1. 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

2. 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.

3. 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

4. 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

5. 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? Retrieved May 20, 2019
Russakoff L. M. (2014). Private in-patient psychiatry in the USA. Psychiatric bulletin (2014), 38(5), 230–235. doi: /pb.bp

6. 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

7. 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

8. Questions Amber Oliver, DNP, RN-BC
Informatics Manager, Colorado Dept Human Svcs
Phone:
Barbara Caspers, MSPHN, BSN, RN
Health Care Executive and Consultant