Emergency disclosure requires notification to providers who must document the disclosure in their EHR
15 BHINAZ Consent Facts Consent is captured electronically through the NextGen EHR Opt-in consent is valid for 365 days, then a new consent is collected Patients can revoke at any time The consent is all or nothing per agency/entity. Break-the-Glass is allowed regardless of consent status for valid emergency situations.
16 Consent Model Agency A Opt-In Participant visits Agency A They sign a consent to allow their Agency A data to be shared/viewed by ALL BHINAZ organizations Agency A Data now flows to all other BHINAZ organizations. Participant visits Detox Center SMI Clinic They choose NOT to share their detox data The detox center can see Agency A s data No detox data can be viewed by any Crisis Center other agency on the network EXCEPT the Crisis Center if there is an emergency Detox Center
17 Proposed Rule Changes
18 Education is Key Patients should be a stakeholder to the process For Behavioral Health, we recommend consent be presented by clinicians The value of the HIE should be explained to the patient so they can make an educated decision about opting-in.
19 The Technology Powered by Mirth
20 Mirth Results
21 Mirth Results
22 Mirth Results
23 Questions?
24 Contact Laura Young Executive Director
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