Mental Health Services Act Steering Committee

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Mental Health Services Act Steering Committee
Health Care Agency/Behavioral Health Services

• August 3, 2009

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Technological Needs Project Proposal

• Kathleen Murray,
• Technological Needs Coordinator

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Technology Goals of MHSA

• To support the goal of transforming the Mental
  Health system, California State Department of
  Mental Health (DMH) allocated MHSA funds to meet
  their objective for all counties to develop an
  Integrated Information Systems Infrastructure
  through which they can securely access and
  exchange information
• This is accomplished through an Electronic Health
  Record (EHR)

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Benefits of an EHR

• Improved real time access to critical clinical
  information including medications, allowing for
• A reduction in errors and delays in care
• Greater consistency in service planning and
  interventions
• Improvement in care from on-line clinical
  decision-support and links to educational and
  reference sources
• Improved care coordination among consumer,
  family, and multiple providers through
  information sharing (with consumer consent)
• Improved compliance with HIPAA and State/Federal
  billing requirements

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Next Steps

• We are ready to move forward with our first
  Project Proposal
• It is the first of two phases that will result in
  a fully integrated Electronic Health Record (EHR)
  for Orange County Behavioral Health Services

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Our Project Proposal

• The first step towards building our EHR is to
  build out or upgrade our infrastructure to
  provide us the necessary platform on which to
  build the functionality we need
• The MHSA Technology project currently proposed is
  to perform this infrastructure enhancement

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Why is this Needed?

• Our current EHR application is built upon an old
  hardware and software platform that cannot
  support any new functional development to add the
  tools that we need for
• Clinical Documentation Management
• Medication Management
• Interfacing/interoperability with other
  non-County clinics
• Compliance with State and Federal regulations for
  billing, security, and privacy

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What is Needed?

• Upgrade to current release of Cerner Millennium
  application
• Acquire new Hewlett Packard servers with enhanced
  operating system and newest version of Oracle
  database
• Acquire supporting storage and other related
  hardware and network equipment
• Acquire current support applications to better
  utilize and manage the system

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Roadmap
DMH EHR Roadmap
Phase 1 Practice Management Electronic
registration, scheduling and billing. 2008
Phase 2 EHR Lite Document Imaging, Clinical
Notes and History 2009
Phase 3 Ordering Ordering Lab Prescriptions,
Viewing, Ordering, Reporting 2010-2011
Phase 4 Fully Integrated EHR Interface from
external providers EHR and PHR 2012-2014
OCHCA Roadmap
Phase 3 Fully Integrated EHR Integrate and
Interface with external provider EHR and PHR
systems including Lab 2012-2014
Phase 1 Practice Management Electronic
registration, scheduling, billing, and lab
(PH) 2007
Phase 2 Full EHR Infrastructure
Buildout Clinical documentation management-
Assessments and Treatment Plan. Clinical notes
module Medication management- Computer Provider
Order Entry (CPOE) for prescriptions Document
Imaging Able to interface with other non-county
providers 2009-2012
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Timeline

• The expected timeline for the project to enhance
  our infrastructure is 2009-2010 and the cost is
  estimated to be 3.8 million but we are budgeting
  for 4.5 million to allow for contingencies
• We are asking for 3.3 million in MHSA Technology
  funds which covers the proportional share of the
  project costs that will benefit Mental Health
  Services
• The proposed timeline for the build and
  implementation of the clinical documentation,
  medication management, and other components of a
  fully integrated EHR is 2011-2014

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Project Summary

• This project has been approved by the MHSA
  Technology Advisory Committee
• Information about it has been presented to the
  Community Action Advisory Committee (CAAC) and
  the Mental Health Board
• The project proposal has been posted on the
  Countys MHSA website and the public comment
  period started 7/24/09

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Project Summary

• We are asking for your consensus today to move
  forward on this project
• Once approved by these stakeholder groups, we
  will submit the project to the County Board of
  Supervisors on 8/25/09 for approval
• The final project proposal will be submitted to
  the Department of Mental Health on 8/25/09 for
  review and approval
• DMH review will take 30 to 60 days

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Questions?
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Consensus on Project Proposal

• Sharon Browning, Facilitator