2. Series 1: “Meaningful Use” for Behavioral Health Providers 9/2013 From the CIHS Video Series “Ten Minutes at a Time” Module 3: Core Objectives/Measures for Behavioral Health Providers Part 2 - Objectives 8 through 15

3. Module 3, Part 2 Overview Review of key terms and concepts from Part 1 Core Objectives and Measures 8 through 15 from the perspective of the Behavioral Health provider

4. Key Terms/Concepts Unique patient Patient seen one or more times, only counted once during the EHR reporting period Used for arriving at the denominator in many of the measures Attestation Some measures require that the EP confirm that certain EHR functionality has been enabled and is in use Exclusion Rule Not all measures can be met by every EP, due to different types of practices and patients. These types of measures have an “exclusion” rule that excludes the EP from having to meet that particular Objective. Each application of the exclusion rule reduces the total number of Core Objectives that must be met.

5. More about this Objective, in General http://www.healthit.gov/providers-professionals/achieve-meaningful- use/core-measures/record-vital-signs More about collecting vital signs in the Behavioral Health setting http://www.muforbh.com/vital-signs-are-vital

6. More about this Objective http://www.healthit.gov/providers-professionals/achieve-meaningful-use/core- measures/record-smoking-status More about tobacco cessation and intervention in behavioral health http://www.integration.samhsa.gov/resource/tobacco-cessation-for-persons-with- mental-illnesses-a-toolkit-for-mental-health-providers

7. More about this Objective http://www.healthit.gov/providers-professionals/achieve-meaningful- use/core-measures/clinical-quality-measures

8. More about this Objective http://www.healthit.gov/providers-professionals/achieve-meaningful- use/core-measures/clinical-decision-support-rule

9. More about this Objective http://www.healthit.gov/providers-professionals/achieve-meaningful-use/core- measures/electronic-copy-of-health-information http://www.gpo.gov/fdsys/pkg/FR-2010-07-28/pdf/2010-17210.pdf More the Electronic Specifications for Certification

10. More about this Objective http://www.healthit.gov/providers-professionals/achieve-meaningful-use/core- measures/clinical-summaries More about Behavioral Health and Sharing Patient Information http://www.healthit.gov/sites/default/files/bh-roundtable-findings-report_0.pdf

11. More about this Objective http://www.healthit.gov/providers-professionals/achieve-meaningful-use/core- measures/electronic-exchange-of-clinical-information More about the EHR Certification Criteria http://www.gpo.gov/fdsys/pkg/FR-2010-07-28/pdf/2010-17210.pdf

12. More about this Objective http://www.healthit.gov/providers-professionals/achieve-meaningful- use/core-measures/protect-electronic-health-information More about HIPAA Privacy and Security http://www.hhs.gov/ocr/privacy/hipaa/understanding/special/healthit/

13. Summary Each Objective has its own Measure Determine Objective was attained Calculate the number of unique patients seen by the EP during the reporting period (denominator), and; Calculate the number of unique patients who received the service (numerator) Expressed as a percent Compared to the Measure requirement Some Objectives have an “exclusion rule” and some only require that the EP attest that the functionality is in use

14. We Have Solutions for Integrating Primary and Behavioral Healthcare Contact CIHS for all types of primary and behavioral health care integration technical assistance and training needs 1701 K Street NW, Ste 400 Washington DC 20006 Web: www.integration.samhsa.govwww.integration.samhsa.gov Email:integration@thenationalcouncil.orgintegration@thenationalcouncil.org Phone:202-684-7457 Prepared and presented by Colleen O’Donnell, MSW, PMP, CHTS-IM for the Center for Integrated Health Solutions