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Behavioral Health Information Exchange. Review and engagement process for requirements gathering process. Review/Information Gathering Objectives. Review the current data elements to support for Behavioral Health information exchange - PowerPoint PPT Presentation
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Behavioral Health Information Exchange
Review and engagement process for requirements gathering process
Review/Information Gathering Objectives
• Review the current data elements to support for Behavioral Health information exchange– Review for completeness: are the data elements sufficient to support
the needs of the stakeholders– Information exchange requirements included so far
• Referral/transfer-of-care (with primary care)• Reporting to state/federal agencies
– New information exchange opportunities may need to validated• Electronic information exchange with state systems
– Education– Criminal Justice– Homeless – Employment– Training
– Allowed values/codes to for coded data elements
Data Elements: Requirements• New data elements required to support existing and new
interoperability requirements– E.g. last date used
• Changes to data elements to represent the information correctly– Clarify definitions– Clarify purpose of data– Specify if a data element is numeric, a range of values, a textual string, a date,
a time, a true/false finding, optional/required, repetitions of data elements• Change to value sets for encoded data elements
– Specify a list of allowable values for encoded data elements(e.g. administrative gender, biological gender, etc.)
– Provide complete values/list items, if consensus exists– Provide representative values/list items (e.g. representative assessment types,
assessment sections)
2
Walkthrough(initial)
1
Work SessionsWalkthrough (Review Changes)
Revised
RIM and Vocabulary Harmonization Cycles
Completed data requirements document
New requirements
Review and Engagement Process
3
Proposed Review Process• Initial walkthrough to review/presentation the current data set
– Including proposed value sets– Date: Thu. Feb. 7th, 2013 @ 11 am (90 minutes)
• Three interactive work sessions proposed (90 minutes each):– Tues. Feb. 12th @ 4 pm EST– Thu. Feb. 14th @ 10 am EST– Mon. Feb. 18th @ 3 pm EST– We recommend that you plan to attend:
• Initial Walkthrough• One work session• Final Review Walkthrough
– The feedback received in each seminar will be incorporated in the materials for the next reviews
• Data elements, value sets
• Final Review Walkthrough of the proposed changes– Wed. Feb. 20th @ 1 pm EST
Behavioral Health data elements
• Organized along domains– Patient Demographics– Episode Of Care – Assessment– Problems/diagnoses– Procedures– Medications– Immunizations – not elaborated in this spreadsheets,
using standard immunization records– Substances of abuse
class Report Information Analysis
BehavioralHealthReport
assessmentDate :dateTimeconfidentialityCode [0..1] = confidentiality...documentId :IdentifierreferralDate :Date [0..1]referralSource :ReferralSource [0..1]replacesDocumentId :Identifier [0..1]submissionDateTime :Date
Client
behavioralHealthCategory :BehavioralHealthCategory [0..1]clientId :IdentifierdateOfBirth :DatedisabilityStatus :OMHDisabliityStatus [0..*]effectiveTime :Date [0..1]ethnicityCode :OMHEthnicity [1..6]gender :AdministrativeGendergenderIdentity :GenderSelfIdentity [0..1]maritalStatus :MaritalStatus [0..1]name :PersonNamepreferredLanguage :PreferredLanguage [0..1]pregnancyStatus :PregnancyPuerperium [0..1]raceCode :OMHRace [1..*]religiousAffiliation :ReligiousAffiliation [0..1]sexualOrientation :SexualOrientation [0..1]
EpisodeOfCareReference
completionStatus :EpisodeOfCareCompletion [0..1]endDate :Date [0..1]episodeOfCareStatus :SubmissionTriggerepisodeOfCareType :EpisodeOfCareType [0..1]startDate :DatetreatmentParticipationQualifier :TreatmentParticipation [0..1]
Organization
organizationId :IdentifierorganizationNameaddress :Address [0..1]legalAuthenticator :Provider [0..1]
SocialHistory
