National Council for Behavioral Health

Transcription

1 www. TheNationalCouncil. org National Council for Behavioral Health Transforming The Access Paradigm Through Mobile Apps April 16, 2014

2 Agenda www. TheNationalCouncil. org Introductions Discuss Market Trends Examine the Components of Access Discuss Current Technology Innovation Explore the Strategic Planning Process for Mobility Understand Your EHR s Foundational Role in Mobility Summary QA 1

3 www. TheNationalCouncil. org Behavioral Health Market Trends Driving the need for mobility in behavioral health

4 BH Market Trends Policy www. TheNationalCouncil. org Affordable Care Act (ACA): Increased access, care models, reimbursement changes & quality Parity: Requires plan design changes to offer BH services in parity with medical services Measurement: MU Stage 2, SAMHSA Quality Measures, ONC New Certifications BH Industry Scarcity of Resources: (More demand Same Providers) Service Delivery Changes: (team-based care, tele-psych, engagement) Provider Reimbursement Changes: (grants, FFS, value-based ) Technology 2 nd Generation of EHR (more: automation, interoperability, enterprise platforms) Focused on improving the end-to-end BH experience Providing more options for operational efficiency and service delivery 3

5 BH Market Trends www. TheNationalCouncil. org 4

6 BH Market Trends www. TheNationalCouncil. org 5

7 www. TheNationalCouncil. org Understanding The Components Of Access Strategic considerations for behavioral health organizational readiness

8 Access In Post Reform Era www. TheNationalCouncil. org In the post reform era, client access to care needs to be defined more globally to be aligned with the objective: Clients can easily find and initiate BH services There is bi-directional engagement These interactions can be measured and associated to improved outcomes 7

9 Mobile Options for Access www. TheNationalCouncil. org Laptops Tablets Smart Phones Portals & PHR Devices Video 8

10 Strategic Planning for Access www. TheNationalCouncil. org o How to provide service remotely via patient portals, mobile devices and telehealth? o How to evaluate EHR and Meaningful Use requirements against capabilities of current data systems o How to offer patient portals to pre-populate information into assessments and flag needed interventions o How to address patient supplied information such as Health Risk Assessments so that it is possible to track, act, and report on immunizations, health risk issues and quality metrics 9

11 Strategic Planning for Access www. TheNationalCouncil. org o How to provide best practice patient educational materials and engage patients in using them to improve treatment adherence o How to use CDS tools so you know if treatment is working in real time o How to purchase technology with future needs in mind o Structured data taxonomies o More health related content o Scalability 10

12 www. TheNationalCouncil. org Foundational Components Of Mobility The role of your EHR in mobility

13 BH Mobile Maturity Model Automation and Performance Data Centralization Process Automation & Business Rules Integrated Behavioral Health Value-based Behavioral Healthcare BH Service Expansion

14 BH Maturity Stage 1: Single System Data Centralization Stage 1 Functionality: Value: Data Centralization: Paper Standardization Data Governance Single source of truth Rules engine Data standardization Reduced paper Reduced cycle time Increased accuracy More holistic view of the client Documents A Documents B Documents C Mobility Building Block: Identify Centralize Tag Professional Creates the foundation o Data storage o Process control o Data standardization o Portability

15 BH Maturity Stage 2: Process Automation & Business Rules Stage 2 Functionality: Value Process Automation: Variation in Process Admin Cost Coordination Quality Internal Visibility Standard workflows Standard forms Standard reports Integrated clinical and billing Flexible designs Information at your fingertips Proven, repeatable processes Increased clinical quality Improved internal coordination Increased revenue capture Improved compliance Intake Provider Billing Workflow Standards & Rules Forms Reports Mobility Building Block: Review and refine current process, workflow and forms Review and refine criteria for data, fields, etc. Translation readiness for mobility

16 BH Maturity Stage 3: Integrated Behavioral Health Stage 3 Functionality: Intake Schedule Provider Workflow Standards & Rules Billing Mgmt. Integrated Behavioral Health: Customer Churn Billing Cycle Interop. Access to Data Client Engagement Analytics Reached organizational and technology maturity Integrated clinical and billing Integration CDS Interoperability Dashboards Labs erx Content Analytics Forms Reports Outcomes Clearing House Value Increased care coordination Increased data enrichment Increased visibility Increased service outreach Outcome measurement Mobility Building Block: Continuous process improvement Offline data access Mobile EHR functionality

17 BH Maturity Stage 4: Value-based Behavioral Healthcare Stage 4 Intake Schedule Provider Workflow Standards & Rules Billing Mgmt. Value-based BH: Gaps in Care Personalization Client Access Data Client Engagement Client Outcomes Functionality: Mobile application enablement Integrated clinical outcomes Client engagement and communication Real-time information Labs Content Analytics Forms Reports Clinical Performance erx Clearing House Outcomes Performan ce Metrics Budgeting Negotiation Performance Management Value Increased access to care Treatment delivery beyond the traditional setting Reduced delayed or double data entry Ability for new business models (e.g. risk-share) Mobility Building Block: Patient Portal for requesting services Patient Health Record Web and smartphone based patient applications Secure communication via audio and video

18 www. TheNationalCouncil. org Summary & QA

19 Summary www. TheNationalCouncil. org Changes in our industry require strategic adjustment to behavioral health operations Access is not limited to just finding services it includes engagement, service delivery and outcomes There are a number of mobile options each requires planning, governance and flexibility Your EHR is a critical foundational element for mobility There are options available today there is no need to wait 18

20 Questions and Answers www. TheNationalCouncil. org Stop by the Core Solutions booth (321) at the National Council to ask us questions about mobility for behavioral health. solutionsinc.com/ 19