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Incredible Behavioral Health Integrator Badge

HITEQ Health Center Cybersecurity Defender Against the Dark WebHealth centers are increasing the integration of behavioral health in primary care, spurred by an increased focus on whole person care and additional funding. Effective use of health IT in conjunction with patient privacy and confidentiality is imperative to support behavioral health.

According to the Office of the National Coordinator, "Health information technology can help to improve behavioral health care and can further enable care coordination and integration, increase information sharing, and support prevention, treatment, and recovery activities. Access to and the exchange and use of behavioral health information as part of routine care can help to improve continuity in care services and support efforts toward achieving an interoperable health care system across the continuum."

Take some time to read through some of the articles on this page and then fill out the submission form on the right and you will be rewarded with a Health Center Incredible Behavioral Health Integrator badge! This is an official badge that is submitted by the HITEQ Center as a proof of completion to the blockchain. Your credentials can be added to profiles such as LinkedIn and verified through accreditation services such as Accredible and Open Badge.

Using the EHR to Facilitate Integrated Behavioral Health
HITEQ Highlights: HIV Prevention and Treatment for patients with SUD in an Integrated Behavioral Health Setting

HITEQ Highlights: HIV Prevention and Treatment for patients with SUD in an Integrated Behavioral Health Setting

Join the HITEQ Center, in collaboration with the National Council for Behavioral Health, for a webinar on understanding from a beginner perspective, how to integrate HIV prevention, screening into integrated behavioral health services, including how to identify patients at risk for HIV with a focus on SUD, facilitate screening, and prompting for rescreening at appropriate intervals.

HITEQ Highlights: Documentation Tips when using the Collaborative Care Model for the Treatment of Depression and Anxiety in Primary Care

HITEQ Highlights: Documentation Tips when using the Collaborative Care Model for the Treatment of Depression and Anxiety in Primary Care

Join the HITEQ Center, in collaboration with the National Council for Behavioral Health, for a webinar on Documentation Tips when using the Collaborative Care Model for the Treatment of Depression and Anxiety in Primary Care. The webinar provided a brief overview and benefits of the collaborative care model as well as information specific to each of the main staff roles. The role-specific nuances of documentation were highlighted, including considerations for tracking data such as clinical activities accomplished with each patient during the month.

HITEQ Highlights: Enhancing the EHR for Suicide Prevention

HITEQ Highlights: Enhancing the EHR for Suicide Prevention

This webinar is the second in a series highlighting the intersection between health information technology and behavioral health services. The webinar explored key components to be built into an electronic health record in order to better address suicide prevention in health care. Decision support considerations, documentation and communication enhancements, as well as population health management strategies were discussed.

HITEQ Highlights: Launch of Webinar Series on the Role of Health IT with Integrated Behavioral Health Care

HITEQ Highlights: Launch of Webinar Series on the Role of Health IT with Integrated Behavioral Health Care

This webinar series will highlight the intersection between health information technology and behavioral health services and considerations. In the first webinar, a joint collaboration between the HITEQ Center and the National Council for Behavioral Health, we introduced the series and the planned topic areas to be covered as well as explore other suggested topics from the participants. 

Integrating Data between Primary Care and Behavioral Health Services

Integrating Data between Primary Care and Behavioral Health Services

Many health centers provide behavioral health services; others work closely with community partners who provide behavioral health services to their patients. One of the biggest challenges for health centers is determining how to integrate data between the two services. The HITEQ Center recently published the resource Utilizing and Integrating Behavioral Health Data into a Health Center’s Primary Care Services. This webinar introduced the Center for Integrated Health Solutions' Standard Framework for Levels of Integrated Healthcare and provided some guidance of how to integrate care regardless of which model of care is being provided. Dr. Rina Ramirez, Chief Medical Officer of Zufall Health, shared her experiences of integrating behavioral health data. Zufall Health which has a traditional Behavioral Health Department, recently started an Integrated Behavioral Health program within primary care, and partners with an external behavioral health organization who focuses on people with Serious Mental Illness.

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Patient Privacy and Confidentiality: 42 CFR Part 2 and Consent Management
Behavioral Health Consent Management

Behavioral Health Consent Management

The timely exchange of health information between behavioral health providers and physical health providers to support care coordination is a critical element of the National Quality Strategy and health reform efforts. However, privacy and confidentiality concerns are currently limiting the inclusion of behavioral health data in electronic health information exchange efforts.

Compliance with 42 CFR Part 2: A Case Study with Community Medical Centers, Inc.

Compliance with 42 CFR Part 2: A Case Study with Community Medical Centers, Inc.

Health centers are actively expanding the substance use treatment services they offer in the community to address access to care for opioid use disorders, and more broadly to address better screening, referral and timely access to all substance use disorder (SUD) treatment. The downloadable case study below is an example of how a health center is assessing operations to comply with 42 CFR Part 2, with a particular focus on changes to their health information technology (IT) systems.

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More Behavioral Health Integration Resources for Health Centers
Behavioral Health Integration Compendium
HITEQ Center

Behavioral Health Integration Compendium

Curated Guidance and Resources from Experienced Organizations, developed with Chiron Strategy Group

Many health centers collaborate with external behavioral health providers or provide co-located or integrated behavioral health services within their health center. Some of the most significant challenges are determining which data to share, how to store it within the Electronic Health Record, and how to use it within primary care. This compendium of literature and resources offers some guidance related to behavioral health data integration, complete with key health center considerations for each.

Click on each heading below to access the original pieces being profiled.

