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| Implementing Electronic Behavioral Health Record |
| Sunday, May 30, 2010 |
| 10:30 AM–11:50 AM |
| Republic A (Grand Hyatt) |
| Area: OBM/CBM; Domain: Service Delivery |
| Chair: Krystyna A. Orizondo-Korotko (Western Michigan University) |
| Abstract: The Electronic Health Record (EHR) has been hailed as a solution for improving clinical practices, improving organizational efficiency, and reducing costs. In 2004, President Bush called for the adoption of electronic systems by 2014. Since then, little progress has been made in the area of medical systems (EHR), and even less progress has been made in behavioral health (EBHR) systems. Health care related stimulus packages and the prospect of some kind of health care reform provide the stage for finally moving forward.
The first presentation explains what an EBHR is, discusses imperatives for implementation, and identifies some barriers to implementation.
The second presentation describes in detail a real-world implementation that illustrates the concepts discussed in the first presentation, and much more.
The third presentation takes a closer look at process-driven system design, using a case study of a real-world EBHR implemenation to illustrate the basic concepts, techniques, and tools.
The final presentation provides recommendations for successful implementation, in several areas: leadership, project management, process-driven design, product and vendor selection, information technology infrastructure, and last but not least, behavior management.
This symposium will show clinicians, managers, and IT professionals that Electronic Behavioral Health Record systems can yield Returns On Investment, but only if the right investments are made. |
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| Electronic Behavioral Health Record: What Is It, and Why Do It? |
| DAVID RAY (Kalamazoo Community Mental Health), Krystyna A. Orizondo-Korotko (Western Michigan University) |
| Abstract: This presentation explains what an Electronic Behavioral Health Record (EBHR) system is, identifies potential Returns On Investment (ROI), discusses key environmental factors related to EBHR, and identifies some barriers to implementation.
The EBHR will be discussed in terms of functions and software components within the framework of a generic service delivery process.
ROI possibilities include: improved quality assurance, improved regulatory compliance, improved clinical productivity, reduced billing errors, reduced cost of service, unified organization, improved decision making.
Environmental factors include: regulatory requirements, funding source requirements, HIPAA, evidence based practice, cost reduction imperative, stimulus plan funding, and health care reform.
Barriers to implementation include: Lack of common standards, clinician culture, organizational culture, patient privacy, inadequate software, financial considerations, resistance to change, and competing priorities.
This presentation will provide clinicians, managers, and IT professionals a starting point for further research into Electronic Behavioral Health Record systems and the implementation of those systems. |
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| Electronic Behavioral Health Record in Community Mental Health: An Implementation Case Study |
| STEPHEN ENGE (Kalamazoo Community Mental Health) |
| Abstract: This presentation describes an EBHR system implementation in a six-county urban-rural community mental health and substance abuse service delivery system, with 10,500 consumers and $80 million budget.
The EBHR components and the processes they support will be described in the context of a Rummler & Brache relationship map framework.
Examples of a few key components will be shown, including Information & Referral, Screening, Assessment, Treatment Planning, and Progress Review.
If a live Internet connection is available, a live demonstration of the system may be presented.
A cumulative record treatment of implementation milestones will be presented
Finally, the implementation record will be discussed in terms of organizational factors that may have contributed to the rate change patterns seen in the record, including: inadequate team building, inadequate project planning, vendor contract disputes, organizational silo games, and others.
This presentation will provide clinicians, managers, and IT professionals with a fuller understanding of the power and promise of EHBR, as well and the complexity and challenges of implementation. |
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| The Importance of Process Analysis and Design in Implementing EBHR |
| HEATHER M. MCGEE (Western Michigan University), James L. Squires (Western Michigan University), Krystyna A. Orizondo-Korotko (Western Michigan University), Jean Pavlov (NorthCare Network), Ralph L. Olson (Pathways Community Mental Health), Claudia Johnson (Pathways Community Mental Health) |
| Abstract: This presentation takes a closer look at process-driven system design, using a case study of a real-world EBHR/EMR implementation to illustrate the basic concepts, techniques, and tools. The presentation will consist of the following sections:
An introduction to and brief history of the organization and the driving forces behind moving to an Electronic Medical Records system (ELMER)
Preparation for and the initial implementation of the ELMER system in one CMH Agency in Michigan’s Upper Peninsula
Rationale for and description of post implementation Behavioral Systems Analysis (BSA) and, particularly, process analysis to identify disconnects associated with moving to the new system
Development of cross-functional teams to address identified disconnects
Rollout of the ELMER system to remaining CMH Agencies in the Upper Peninsula of Michigan
Systems training for cross-functional performance improvement teams
Results
This presentation will provide clinicians, managers, and IT professionals several tools for applying Behavioral Systems Analysis during Electronic Behavioral Health Record systems planning and implementation and a description of the benefits of doing so. |
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| Recommendations for Successful EBHR Implementations: Lessons From the Real World |
| STEPHEN ENGE (Kalamazoo Community Mental Health) |
| Abstract: This presentation provides recommendations for successful implementation in several areas: leadership, project management, process-driven design, product and vendor selection, information technology (IT) infrastructure, and behavior management.
Leadership: The necessity of top management support, team based project management, understanding stakeholder perspectives, addressing corporate culture issues, long term investment.
Project Management: Team building, goal definitions, scope definition, communication planning, process driven design, testing and acceptance process, training planning, rollout planning, continuous tracking, and the need to adapt.
Process Driven Design: How the Rummler & Brache approach to improving performance should be integrated with project management and vendor and product selection.
Product and Vendor: The importance of selecting the right product and vendor, and guidelines for doing so.
IT Infrastructure: The importance of providing the necessary hardware platforms, user training and support, and some issues you might not think of.
Behavior Management: How paradigm shifts, silo mentality, and resistance to change will require determined communication, participation, training, and contingency management effort, and incentives that might be used in that effort.
This presentation will provide clinicians, managers, and IT professionals with guidance for doing more research into what it takes to plan and implement a successful EBHR system.
Process Driven Design: How the Rummler & Brache approach to improving performance should be integrated with project management and vendor and product selection.
Product and Vendor: The importance of selecting the right product and vendor, and some guidelines for doing so.
IT Infrastructure: The importance of providing the necessary hardware platforms, user training, and user support, and highlights some issues you might not think of.
Behavior Management: How paradigm shifts, silo mentality, and general resistance to change will require a determined communication, participation, training, and contingency management effort, and suggests incentives that might be used in that effort.
This presentation will provide clinicians, managers, and IT professionals with guidance for doing more research into what it takes to plan and implement a successful EBHR system. |
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