-
digital.ahrq.gov/sites/default/files/docs/page/an-e-prescribing-implementation-toolset.pdf
June 03, 2010 - Connecting for Health Common Framework Resources for Implementing Secure Health Information Exchange
An E-Prescribing Implementation Toolset
Douglas S. Bell, MD, PhD
Research Scientist, RAND Corporation
Associate Professor, UCLA Department of Medicine
AHRQ Annual Health IT Meeting
June 3, 2010
Need for E-Presc…
-
digital.ahrq.gov/ahrq-funded-projects/implementation-and-evaluation-pspro-person-specific-patient-reported-outcome
August 31, 2023 - patient-reported measures and outcomes (PROs) significantly improved detection of conditions such as substance … abuse and depression.
-
digital.ahrq.gov/sites/default/files/docs/hard-to-reach-patients-slides-091312.pdf
January 01, 2013 - A National Web Conference on the Innovative Use of Technology to Enable Behavioral Changes in Hard-to-Reach Patients
A National Web Conference on the Innovative
Use of Technology to Enable Behavioral
Changes in Hard-to-Reach Patients
September 13, 2012
Moderator and Presenters
Disclosures
Moderator:…
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016131-jones-final-report-2008.pdf
January 01, 2008 - County/Oklahoma State Health Department
Cherokee Nation
Bill Willis Community Mental Health and Substance … Abuse Center
Hastings Indian Medical Center
NEO Community Health Center
Northeastern State University … Department/Oklahoma State Department of
Health
• Mental Health - Bill Willis Mental Health and Substance … Abuse Center/Oklahoma
Department of Mental Health and Substance Abuse Services
• Community Health … Abuse Services, Hastings
Indian Medical Center, Cherokee Nation health and the Governor’s office met
-
digital.ahrq.gov/sites/default/files/docs/resource/final-b14-archives-sarkar2075.pdf
January 01, 2013 - our Direct Access Endoscopy Class, which is
intended for medically stable patients without active substance … abuse or opioid pain
medication use.
-
digital.ahrq.gov/sites/default/files/docs/page/use_of_health_it_and_hie_in_section_2703_medicaid_health_homes_5.pdf
January 01, 2017 - Conditions in 2703
■ The chronic conditions listed in statute include:
□ mental health condition,
□ substance … abuse disorder,
□ asthma,
□ diabetes,
□ heart disease, and
□ being overweight (as evidenced by a … services informed by evidence-based guidelines;
■ coordinating and providing access to mental health and
substance … abuse services;
■ coordinating and providing access to long-term care
supports and services. 13
-
digital.ahrq.gov/sites/default/files/docs/SocioTechnical_QuestionsAndComments.pdf
March 28, 2007 - Q: The Oklahoma Department of Mental Health and Substance Abuse seconds the
motion of a need for a resource
-
digital.ahrq.gov/sites/default/files/docs/page/emerging_applications_in_medicaid_and_chip_programs_utilizing_telemedicine_5.pdf
October 11, 2011 - Kriechman
Child
Psychiatry—
Graeber
10-12 AM Rheuma-
tology—
Bankhurst
Chronic
Pain—
Katzman
Substance … Abuse—
Komaromy
High-Risk
Pregnancy
— Curet
Psychotherapy
—Katzman
2-4 PM HIV—
Michelle
Iandorio … use disorders
• Prison peer educator
81
ECHO Diabetes CHW Training
Program
• 3-day onsite
• Webcam … treatment paradigm
85
Replication Sites
• University of
Washington
• Hepatitis C
• Chronic pain
• Substance … use
disorders
• University of Chicago
• Difficult-to-treat
hypertension
• VHA
• Chronic pain
•
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs023306-harle-final-report-2020.pdf
January 01, 2020 - Meanwhile, prescription drug abuse and opioid use disorder reached epidemic
levels in the last decade
-
digital.ahrq.gov/sites/default/files/docs/page/privacy-and-security-solutions-for-interoperable-hie-nationwide-summary-appendices.pdf
July 01, 2007 - Patient Care - Scenario B
(Sub Abuse)
X
Provider
X
Primary Care
Physician
X
Substance
Abuse … Stakeholder organizations and exchanges:
Specialty substance abuse treatment facility (releasing … abuse facility, releasing information to specialist)
An inpatient specialty substance abuse treatment … abuse
information that was received from the substance abuse treatment facility, to the
specialist … What is the process for handling substance abuse medical record data?
3.
