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Netsmart’s Vision of Electronic Health Records and Connected Care. Ron Marge Vice-President, Clients & Solutions Stephen Richman Behavioral Health Consultant February 29, 2008. Netsmart’s Vision of Electronic Health Records. CCHIT Certified.
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Netsmart’s Vision of Electronic Health Records and Connected Care Ron Marge Vice-President, Clients & Solutions Stephen Richman Behavioral Health Consultant February 29, 2008
CCHIT Certified The Avatar product suite has been certified by the Certification Commission for Healthcare Information Technology (CCHITSM) Netsmart is the first behavioral healthcare, public health and substance abuse software and services provider to attain CCHIT certification CCHIT certification demonstrates that the electronic health record (EHR) component of Avatar has been tested and passed inspection of 100 percent of a set of criteria for: Functionality (ability to create/manage electronic records for all patients, as well as automating workflows), Interoperability (a first step in the ability to receive and send electronic data to other entities such as laboratories), and Security (ability to keep patients’ information safe). 3
Electronic Health RecordBenefit to Counties • Anytime, anywhere access to the entire clinical record with the correct security controls • Behavioral Health • Social Services • Substance Abuse • Public Health • Corrections • Provides the ability to collect and measure outcomes data – soon to be required for billing • Clinical Decision Support and best practices
Control of Electronic Health Records • Privacy Rules cannot be met through Traditional Paper Systems • Electronic Health Records can control access to client data • Access can be managed by: • Defining Caseloads • Notifying users of access • Tracking why access is occurring • Keeping audit trails of all transactions by user name, date and time
Advanced Security Features and Audit Trails • With proper security clearance, users can access client records outside of their caseload. • Access to client records is recorded in Avatar Audit Tables – Audits can be silent.
Administering, scoring and tracking assessments. • Tracking outcomes. • Monitoring / Tracking medications and other general health information. • Recording services and tracking progress notes. • Recording and tracking treatment plans. Clinician’s Work Station – Overview Providing direct services staff with an Electronic Medical Record for:
EMR for Prescriptions Diagnosis Allergies Drug Interactions Current Meds Allergies
James starts refusing his medication and his symptoms worsen, which results in his family contacting the County Behavioral Health Department’s (CBHD) crisis center. • James is referred to the State Hospital (SH) for more intensive inpatient treatment, and a referral is sent electronically. After five days in the SH, James is discharged and his Discharge Form is sent electronically to the CBHD. • CBHD receives James’s Discharge Information. A clinician visits James in his home and during the visit, the clinician notes that James is exhibiting signs of excessive drinking, and refers him via electronic referral to another Community Mental Health Center (CMHC) provider for Substance Abuse services. • When James arrives at the CMHC, the admissions staff reviews the Referral form. During James’s session, a potential pattern of risky sexual behavior is identified, so the clinician completes a referral form and sends it electronically to the Public Health Department (PHD) for an STD screening. • James had been a past patient of the PHD. Upon receiving the referral, an STD clinic worker contacts James and sets an appointment. James has his tests ordered and the nurse sets up an appointment for James to review the results. • After returning home, James logs on to the Web portals for the different agencies to view his care team, check and record his medication, and view/update his appointments. The Connected Care Vision • After Connected Care • Electronic transfer of data for accuracy • Continuity of care • Consumer empowerment • Detailed medication history across providers • Before Connected Care • Re-keying of data, which causes errors • No continuity of care across providers • Little involvement by the consumer • No medication history
Tangible Examples of Connected Communities Today Engagement The Connection
Netsmart Connected Care Architecture:Connection Engine Netsmart Connection Engine ensures a Consistent Client Record Across the entire continuum of care In Patient Services State Health Departments The Client Community based Services The Clients’ Families Public Health Services
Portals Vs. Personal Health Records • PHRs are consumer controlled (and for the most part require consumer data entry): • Health Vault • Google • Quicken • BC/BS • Portals provide consumer access to a single EHR • Key technical issue for integrating the two is a unique patient identifier
