November 19, 2013 CBCC Conference Call

Community-Based Collaborative Care Working Group Meeting

Back to CBCC Main Page

Attendees

Member Name	Present	Member Name	Present	Member Name	Present
Richard Thoreson CBCC Co-chair	x	Suzanne Gonzales-Webb CBCC Co-Chair	x	Max Walker CBCC Co-Chair	.
Michael Alonso	.	Wende Baker	x	Bill Braithwaite, MD	.
Kathleen Connor		Daniel Crough		[mailto: David Bergman	x
Steve Eichner		Brian Handspicker	.	Mohammed Jafari
Jim Kretz	.	Mike Lardiere	.	Tracy Leeper
Lisa Nelson		Diana Proud-Madruga		Harry Rhodes
Ken Salyards		Lori Simon	x	Ioana Singureanu
Tony Weida	.	Kate Wetherby	.	Rick Grow	x
Maryann Juurlink	x	Steve Daviss	x

Back to CBCC Main Page

Agenda

1. (05 min) Roll Call, Approve Minutes & Accept Agenda
2. Privacy Value Sets - Richard
3. Schizophrenia Model, Major Depressive Disorder DAMs, next steps, participation, incorporation - Lori
4. APA Report on Vendors - Lori
5. Data Enhancements Update for BH Model - Vendors, Nebraska, Arizona - Wende
6. (5 min) Other Business

Meeting Minutes

Schizophrenia Model, Major Depressive Disorder DAMs, - Lori

• Lori attended the conference call with CIC work group. They are working on the Schizophrenia and MDD DAMs, and were ready to start on BiPolar.
• They were very receptive, CIC is happy to coordinate efforts into the BH Model but Lori's question was: why were they creating separate models for each illness as opposed to one overreaching model? Basically, it’s a funding issue. They’ve been getting funding for individual illnesses from both the FDA and NIH.
• Lori will take a look at their model at the meeting in San Antonio in January and see where their model can be merged with your DAM.

Discussion: In terms of CIC use cases--what are they looking at? Drug utilization? Patient specific results?

• Response: use cases stem primarily from research
  • There is an overlap of what is being collected clinically and what is being used for research
  • We can indicate the requirements for each of the settings (this has been done with the APA)
  • An individual requirement can have more than one setting; can envision this setting for research, criminal justice or whatever
  • They can be dialed in as 'required', 'nice to have', 'not required' (or something similar)
  • If interested, Lori would like to see where the APA Functional Model and the BH Model can also be merged
• We then tie the use cases to the functionality, then we will have traceability between the two

• Lori will be taking a look at each of our models and where they may be merged (will report out at the San Antonio meeting in January 2014)
• will go nicely with the Gap Analysis work (between BH DAM, APA, others)

ONC BH Effort

• CBCC (SAMHSA) is contributing to this effort
• MaryAnn provided links to the Report by the Criminal Justice and Health Collaboration Project

http://www.ijis.org/docs/Opportunities_for_Information_Sharing_to_Enhance_Health_and_Public_Safety_Outcomes_20130403.pdf

APA Report on Vendors - Lori ACAP and (for the EHR committee meeting)

• will be hosting a meeting (webinar
• letting vendors know what is happening in BH to whet their appetites to help them know who to go to for requirements
• Webinar will be open to as many vendors as possible
  • Those vendors who are interested, will be invited to a subsequent meeting about where we go from here, so that information is more developed
  • targeted for mid-March 2014 (APA sponsored meeting)

Data Enhancements Update for BH Model - Vendors, Nebraska, Arizona - Wende

• Mike Laderiere forwarded a document that he felt would help with the interoperability requirement
• hope to advance the _____

Texas Councils of Community Centers (TCCC) = MRDD and Behavioral Health

BH 'HELP' record

• will have a number of different social services
• expanding the scope of the behavior information (criminal justice, homeless, children)
• Information will be useful when measuring quality outcomes (in terms of outcomes)
  • There are 10 different quality measures that are being worked on in TX
  • For NU3 there are also 10 items
• MU seems to heading this way for measuring quality outcomes
• concern expressed veering from behavioral health (and using behavioral help)--may result in resistance; both are important but they should be separate (per Steve Daviss)
• requirements which are not HIPAA based, how do we get that information in--even if reporting to a physicians, is this outside the requirements for the physician or the policy of the school
  • This should all follow consent rules, sharing
• (Wende) we are looking at these data sets as a means of interoperability. We want to facilitate the bundling for those of high risk. This is more important that establishing quality measures. We have a lot of flexibility for our data measures---but we don't want to diminish utilization or the services provided for the clients/patients. I would be careful of getting too high a standards that is too difficult for some systems to apply
  • (Richard) good point.

Meeting Adjourned: 0959 PST --Suzannegw 18:00, 19 November 2013 (UTC)