The Substance Abuse and Psychological Well being Companies Administration (SAMHSA) and the Workplace of the Nationwide Coordinator for Well being Data Know-how (ONC) will work collectively to speculate greater than $20 million of SAMHSA funds over the following three years in an initiative to advance well being info know-how (IT) in behavioral well being care and follow settings. The venture helps the HHS Roadmap for Behavioral Well being Integration and is per the President’s name to motion to stop, deal with, and supply long-term restoration helps for psychological sickness and substance use problems.
Well being IT adoption amongst behavioral well being suppliers at the moment lags behind different suppliers. That is due partly to their ineligibility to take part in well being IT incentive applications, corresponding to these underneath the Facilities for Medicare & Medicaid Companies. ONC evaluation of American Hospital Affiliation survey information from 2019 and 2021 discovered that 86% of non-federal, basic acute care hospitals had adopted a 2015 Version licensed EHR; in distinction, solely 67% of psychiatric hospitals had adopted a 2015 Version licensed EHR. Moreover, ONC evaluation of SAMHSA survey information from 2020 exhibits that psychiatric hospitals lag even additional behind in adoption of interoperability and affected person engagement features.
Lack of entry to well being IT and related higher-level capabilities and efficiencies (e.g., affected person entry, notifications, medical resolution help, care planning, information alternate, analytics, and reporting) influence behavioral well being suppliers’ means to supply entry to remedy by means of instruments corresponding to telehealth. It additionally limits integration of behavioral well being information with major care and different bodily well being entities, posing a serious barrier to the interoperable alternate of behavioral well being information throughout the care continuum.
To handle these challenges, the Behavioral Well being Data Know-how (BHIT) Initiative will determine and pilot a set of behavioral health-specific information components with SAMHSA’s Substance Use Prevention, Remedy, and Restoration Companies Block Grant (SUPTRS BG) and Neighborhood Psychological Well being Companies Block Grant (MHBG) grantees. The info components can be coordinated by way of a brand new USCDI+ area for behavioral well being to enhance the effectiveness and cut back the prices of information seize, use, and alternate for behavioral well being suppliers.
How the BHIT Initiative will Advance Well being IT
USCDI+ for Behavioral Well being
Behavioral well being suppliers have a separate set of challenges in comparison with these suppliers working towards in different medical settings. Documentation of behavioral well being encounters is usually within the type of detailed narrative, typically supplemented or accompanied by further quantitative or different discrete info (corresponding to symptom scale scores or indices). This will result in difficulties in effectively sharing behavioral well being info with major care suppliers and hospitals to help continuity of care. The content material requirements developed as a part of this USCDI+ venture will help capturing key behavioral well being information on the level of care (e.g., despair screening) to reinforce care continuity between behavioral well being suppliers and different medical suppliers caring for a similar affected person. This can alleviate the reporting burden skilled by SAMHSA’s grantees by enhancing the power of psychological well being and substance use remedy suppliers to measure, consider, and report on the care they supply.
In 2024, ONC, SAMHSA, and different federal companions will start to determine information components for the USCDI+ venture as a part of the broader BHIT Initiative. This collaborative method will incorporate enter on behavioral well being priorities from a wide range of people and entities together with clinicians, grantees, states, and advocates. SAMHSA and ONC will coordinate with know-how builders and collaborating suppliers on methods to finest embody USCDI+ behavioral well being information components in well being IT and pilot their use.
A Useful resource for BHIT
ONC will develop a behavioral well being info useful resource to help behavioral well being care and built-in follow settings for HHS grantees and the general public, just like previous ONC sources centered on pediatric well being IT (PDF | 1 MB) and Neonatal Abstinence Syndrome (PDF | 807 KB). The informational useful resource will help those that want to use USCDI+ behavioral well being information components by offering particular particulars useful for implementation. For instance, it could embody info on using well being IT to deal with medical priorities, help for improved workflows, and technical info concerning integration throughout behavioral well being settings.
ONC will present technical help to pilot members from the SUPTRS BG and MHGB applications to tell implementation of well being IT in help of improved capability on the state and native stage for substance use and psychological well being remedy in addition to restoration help providers. This may increasingly embody, for instance, deployment of academic sources on adoption of well being IT capabilities and technical sources on BHIT information encoding and information high quality.
Wanting Ahead – What Comes Subsequent
The BHIT Initiative will advance well being IT in behavioral well being broadly throughout HHS applications, and past. Shifting ahead, you may anticipate to see extra updates and alternatives to have interaction and assist inform this work. Join electronic mail updates to get the most recent on ONC’s actions.