Context of Care >> Mental Health Data Integration Workgroup Amber Oliver, DNP, RN-BC Informatics Manager, Colorado Dept Human Svcs Barbara Caspers, MSPHN, BSN, RN Health Care Executive and Consultant June 6, 2019 Lower Costs More Satisfied Providers Measure of Better Care More Satisfied Pts/ Families

Context of Care Purpose Demonstrate sharable and comparable nurse data across the care continuum by capturing nursing “big data” in the Nursing Management Minimum Data Set (NMMDS), the Nursing Minimum Data Set (NMDS) and the Nursing Knowledge: Big Data Science Conference Nursing Value Data Set (NVDS) to increase nurse data usability, provide patient, family and community centric data and, fortify data generated by nurses, about nurses and nursing care across the care continuum and across care transitions in all settings where nurses provide care.

Active Workgroup Members & Meeting Dates Denise Nelson Deborah Struth Michele Galioto Chelsea Backler Kathleen Wiley Matthew Hays 6/29/2018 7/13/2018 8/24/2018 9/07/2018 1/29/2019

Accomplishments Applied framework to potential Oncology data & CancerLinQ with focus on development of Oncology Minimum Data Set & Registry data eMeasure specifications to drive improvements in care Developed eMeasure / Pilot Site Data Plan Outlined Position Description for work with Pilot Site Completed data codification for two symptoms Outlined potential staffing data integration from ONS Staffing & Acuity Project to NMMDS, NMDS, NVDC, & Quadruple Aim Reviewed potential collaboration with The Happiness Project Prepared list of journals & outlined manuscript focus

Mental Health Data Integration Demand for Mental Health Care Outpacing Health Care Resources ~56 million Americans / 17% physical health comorbidity Affecting 1 in 5 US adults annually 75% US counties with overall mental health staff shortage / 96% shortage of mental health prescribers Hospital EDs seeing 42% increase in psychiatric service cases in 3 years due to Inpt bed shortage: 21.9 per 100,000 civilian population in 1990 to 13.9 in 2004 for general hospital beds; 18.4 to 9.5 for private beds 475 Private Psychiatric Hospitals in US in 1992; dropped to 264 by 2004 Private / State Psychiatric Hospitals Exempt from Meaningful Use Standards EHR Adoption Years Behind Acute Care & Suffers Cross-Agency Segmentation Kutsher, B. (2019). Hard cases: The mental health nursing shortage has created a crisis. Now what? https://www.linkedin.com/pulse/hard-cases-mental-health-nursing-shortage-has-created-beth-kutscher/. Retrieved May 20, 2019 Russakoff L. M. (2014). Private in-patient psychiatry in the USA. Psychiatric bulletin (2014), 38(5), 230–235. doi:10.1192/pb.bp.113.044701

Mental Health Data Integration Purpose Statement To examine big data in Mental Health, analyze standard language integration, & identify opportunities for shareable & comparable data across the care continuum

2019 – 2020 Action Plan Obtain Data Extract / Utilize Manual Chart Audits Seek Research Funding Examine Existing Standard Language Usage & Clinical Rationale for Additional Integration in Clinical Plans of Care Publish Work(s) Abstract Submission for Relevant Conferences Clinical Plans of Care Discharge Destination / Care Coordination Demographics / SBDOH Staffing

Questions Amber Oliver, DNP, RN-BC Informatics Manager, Colorado Dept Human Svcs Email: aoliver.msn@gmail.com Phone: 720.425.8434 Barbara Caspers, MSPHN, BSN, RN Health Care Executive and Consultant Email: barbcaspers@aol.com