Integrating Behavioral and Primary Care — Technology and Collaboration

  • This article focuses on the challenges of integrating data between primary care and behavioral health. It discusses a number of concerns, and approaches that have been taken, including the benefits of developing structured data within the EHR.
  • Health Center Takeaway: Patient consent for sharing sensitive health information can be integrated into the EHR, which will allow for greater information sharing while complying with Federal privacy expectations.

Can technology shape the future of behavioral health?

  • This article includes a number of different ways that technology plays a part in integrated behavioral health, highlighting:
    • Adoption of telehealth as a means to augment care;
    • Inclusion of behavioral health data in Health Information Exchanges, citing the experience of Arizona; and
    • An example of an application being developed with NIH support that hopes to provide collaborative care tools to patients.
  • Health Center Takeaway: Health centers are encouraged to investigate whether insurers will reimburse for telehealth and what is required to do so, to see if developing a telehealth program might augment the availability of behavioral health services for your patients. HITEQ has a number of resources related to telehealth.

Integrated Behavioral Health Partners Three Case Studies on Behavioral Health Data Sharing

  • Three California case studies where organizations shared behavioral health data.  The website includes details regarding mental health data, substance use data, consent, methods of sharing, and challenges.
  • Health Center Takeaway: Use these examples of different approaches to consent and level of information sharing to foster conversation among your leadership on how to create greater data integration.

Center for Health Care Strategies Integrating Physical and Behavioral Health Care in Medicaid Toolkit (Section IV: Information Exchange)

  • CHCS has developed a rich resource for behavioral health integration.  This section focuses on information exchange, and has a number of helpful resources identified.
  • Health Center Takeaway: The last two resources are integrated care plan templates; if you have an external behavioral health partner, consider how you might share data between the two organizations in a standardized format.

Patient-Centered Primary Care Institute Behavioral Health Integration: Obstacles & Successes

  • Lessons learned from this interview:
    • Change the mindset from the bringing together of two services to truly integrating whole health
    • Shift from historic care delivery methods to a focus on achieving better health outcomes
    • Building trust with primary care providers is essential
  • Health Center Takeaway: Determining what patients need will help guide the type of integration services your health center develops, which can include different approaches for different sites.

SAMHSA’s Quick Start Guide to Behavioral Health Integration for Safety-Net Primary Care Providers

  • This guide helps any health center think about where it is in the process of integrating behavioral health, with a number of embedded links for additional information. Key areas of Administration, Workforce, and Clinical Practice.
  • Health Center Takeaway: Use this guide to identify barriers to a fully-developed program, and find resources to help overcome them.

Zufall Health Center Integrated Behavioral Health and Primary Care Change Package

  • Zufall Health Center partnered with a local behavioral health system to create an Integrated Behavioral Health system, using grant funding to help support the pilot. This collection of lessons learned focuses on:
    • Leadership Commitment
    • Clinical Information Systems and Measurable Improvement
    • Integrated Care Delivery
    • Clinical Decision Support
    • Patient/Family Engagement
  • Health Center Takeaway: Leadership must assess organizational capacity to collaborate, and then collect baseline data on health outcomes, including preventative screenings, ED visits, hospitalizations as some of the early steps. Implementing measurement and management of key clinical outcomes are critical next steps.

NCQA Mainstreaming Behavioral Health Care

  • NCQA has developed a Distinction in Behavioral Health Integration, which allows recognition of Patient Centered Medical Homes who have integrated care teams in place using evidence-based protocols and ongoing quality measurement and improvement.
  • Health Center Takeaway: Many health centers have achieved recognition as a Patient Centered Medical Home (PCMH) or are along the way.  Aligning behavioral health integration work to earn this Distinction can help provide a roadmap for implementation of integration activities, and externally create validation for potential funders.

How Intermountain Healthcare's Mental Health Integration is Improving Care

  • Intermountain Healthcare is a large health system, with 22 hospitals and 180 clinics. It has been developing Mental Health Integration services for a number of years, with three key components:
    • Their mental health assessment tool activates a team consultation workflow to determine which patients are referred.
    • They designed an operational system in which mental health specialists and nurse care managers are included in the primary care staff, through full-time co-location or frequent rotation.They evaluate the program regularly to monitor patient outcomes, team effectiveness and the culture of healthcare delivery from the perspective of the patient and the care provider.
  • Health Center Takeaway: Integrating behavioral health takes time. Intermountain Healthcare has created an efficient process to develop programs and they plan for two years to implement and become revenue-neutral. Health centers would benefit from a long-term approach with a commitment of upfront internal or external funding.

 

Deeper Reading

If you are looking for more in-depth reading on the topic, visit the following links for longer articles.

Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integrating Behavioral Health and Primary Care

  • This Journal of the American Board of Family Medicine article describes the electronic health record (EHR)-related experiences of practices striving to integrate behavioral health and primary care using tailored, evidenced-based strategies from 2012 to 2014; and the challenges, workarounds and initial health information technology (HIT) solutions that emerged during implementation.

Behavioral Health Information Network of Arizona: 2014 HIMSS HIE Community Roundtable

  • This HIMSS presentation describes the design and implementation of a Health Information Exchange in Arizona that integrates behavioral health data and is 42 CFR Part 2 compliant.  Useful for any health center leadership involved in such a project with their affiliated Health Information Exchange.
Next Article Focus: PHI
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Intended AudienceIntegrated care teams, Health center leadership, Behavioral Health Providers, Primary Care Providers
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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable suggestions and contributions from HITEQ Project collaborators.

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The Quadruple Aim
Quadruple Aim

A Conceptual Framework

Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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