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HIPAA is all about standardization

at the federal level legislators and regulatorsrecognized that it is government's business to

create/facilitate standards, not build systems

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web services

XML

SOAP

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MBHP (Massachusetts Behavioral Health Partnership)

funds psychiatric emergency services in Massachusetts

for the Department of Mental Health

Funder/Regulator:MBHP needs/requires

54 pieces of data for eachencounter

Provider:BEST (Boston Emergency

Services Team) collects over

400 pieces of data for each

encounter in order to provide

appropriate clinical care

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define a dataset build a system to receive the data

electronically, process and analyze it

define a dataset

build a system to process and analyze it

and build a practice management

system for providers to enter the data

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EIM

ESM

Enterprise Invoice Management

Enterprise Service Management

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Funder/Regulator:

MBHP needs/requires

54 pieces of data for eachencounter

Provider:

BEST (Boston Emergency

Services Team) collects over

400 pieces of data for each

encounter in order to provide

appropriate clinical care

define a dataset

build a system to receive the data electronically,process and analyze it

Funder/Regulator:

The state receives billing data

in electronic format fromproviders and processes it

Provider:

Multiple kinds of billing

mechanisms/software (Hill, etc) -at the providers discretion

EIM

BEST

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define a dataset

build a system to process and analyze it

and build a practice management system forproviders to enter the data

ESM (DPHs BSAS implementation)

provider double entry forevery enrollment (admission)

currently in place at transitional & ATS programs

SIMS (Executive Office of Elder Affairs)

provider double entry for every encounter for coveredservices

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BayCIS(Bay Cove Human Servicess client information

system) Medication dataset (necessary)

Medication NameGeneric Name

Prescriber

Reason Prescribed Prescription End

Priority Strength

Prescription Start Units

Medication Start Dose

Time1 Frequency

Time2 RouteTime3 Number Refills

Time4 Instructions

Time5 Notes

Time6 Updated by (login)

HCSIS(DMRs incident tracking application)

Medication dataset (mandated)

Medication NameReason Prescribed

Prescription Start

Prescription End

Frequency

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a practice management system that works well for

a methadone program, dispensing methadone

will not be appropriate or even adequate for a

residential program for individuals withdevelopmental disabilities

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facilitates integration within multi-service providers

promotes collaboration between providers

facilitates standardization

real-time analysis of data and trends

higher quality care

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tell providers what you need

tell us how you want it

tell us when you want it

we will collect what you need,

how you want it,

and deliver it to you when you want it

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MHSACM should be commendedfor their efforts to standardize data

and forms

and should be encouraged (with

EOHHS) to expand the scope to

include all of EOHHS