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Overview of SAMHSA's Behavioral Health Strategies and Health IT Initiatives

This document outlines the key initiatives and collaborations led by SAMHSA to enhance behavioral health data exchange across states. It includes insights from expert panels and workshops aimed at creating consistent policies and procedures for behavioral health data. The involvement of Regional Extension Centers (RECs) in enrolling various behavioral health providers is highlighted, along with efforts to integrate behavioral health into primary care. The document also discusses health policy recommendations and the fight against prescription drug abuse.

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Overview of SAMHSA's Behavioral Health Strategies and Health IT Initiatives

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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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