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015135-arora-final-report-2008.pdf
January 01, 2008 - as they collaborate with university specialists in hepatology, infectious
disease, psychiatry, and substance … abuse in co-managing their patients. … According to the National Institute on Drug Abuse, acquisition of Hepatitis C is very rapid
among new … Thus, Hepatitis C is a serious medical consequence of drug abuse that needs to be
considered when care
-
digital.ahrq.gov/sites/default/files/docs/page/UMASS%20Final%20Report_0.pdf
April 01, 2007 - abuse disorder (Garis & Farmer, 2002). … is particularly useful when considering the prevalence of chronic
conditions, mental health issues, substance … abuse issues, and disability issues of the
Medicaid population … HIPAA
Coordinator, Division of Services
Improvement, Organization and Financing
Branch
Center for Substance … Abuse Treatment,
SAMHSA
Alan Weil, MA, JD
Executive Director, President
National Academy for State
-
digital.ahrq.gov/sites/default/files/docs/page/acts-meeting-01302019.pdf
January 30, 2019 - for Pain [from Innovation Exchange]
Behavioral Health Integration Academy webpage on opioids and substance … abuse
[Overview of AHRQ’s Opioid Activities]
3.
-
digital.ahrq.gov/sites/default/files/docs/page/unraveling_privacy_and_security_in_hies__an_overview_of_requirements_and_options_for_medicaid_schip_programs_5.pdf
July 01, 2005 - Agencies
Medicaid/SCHIP confidentiality standards
HIPAA Privacy Rule
Federal alcohol and substance … abuse
regulations
Other state privacy/confidentiality statutes
and regulations (e.g., HIV/AIDS … individual‟s
consent or authorization
42 CFR Part 2
Not superseded by HIPAA
Apply to alcohol and drug … abuse patient
records maintained by federally assisted
alcohol and drug abuse program
Require
-
digital.ahrq.gov/sites/default/files/docs/page/medicaid_chip_quality_measurement_strategies__hitech__chipra__and_the_affordable_care_act_5.pdf
January 04, 2021 - Utilization: General Hospital/Acute Care
0004 NCQA Initiation and Engagement of Alcohol and Other
Drug … Dependence Treatment
X
—
The Three-Part Aim
Per Capita
Cost
Experience
of Care
Population
Health … limitations
• Provider buy-in
• Protection of behavioral health and other
protected information such as substance … abuse treatment, rehabilitation, etc
-
digital.ahrq.gov/sites/default/files/docs/survey/mainehealthcoalitionossurvey_comp.pdf
January 01, 2007 - located either within the practice (diet and exercise counseling) or
by referral to an outside source (substance … abuse counselor or clinic.) … Routinely Assess Check if "YES" Well-defined Intervention Plan
Tobacco Use
Alcohol Use
Drug Abuse
-
digital.ahrq.gov/sites/default/files/docs/care-transitions-slides-052313.pdf
May 23, 2013 - Payment alignment
High friction areas
Interfacing
Sensitive information
(HIV, genetic testing,
substance … abuse
treatment)
Proprietary EHR vendor
strategies
Cross entity trust
HIE “public utility … Input
National
– NY’s eMOLST
– Multi-State/Multi-Vendor EHR/HIE Interoperability Workgroup
– Substance … Abuse, Mental Health Services Agency (SAMHSA)
– Administration for Community Living (ACL)
– Aging
-
digital.ahrq.gov/sites/default/files/docs/page/C_RelevantLegalRequirementsforHealthDataExchange_0.pdf
May 23, 2007 - Security Assessment of Variation Toolkit
particular with respect to decisions about mental health and substance … abuse care, abortion
and contraception, and sexually transmitted diseases (STDs). … professional judgment of the provider, and to be developed through caselaw in
litigation.
3.1.3 Alcohol/Drug … Abuse, STD, and Other Sensitive Information
Certain categories of information are required by federal … Information related to alcohol or substance abuse treatment is generally not only required
to be disclosed
-
digital.ahrq.gov/sites/default/files/docs/page/C_RelevantLegalRequirementsforHealthDataExchange_1.pdf
May 23, 2007 - Interoperable Health Information Exchange
particular with respect to decisions about mental health and substance … abuse care, abortion
and contraception, and sexually transmitted diseases (STDs). … professional judgment of the provider, and to be developed through caselaw in
litigation.
3.1.3 Alcohol/Drug … Abuse, STD, and Other Sensitive Information
Certain categories of information are required by federal … Information related to alcohol or substance abuse treatment is generally not only required
to be disclosed
-
digital.ahrq.gov/sites/default/files/docs/page/privacy-and-security-solutions-for-interoperable-hie-avas-executive-summary.pdf
June 30, 2007 - regulations in areas such as sharing of specially protected health
information (eg, mental health and substance … Confidentiality of Alcohol and Drug Abuse Patient Records (42 C.F.R. pt. 2). … Abuse Patient Records regulations (42 C.F.R. … abuse. … Most of the states used the term substance
abuse.