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Regional Extension Center Strategies in
OhioCathy Costello,JD
REC Project ManagerOhio Health Information
Partnership
6/16/2011
OHIP’s Progress Toward 6000 PPCP Signed Contracts by REC
600
1200
1800
2400
3000
3600
4200
4800
5400
6000
As of 6.13.11 9:15 AM
Region PPCP Quota
Contract Signed
Pipeline % Goal Met(not including pipeline)
COHIE (Columbus) 1352 747 300 55%
CWRU(Cleveland) 1765 988 100 56%
DWCO REC (Dayton) 644 532 75 83%
NECO REC(Akron) 873 550 175 63%
NEOHC(Youngstown)
323 220 30 68%
NW Ohio REC (Toledo) 639 530 30 83%
OU(Athens/SE) 404 380 94%
TOTAL 6000 3,059 (3,144 overall)
810 66% #
#5: Enhance Workforce
1,500 graduates in June in Midwest
80% have a college degree
Job Board coordination
9
#6: Eliminate eRx Barriers
• Aligned BOP with DEA requirements
• Addressing mail order prescription issues
• Conducted pharmacy survey
• Conducting physician survey
• Education and awareness
10
#1: Convene Stakeholders
Behavioral Health Sub-Committee
•Encourage EHR and HIE adoption regardless of incentive program eligibility•Educate community•Align with emerging health policy
13
#2: Raise Awareness of Challenges
Most of my clinicians are not
eligible for incentive payments
RECs are not
reimbursed to help me
My funding has been
cut for years
I’m hesitant to buy new
solutions until new Ohio
policies are in place
I want to look at new solutions that support integrated care delivery, but
can they really meet my needs?
Can I afford them?
I don’t know who to believe
about a vendor’s certification
status
14
#3: Demonstrate Success
• Recipient of SAMHSA Primary Care and Behavioral Health Integration Grant (2009)
• Using technology to enable a patient-centered medical home model
• Joining efforts with Ohio Medicaid, REC and HIE Teams
16
#3: Demonstrate SuccessInclude a behavioral health provider
as one of the first community connections to the HIE to show
providers it can be done
HL7
EMR
Early Adopter
Health System
Paper-based
EMR
PDF EMR - No HL7
EMR - HL7
17
#3: Demonstrate Success
Help a psychiatrist in the community register and receive their Medicaid Incentive Payment to show other
providers it can be done
18
#4: Seek Support from Alternative Sources
Foundations•Have historically supported BH community•Seek funding to REC, Boards or BH associations to assist providers with adoption•Channels for assistance exist; just no funding
County Boards•50 County Alcohol, Drug Addiction and Mental Health Boards in Ohio•Members of Ohio Association of County Behavioral Health Authorities (OACBHA)•Many currently engaged in projects to assist providers in their county with adoption
State Health Agencies•Ohio Dept of Mental Health•Ohio Dept of Alcohol and Drug Addiction Services•Report to new Office of Health Transformation•Considering block grants to providers implementing integrated care delivery models
19
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