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Incredible Behavioral Health Integrator Badge

HITEQ Health Center Cybersecurity Defender Against the Dark WebHealth centers are increasing the integration of behavioral health in primary care, spurred by an increased focus on whole person care and additional funding. Effective use of health IT in conjunction with patient privacy and confidentiality is imperative to support behavioral health.

According to the Office of the National Coordinator, "Health information technology can help to improve behavioral health care and can further enable care coordination and integration, increase information sharing, and support prevention, treatment, and recovery activities. Access to and the exchange and use of behavioral health information as part of routine care can help to improve continuity in care services and support efforts toward achieving an interoperable health care system across the continuum."

Take some time to read through some of the articles on this page and then fill out the submission form on the right and you will be rewarded with a Health Center Incredible Behavioral Health Integrator badge! This is an official badge that is submitted by the HITEQ Center as a proof of completion to the blockchain. Your credentials can be added to profiles such as LinkedIn and verified through accreditation services such as Accredible and Open Badge.

Using the EHR to Facilitate Integrated Behavioral Health
Promising Practices in Virtual Integrated Behavioral Health Care

Promising Practices in Virtual Integrated Behavioral Health Care

With the rapid shift to telehealth services propelled by the COVID-19 pandemic, many community health centers had to rapidly transition to a mechanism of care delivery previously unknown and unfamiliar. Within a matter of days and weeks, health centers creatively found ways to transform workflows and approaches to care delivery to continue to provide care even if the patient was physically distant. This resource highlights promising practices in virtual integrated behavioral health care identified from community health centers. 

HITEQ Highlights: Deploying Smartphone Apps to Advance Mental Health in Primary Care

HITEQ Highlights: Deploying Smartphone Apps to Advance Mental Health in Primary Care

Patient engagement through electronic health apps are one solution to the need for timely and ongoing patient support. Join us to discuss a program to support mental health through an integrated behavioral health model using a mental health app at Cambridge Health Alliance. The session discussed how apps can address gaps in mental health care, the lessons learned in effective implementation of use of a mental health app in a safety-net clinic, and provide a rubric for evaluating health apps for your patients and use in your mental health service.

HITEQ Highlights: HIV Prevention and Treatment for patients with SUD in an Integrated Behavioral Health Setting

HITEQ Highlights: HIV Prevention and Treatment for patients with SUD in an Integrated Behavioral Health Setting

Join the HITEQ Center, in collaboration with the National Council for Behavioral Health, for a webinar on understanding from a beginner perspective, how to integrate HIV prevention, screening into integrated behavioral health services, including how to identify patients at risk for HIV with a focus on SUD, facilitate screening, and prompting for rescreening at appropriate intervals.

HITEQ Highlights: Documentation Tips when using the Collaborative Care Model for the Treatment of Depression and Anxiety in Primary Care

HITEQ Highlights: Documentation Tips when using the Collaborative Care Model for the Treatment of Depression and Anxiety in Primary Care

Join the HITEQ Center, in collaboration with the National Council for Behavioral Health, for a webinar on Documentation Tips when using the Collaborative Care Model for the Treatment of Depression and Anxiety in Primary Care. The webinar provided a brief overview and benefits of the collaborative care model as well as information specific to each of the main staff roles. The role-specific nuances of documentation were highlighted, including considerations for tracking data such as clinical activities accomplished with each patient during the month.

HITEQ Highlights: Enhancing the EHR for Suicide Prevention

HITEQ Highlights: Enhancing the EHR for Suicide Prevention

This webinar is the second in a series highlighting the intersection between health information technology and behavioral health services. The webinar explored key components to be built into an electronic health record in order to better address suicide prevention in health care. Decision support considerations, documentation and communication enhancements, as well as population health management strategies were discussed.

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Patient Privacy and Confidentiality: 42 CFR Part 2 and Consent Management
Compliance with 42 CFR Part 2: A Case Study with Community Medical Centers, Inc.
HITEQ Center

Compliance with 42 CFR Part 2: A Case Study with Community Medical Centers, Inc.

Developed by HITEQ with Adapt Health Information Technology and Chiron Strategy Group

Health centers are actively expanding the substance use treatment services they offer in the community to address access to care for opioid use disorders, and more broadly to address better screening, referral and timely access to all substance use disorder (SUD) treatment. The downloadable case study below is an example of how a health center is assessing operations to comply with 42 CFR Part 2, with a particular focus on changes to their health information technology (IT) systems.

What is 42 CFR Part 2 and when does it apply for health centers? 

The purpose of Title 42 of the Code of Federal Regulations (CFR) Part 2: Confidentiality of Substance Use Disorder Patient Records (Part 2)  is to address concerns about the use of substance use disorder (SUD) information in non-treatment based settings. Part 2 is intended to ensure that a patient receiving treatment for a SUD in a Part 2 Program does not face adverse consequences in criminal or domestic proceedings such as those related to child custody, divorce or employment. Part 2 protects the confidentiality of SUD patient records by restricting the circumstances under which Part 2 Programs can disclose information. Part 2 is applicable to federally assisted programs who provide and hold themselves out as providing SUD services including diagnosis, treatment, or referral for treatment.  Providers in general facilities whose primary function is to provide diagnosis, treatment, or referral for treatment for a SUD are also considered “programs”. 

Compliance with Part 2 will likely involve a number of changes for health centers including changes to clinical documentation and data segregation in the EHR, suppression of data sharing across HIE’s and other networks, changes to workflows, and changes to patient intake and patient-facing forms. For health centers that have emphasized and pursued data sharing and exchange, putting these protections in place may feel like working backwards in systems that are designed for automated sharing. 

For more information, please see 42 CFR Part 2 Final Rule and Health Center Compliance in the HITEQ webinar archives.

The case study, available for download below, includes a 42 CFR Part 2 Regulatory Checklist that health centers may find particularly helpful to review.

Download the full case study below.

 

Documents to download

Next Article Behavioral Health Consent Management
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Intended AudienceHealth Center Leadership, Behavioral Health Teams and Providers, Health IT Staff, Care Team Leaders
More Behavioral Health Integration Resources for Health Centers
HRSA Center of Excellence for Behavioral Health Technical Assistance

HRSA Center of Excellence for Behavioral Health Technical Assistance

The HRSA Center of Excellence for Behavioral Health Technical Assistance (COE for BHTA) helps grantees integrate substance use and mental health (behavioral health) services in primary care settings.

Focus: PHI

Focus: PHI

Patient privacy and confidentiality form a crucial component of the patient-doctor treatment relationship, particularly when seeking treatment for mental health or substance use disorders. Multiple federal privacy laws, in addition to state laws, provide privacy protections for mental health and substance use disorder treatment records, while permitting communication of these records to other healthcare providers, patients’ families, and others.

Behavioral Health Integration Compendium

Behavioral Health Integration Compendium

Many health centers collaborate with external behavioral health providers or provide co-located or integrated behavioral health services within their health center. Some of the most significant challenges are determining which data to share, how to store it within the Electronic Health Record, and how to use it within primary care. This compendium of literature and resources offers some guidance related to behavioral health data integration, complete with key health center considerations for each.

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable suggestions and contributions from HITEQ Project collaborators.

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The Quadruple Aim
Quadruple Aim

A Conceptual Framework

Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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