correctionalSystemReference :CorrectionalSystemInvolvement [0..1]educationalAccommodation :EducationalAccommodationProgram [0..1]educationLevel :FormalEducationLevelemploymentStatus :EmploymentStatusnumberOfDependentChildren :int [0..1]numberOfRecentArrests :int [0..1]otherProgramCoordination :StateProgram [0..*]postPartum :boolean [0..1]pregnancy :boolean [0..1]primaryResidenceSetting :PrimaryResidence [0..*]socialSupportParticipationForSubstanceAbuse :int [0..1]treatmentEngagement :EngagementInTreatment [0..1]veteranStatus :boolean [0..1]
SubstanceOfAbuse
ageOfFirstUse :int [0..1]dateLastUsed :dateTimefrequency :Frequencyroute :RouteOfAdministration [1..*]substance :SubstanceOfAbuse
Assessment
assessmentType :BehavioralHealthAssessmentTypeauthoringProvider :Provider [0..1]date :dateTime [0..1]interpretation :string [0..1]normalRange :NumericRange [0..1]score :int
SubstancesOfAbuseSection
primarySubstance :SubstanceOfAbuse [0..1]secondarySubstance :SubstanceOfAbuse [0..1]tertiarySubstance :SubstanceOfAbuse [0..1]
ProblemsDiagnoses
axis-I-problem :Problem [0..5]axis-II-problem :Problem [0..2]axis-IV-problem :Problem [0..2]physicalProblem :Problem [0..5]principalDiagnosis :Problem
Subscore
score :intnormalRange :NumericRangesection :BehavioralHealthAssessmentSectionType
CareTreatmentPlan
authoringProvider :ProvidercarePlanEvidence [0..1]effectiveDate :Date
Immunizations
Procedures
typeOfService :Procedure/Service
Problem
problemCode :ProblemdateOfOnset :Date [0..1]dateOfResolution :Date [0..1]dateEntered :Date [0..1]authoringProvider :Provider [0..1]
Assessments
assessment :Assessment [0..*]
CorrectionalSystemInvolvement
correctionalSystemInvolvementStatus :CorrectionalSystemInvolvementStatus [0..1]correctionalSystemType :CorrectionalSystemType [0..1]criminalJusticeInteractionStatus :CJComplianceCondition [0..1]
PrescribedMedications
Procedure/Service
authoringProvider :ProviderdateOfService :Date [0..1]procedureCode :Procedure
MedicalService (rename Services)
serviceCode :Procedure
Homeless
housingStatus :HousingStatus [0..1]
Income
incomeAmount :intincomeSource :IncomeSource [0..*]nonCashBenefit :int
reportingOrganization 0..1
substances0..1
services
providerOrganization
1
client 1
problems1
episode
1..*
assessments0..1
socialHistory
0..1
medications0..1
associatedCarePlan0..1
procedures0..1
immunizations0..1
receivingOrganization*
0..*
subscore 0..*
Episode of care
Patient Demographics
Social History
Substances of Abuse
Procedures
Assessments
Problems Medication
Immunization
The first tab “Orientation” provides quick guidance to the reviewers
regarding the contents and organization of the spreadsheet and
the purpose of this review and requirements gathering
Each element has a name and definition and a format/type
Each “domain” contains data elements described below:
“Coded type” indicates that there is a list of items (value set) associated
with this data element
Second tab contains the complete list of data
elements organized by domain
Gender identity data element
“
“Coded type” indicates that there is a list of items (value set) associated with this data element –link to the value set
worksheet
List of allowable items for “GenderSelfIdentity” – this is an example
value set, you can suggest additional changes
New items will be added at the end of the list
Changes to existing items will be suggested here
Structured Data
• If a data element contains sub-elements they are detailed in the “Field Format/Type” column
Provider details… verify if any are missing, suggest changes
Repetitions, optional/required
• Some data elements are optional or required to meet the business requirements
• Other data elements may repeat Indicator regarding
optional/required and repeating fields
How to review this document
• For completeness (30 min or less)– to ensure that all the data elements relevant are included – Review “Behavioral Health Elements”
• Second worksheet
• Value sets contents – if in addition to completeness you would like to review how encoded data elements are represented– Follow the links in the “Value set” column and open
the worksheets associated with the list of allowable items for that data element Value set contentsData elements by
domain
Next … let’s review
• 30 minute review of the spreadsheet• To communicate your requirements
– Off line at your convenience• Review• Add your comments • Email to [email protected] (cc: [email protected])
– During on-line work sessions• Join the web meetings• Add your comments• Discuss