Mental Health Services Act

1
Health Care Agency/Behavioral Health Services
Mental Health Services Act Steering Committee
May 11, 2009 100 p.m. 400 p.m.
2
Adil Siddiqui

• MHSA Technology Update

3
Proposition 63 (MHSA) Intent

• Proposition 63 (MHSA) provides an opportunity for
  the California Department of Mental Health (DMH)
  to provide increased funding, personnel and other
  resources to support county mental health
  programs and monitor progress toward statewide
  goals for children, transition age youth, adults,
  older adults and families.  The Act addresses a
  broad continuum of prevention, early intervention
  and service needs and the necessary
  infrastructure, technology and training elements
  that will effectively support this system.

4
Electronic Health Records

• The development and deployment of an electronic
  health record system, and the supporting upgrades
  to the technology infrastructure, are initiatives
  that serve and support Prop 63s goals and
  objectives.
• The Electronic Health Record (EHR) comprises of
  several elements, including such functionality as
  registration, scheduling, billing and clinical
  documentation management.

OC HCA Integrated EHR
Registration
Scheduling
Billing
Lab
Behavioral Health Clinicals
The Missing Piece
5
EHR Capabilities

• A secure, real-time, point-of care,
  client-centric, information resource for service
  providers.
• An electronic record of client health information
  generated by one or more encounters in any care
  delivery setting. Included in this information
  are patient demographics, symptoms, impairments,
  diagnoses, treatment plans with goals, progress
  notes, past history, etc.
• An automated and streamlined approach to manage
  the clinician's workflow, making relevant,
  current and accurate information readily
  available.
• Provides a clinical decision support system.
• Net results include a better level and quality of
  care for the clients being served, improved
  outcome management, and improved efficiency and
  productivity in workflow execution.
• Ensures compliance with state and federal
  requirements for billing and privacy.
• Potential ability to share (based on client
  approval) and manage information resulting in
  improved care coordination, across service
  providers.
• Reduction of errors.

6
DMH EHR Roadmap
Phase 1 Practice Management Electronic
registration, scheduling and billing. 2007
Phase 2 EHR Lite Document Imaging, Clinical
Notes 2008-2009
Phase 3 Ordering CPOE (Lab Rx), Ordering,
Reporting 2010-2011
Phase 4 Full EHR Interface from external
Providers EHR and PHR 2011-2012
OC HCA EHR Roadmap
Phase 1 Electronic registration, scheduling and
billing and lab 2007
Phase 2 EHR Lite Clinical Notes, integration
with existing system Clinical requirements
documentation and standardization, Vendor
selection, Development and testing,
Implementation. 2009-2011
Phase 3 Full EHR Potential Interface from
external Providers EHR and PHR 2011-2012
7
IRIS Proposed Technology Upgrades
Contract Providers
HCA Network
Communication Connection (T1, DSL, Cable, etc.)

• Servers, Drives, Software and Operating System
  are all 6 years old.
• Performance and Reliability Issues.
• Inability to implement new software solution.
• Overall, approaching end-of-life, planned vendor
  obsolescence.

• Ability to develop and implement new solutions
  like EHR.
• Better Performance
• Increased productivity.

County Clinics
Potential improvement in communication setup
(Faster throughput application performance
boost)
Potential new workstations, e-signature pads,
scanners, etc.