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Crossing Healthcare Information Limbo

Crossing Healthcare Information Limbo Using Business Process Redesign (BPR) to integrate Health Information Exchange at Transitions of Care What are the key organizational factors that are needed internally to make Health Information Technology, in support of better care coordination at transitions of care, a successful endeavor? Direct Project 6 Behavioral Health Integration Pilot Projects (BHIP) for Health Information Exchange (HIE) in Illinois The Critical Factors For Success Methodology Surveying and interviewing the stakeholders at each of the behavioral health organizations that received grants to pilot health information exchange using ILHIE Direct as the secure HIPAA compli- 5 were successful 1 was not successful during the time frame of the pilot A serious deadline • Standardized patient information that is being exchanged in the CCD (Continuity of Care Document) • Regular communications between all involved parties ant transmission channel. Use • Specificity of focus • Coordination with a service partner • Leadership support • Performance metrics • Organizational flexibility • Workflow and personnel adjustments cases for internal process changes were developed and case studies were created to provide organizational context. The Behavioral Health Integration Project (BHIP) of the Illinois Office of Health Information Technology (OHIT) was awarded a SAMHSA grant to initiate activities which would better enable behavioral health and clinical care protocols in support of behavioral health/clinical care integration in six micro environments. integration in the state of Illinois. This involved the harmonizing of several state privacy laws designed to protect individuals receiving behavioral health and substance abuse The organizations piloted processes to integrate Direct Project Protocols for electronic health information exchange (an encrypted email system exclusive to registered medical personnel) as a replacement for fax, messenger delivery and U.S. postal service delivery for transitions of care information in various treatment, with HIPAA law as well as developing patient consent policy which enables the sharing of patient information between behavioral health and clinical settings in an electronic format. A portion of the grant funded six pilot projects to explore the capacity for health information exchange through Direct Project settings. The majority of grantees were able to substantially reduce the amount of time, staff resources and privacy/security risks involved in several care transition processes between themselves and select healthcare network partners. The Outcomes Saved Time at transitions of care Better Care Coordination Constrained confidentiality risk • Reduced staff time used at transitions of care • Better communication Outcome quantitative results were variable depending on the type of care transition that was being performed. Conclusion No one using the technology required a large investment in health information technology and the learning curve on the technology was minimal because of the wide adoption of similar technology in the consumer marketplace. The greatest challenges to adoption were not the technology itself but instead the major reengineering of internal processes for the transmission of Protected Health Information (PHI) to make the use of ILHIE Direct functional for the organization. This reengineering must occur on both ends of the transmission. Significant process coordination and communication between organizations is required. It is not enough for one organization to have the service. An organization must have coordinated processes with their partner in order for the service to be useful. "This [report/article, publication] was prepared by IL-HITREC with funds under grant number 1URISMO60319-01, -02 and supplemental grant number 3UR1SM060319-02S1 from SAMHSA/HRSA, U.S. Department of Health and Human Services. The statements, findings, conclusions and recommendation are those of the author(s) and do not necessarily reflect the view of SAMHSA/HRSA or the U.S. Department of Health and Human Services."

Crossing Healthcare Information Limbo

shared by pmccann23 on May 24
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Using Business Process Redesign to Integrate Health Information Exchange at Transitions of Care

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