If standard EHR systems don’t work for you...

Behavioral Health and Integrated Care EHR Systems
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Learn how organizations can manage, with the right EHR system, multiple programs along with delivering integrated care
What, why, and the need for Integrated care

Fact: Consumers with complex behavioral health needs are more likely to see negative healthcare outcomes, shorter life expectancy and require more extensive services in high-cost centers.

Fact: Those with serious mental health  disabilities are more likely to mismanage chronic conditions and experience housing instability.

Fact: Many of these conditions can be proactively managed at a lower cost,  with integrated models.

What: Is an integrated care model?  Management of primary care, behavioral health and unmet social needs with a coordinated approach.

Why: The push towards integrated care?  Simple – Integrated care models improve outcomes and reduce costs better than siloed services.

Fact: Most software vendors  are siloed in certain specialties, regions, and payers.  Their systems do not have the capability to manage the different aspects of integrated care in the current dynamic setting, nor do they understand the Key Drivers of an integrated practice.

Key Drivers of an integrated care practice : The 3 Cs

Every integrated practice runs on three key drivers that we call “the three Cs”

CARE

CASH

COORDINATION

Each of these key drivers need to be addressed when considering an electronic health record system for an organization
Key Driver # 1
CARE - Would it accommodate primary and specialty care?

Would the EHR system enable you to provide not only behavioral health but also multi-specialty care? Can it aggregate a single health record without having to use a assortment of software systems? Most integrated providers cobble together a solution from multiple vendors($ + $). Further, these system do not adapt to your best practices.

Integrated Platform

  • An ideal EHR system should accommodate primary/ multi specialty care along with behavioral health.
  • It should present a Unified Patient Record which would give staff, clients, and their families a holistic picture of the client’s health and treatment status.
  • It should enforce consistent data standards to quickly generate agency-wide reports.

Flexible and Malleable

  • The capacity to adapt to different clinical and organizational workflows and best practices of your organization.
  • The ability to build the multitude of forms required by different payers, funders, programs and specialties should be easy.
  • The system should have user friendly interfaces  minimizing screen fatigue.

Offline Mode

  • Enable mobile provider  access to client history during community-based  visits.
  • Facilitate the entry of treatment plans and other clinical data  reducing paperwork in the field.
  • Perform in remote areas with no or low bandwidth.

Key Driver # 2
CASH - Does the EHR system streamline revenue sources?

The EHR system must be able to manage multiple programs, funding streams, and comply with billing and reporting requirements. Most practices derive their revenue from the funding of programs they implement. Each program has different reporting structures, data gathering requirements, and billing rules. You should not need different systems to comply with different programs.

Add New Revenue Sources (Programs)

  • The system should be able to add multiple programs.
  • Each program should have strict Access Control.
  • Analyze, flag and assign clients based on user/program defined eligibility.

Manage Requirements for New Programs

  • Configure program specific forms  and workflows.  
  • Visualize progress with program specific customizable analytics dashboards.
  • Incorporate individual billing and reporting rules that each distinct program mandates.

Reduce Inefficiencies

  • Prevent billable services from falling through the cracks.
  • Reduce the delivery of non-billable services.
  • Decrease administration costs by eliminating unneeded software licenses, maintenance, and support.

Key Driver # 2
CASH - Does the EHR system streamline revenue sources?

The EHR system must be able to manage multiple programs, funding streams, and comply with billing and reporting requirements. Most practices derive their revenue from the funding of programs they implement. Each program has different reporting structures, data gathering requirements, and billing rules. You should not need different systems to comply with different programs.

Key Driver # 3
COORDINATION - Does it have Telemedicine, a Client Portal, and Interoperability?

“Treat the whole-person.” In order to provide integrated care it is not enough to assemble information from within the agency but also from the healthcare ecosystem - other providers, hospitals, labs etc. The purpose of a Health Information Exchange (HIE) is just that: to exchange health information thus improving the speed, quality, safety and cost of patient care.

Patient Engagement

  • A robust Client Portal with bidirectional flow of communication is critical in an integrated care environment.
  • A Telemedicine solution with video capabilities has yielded results in reducing costs as well as unnecessary hospitalization and readmission.
  • Referrals and care-coordination along with case management functions.

Health Ecosystem Integrations

  • The ability to participate in Health Information Exchange and registries are critical for population health.
  • Connect with Laboratories and ePrescription networks.  Make sure that the system can connect to the ones you specify, not just the ones they already have.
  • Ability to connect to multiple clearing houses.  

Devices and application interfaces

  • Interface with other applications that support and enable your organization, like Data Analytics or CRM systems.
  • APIs to connect with DMEs (Diagnostic Medical Equipment). .
  • Seamlessly create a holistic aggregated patient health record which is in a standardized format, like CCDA.

Ultimately, the EHR system you select should enable better health and business outcomes as well as increased client satisfaction - Care, Cash, and Coordination.