SAMHSA Powerpoint Template - Substance Abuse and Mental ...

Consumer Webinar on
Health Information
Technology
Health Information Technology Team
Samhsa.hit@samhsa.hhs.gov
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Welcome
Facilitators :
– Dr. M. Valerie Mills - Center for Substance Abuse
Treatment (CSAT)
– Danielle Tarino- Center for Behavioral Health
Statistics and Quality (CBHSQ)
– SAMHSA HIT Team members/experts
• Jim Kretz
• Bob Stephenson
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Housekeeping
• During the discussion portion, the operator
will open your lines for questions/comments
in the order they come in
• Q&A Box- If you have a question you would
prefer to write, please enter it by clicking
“Q&A” button on your tool bar
• The “Handouts Icon” gives access to
saving/printing this presentation
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Let your voices be heard
• Please note, there is a high volume of callers
on today’s webinar, and we appreciate
everyone’s interest. However, we ask that only
members of the behavioral health recovery
and/or consumer community participate in
the open discussion portions of this webinar.
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Welcome
• Dr. H. Westley Clark
Director of the Center for Behavioral Health
Statistics and Quality
Health Information Technology Strategic
Initiative Lead
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“As a Nation, we must work
together to provide access
to effective services that
reduce substance abuse and
promote healthy living.”
August 31, 2009
President Barack Obama
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Kathleen Sebelius
Secretary
U.S. Department of Health & Human Services
“Through it all, we need to remember
that health is one of the best
investments we can make. When
people are mentally and physically
well, they miss fewer days of work and
get more done. They pay more
taxes. They can take care of their
grandkids. They can play
softball. They can volunteer at the
town library. They can walk to the
grocery store. They can get a good
night of sleep.”
December 16, 2009
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SAMHSA’s Mission
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Pamela S. Hyde, J.D.
Administrator, SAMHSA
• To reduce the impact of substance
abuse and mental illness on
America’s communities
• Target effective substance abuse
and mental health services to the
people most in need
• To translate research more
effectively and more rapidly into
the general health care system
• HIT is a critical tool for achieving
this mission

SAMHSA’s Strategic Initiative
• Goal : Widespread implementation of Health
Information Technology systems that support quality
integrated Behavioral Health care for all Americans
• To promote the effective use of Electronic Health
Records and Personal Health Records by consumers
of behavioral health services in order to ensure more
quality care and better communication between
patient and provider
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The Affordable Care Act
• On June 28,2012 the Supreme Court upheld
the Affordable Care Act (ACA)
• More people with behavioral health issues will
have access to health care through increased
access to Medicaid, the establishment of
affordable insurance exchanges, and improved
preventative coverage
Learn more at www. healthcare.gov
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Purpose of Today’s Discussion
- Your privacy, confidentiality and security
- Your concerns about sharing your behavioral
health information with local, State, regional or
National information exchanges
- Using Electronic Health Records to Increase
Patient Engagement
- How tools, such as social networks and apps, can
be used to help people in recovery manage their
care
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Electronic Health Record (EHR)
• Electronic Health Record: An electronic record
of health-related information on an individual
that is created, gathered, managed and
consulted by authorized health care clinicians
and staff
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Privacy, Confidentiality, and Security
Privacy: Refers to a person’s desire to control the access of
physical, behavioral or intellectual information about
themselves to others
Confidentiality: Refers to the provider’s agreement with the
patient about how the patient’s identifiable private
information will be handled, managed, and disseminated
Security: The measures taken to prevent private and confidential
information from being accessed or modified by unauthorized
parties, specifically in an electronic environment
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Protecting Medical Information
• There are 3 basic laws that protect medical information being
exchanged electronically
1. Health Insurance Portability and Accountability Act (HIPAA)
of 1996, amended 2009
http://www.hhs.gov/ocr/privacy
2. 42 CFR Part II Substance Abuse confidentiality regulations
http://www.samhsa.gov/healthprivacy/
3. State laws governing mental health and substance abuse
medical records
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Health Information Exchanges
• Health Information Exchange: Providers can join networks
called Health Information Exchanges. These networks give
providers the ability to electronically transmit health records.
Eventually a single health record can be developed for a
person that will follow them from physician to physician,
potentially making the health care delivery system more time
and quality efficient; making quicker access to information
when it’s needed and lessening the likelihood of unnecessary
duplication of medical tests and adverse reactions to
medications
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An Example of an Health Information Exchange
Specialty Care
EHR
Primary Care EHR EHR Hospitals
Pharmacies
EHR
HIE
EHR
Clinics
Labs
EHR
Claims
Health Plans
PHR
Patients
Data
Systems
Public Health
Agency
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Let’s talk about your privacy interests
• How important is your privacy in relation to
your behavioral health information?
• What are your privacy concerns about your
behavioral health information?
• Who should control who sees your personal
health information?
• Do you want to know who is accessing your
records?
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Sharing your information
• How much information do you want to be
seen by your different providers/doctors?
• Under what circumstances do you feel it is
necessary to disclose your behavioral health
information?
• Thoughts/concerns about HIEs and
information sharing at
local/State/regional/National level
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Mobile Applications
• Health apps are application programs that offer healthrelated
services for smart phones and tablet- PCs. They can
also be internet based-tools that are accessible from a PC.
Apps can be used for self-monitoring or in collaboration with
your treatment provider
• More providers in many areas of medical practice are
beginning to encourage the use of health apps for assistance
in treating conditions and promoting general wellness
• The desired goal of apps is to increase participation in one’s
own health care, increase access to information and create
linkage to care
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Behavioral Health Apps
Behavioral Health Apps Available Include:
- Substance abuse recovery support
- Quit smoking support
- Mood trackers and diary keepers
- Mobile therapy for people with Bipolar Disorder,
Depression, Anxiety and Schizophrenia
- Eating Disorders
- Sleep Management
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A Search for Apps

Let’s talk about apps!
• Do you use them? What do you use them for?
How do they help?
• How much are you willing to pay for an app
download?
• What would be incentive to use mobile apps
to assist in self-monitoring of mood, disease,
recovery etc.?
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Increasing patient/consumer engagement
• Thoughts/ideas on what education is needed
for the behavioral health recovery community
on these issues?
• Thoughts/ideas on how to increase awareness
of these issues discussed today in the
behavioral health recovery community?
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Additional Resources
Understanding HIPAA and Privacy:
http://www.hhs.gov/ocr/privacy/hipaa/underst
anding/consumers/index.html
Privacy and Confidentiality:
http://healthcare.partners.org
SAMHSA’s Strategic Initiative on Health IT:
http://www.samhsa.gov/healthIT/
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Would you like to continue this
conversation with SAMHSA on Health
Information Technology/Electronic Health
Records in the future?
Additional Questions/Comments?
Please email response to:
samhsa.hit@samhsa.hhs.gov
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Thank you for joining
us today!
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