Mental Health Services Act

Steering CommitteeMay 11, 20091:00 p.m. – 4:00 p.m.

Health Care Agency/Behavioral Health Services

Consumer Art Presented at the

Southern California MHSA Coordinators Meeting

Consumer Perspective

Theresa Boyd

Tho Be

Tim Swift

Kymberli Kercher-Smith

Mark Refowitz

Local/State Updates

Adil Siddiqui

MHSA Technology Update

Proposition 63 (MHSA) Intent

Proposition 63 (MHSA) provides an opportunity for the California Department of Mental Health (DMH) to provide increased funding, personnel and other resources to support county mental health programs and monitor progress toward

statewide goals for children, transition age youth, adults, older adults and families.  The Act

addresses a broad continuum of prevention, early intervention and service needs and the

necessary infrastructure, technology and training elements that will effectively support this system.

Behavioral Health

Clinicals

Registration

Lab

Scheduling

OC HCAIntegrated

EHR

Billing

The Missing Piece

Electronic Health Records• The development and deployment of an electronic health record system,

and the supporting upgrades to the technology infrastructure, are initiatives that serve and support Prop 63’s goals and objectives.

• The Electronic Health Record (EHR) comprises of several elements, including such functionality as registration, scheduling, billing and clinical documentation management.

EHR Capabilities• A secure, real-time, point-of care, client-centric, information resource for

service providers.

• An electronic record of client health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, symptoms, impairments, diagnoses, treatment plans with goals, progress notes, past history, etc.

• An automated and streamlined approach to manage the clinician's workflow, making relevant, current and accurate information readily available.

• Provides a clinical decision support system.

• Net results include a better level and quality of care for the clients being served, improved outcome management, and improved efficiency and productivity in workflow execution.

• Ensures compliance with state and federal requirements for billing and privacy.

• Potential ability to share (based on client approval) and manage information resulting in improved care coordination, across service providers.

• Reduction of errors.

Phase 1Practice Management

Electronic registration, scheduling and billing.

2007

Phase 2EHR “Lite”

Document Imaging, Clinical Notes

2008-2009

Phase 3Ordering

CPOE (Lab Rx), Ordering, Reporting

2010-2011

Phase 4Full EHR

Interface from external Providers EHR and PHR

2011-2012

Phase 1

Electronic registration, scheduling and billing and lab

2007

Phase 2EHR “Lite”

Clinical Notes, integration with existing system: Clinical requirements documentation and standardization, Vendor selection, Development and testing, Implementation.

2009-2011

Phase 3Full EHR

Potential Interface from external Providers EHR and PHR

2011-2012

DMH EHR Roadmap

OC HCA EHR Roadmap

IRIS Proposed Technology Upgrades

HCA NetworkContract Providers

County Clinics

Communication Connection (T1, DSL, Cable, etc.)

Potential improvement in communication setup (Faster throughput; application performance boost)

Potential new workstations, e-signature pads, scanners, etc.

• Servers, Drives, Software and Operating System are all 6+ years old.

• Performance and Reliability Issues.

• Inability to implement new software solution.

• Overall, approaching end-of-life, planned vendor obsolescence.

• Ability to develop and implement new solutions like EHR.

• Better Performance

• Increased productivity.

Kate Pavich

401 S. Tustin Street

Interior Design

MHSA Program

401 S. Tustin StreetInterior Design

401 S. Tustin StreetWellness/Peer Support Center

401 S. Tustin StreetCrisis Residential

401 S. Tustin StreetEducation and Training Center

FY 09/10 Annual Update

• The Orange County FY 09/10 Annual Plan Update was approved by the Mental Health Board on April 22 and sent to DMH for review on April 23.

• The plan will be reviewed within 60 days.

Recovery Arts

• Scrambled Eggs Presentation to CAAC– Jefferson Transitional Program: Art Works

Recovery Arts

• Art Fair and Calendar Contest– May 21, 11 a.m. – 3 p.m.– Old County Courthouse

• Art Festival – A Stigma Elimination Event– July 11 – August 23– CUSF: Grand Central Art Center (GCAC)

Sharon Browning

Steering Committee Comments

Public Comments

Next Steering Committee MeetingJune 1, 20091:00 p.m. – 4:00 p.m.Delhi Community Center505 East CentralSanta Ana, CA 92707

Health Care Agency/Behavioral Health Services