Q&A
Challenges in providing comprehensive care across different system access points
1:33:09
ยท
135 sec
Council Member Linda Lee raises concerns about ensuring comprehensive care for individuals accessing services through various entry points in the system. Dr. Daniel Schatz discusses the challenges and strategies for providing coordinated care across different locations and departments.
- Focus on meeting patients' needs when and where they need it, regardless of entry point
- Discussion of data sharing challenges due to HIPAA and 42 CFR regulations
- Explanation of Health + Hospitals' use of Epic electronic health record system to improve data-driven care and access to patient information across locations
Linda Lee
1:33:09
And then how about in terms of the providers on the ground?
1:33:12
So for example, ICL.
1:33:13
Right?
1:33:14
If I come in and I'm a homeless person that's experiencing a mental health breakdown and I'm also addicted to, you know, opioids, how how if if it's coming from the provider side, do they have access to sharing those databases?
1:33:29
I mean, I come I'm asking this with sort of knowing what the answer is.
1:33:32
But, like, I guess the point I'm trying to make is how are we making sure that I, as a whole person, no matter what point access point in the system I'm entering, whether it's a hospital, inpatient, or an outpatient, or on the street, how are we making sure that there's some understanding of whoever is treating me at that moment?
1:33:53
Oh, this person has actually been in services before at Bellevue and or this person has actually been in, the inpatient care through Elmhurst.
1:34:03
Because we keep seeing this revolving door.
1:34:04
So I guess I'm just trying to understand how we're betting better catching people where they're at.
Dr. Daniel Schatz
1:34:10
Yeah.
1:34:10
It's the focus of we wanna meet the patient where they are Mhmm.
1:34:13
When what they need, when they need it.
1:34:15
We can't vary on any of those 3 different items there.
1:34:19
And, these individuals are often, you know, moving around because of whatever shelter they're in, the current location.
1:34:24
So they might be at one health and hospital versus another.
1:34:27
You know, unfortunately with with HIPAA and 42 CFR, we really have our internal H and H, data.
1:34:33
But within there, what's nice is we had, recently, transitioned over to Epic and it's much more data driven and we can see any of the encounters, and make sure that you have access to that.
1:34:43
You might need to kind of what's called break the glass to say that, yes, this is important for the patient care for me to be able to see this and access it.
1:34:50
But we definitely think of that way.
1:34:52
Now we also wanna train, the staff appropriately to what's needed.
1:34:56
So, you know, we need to access what's the immediate needs, act on that, but we also need to screen and how far down the screening algorithm do they go and what kind of intervention can they provide rapidly at that point versus the referral and the follow-up?
1:35:11
And we make sure that the right person is getting that kind of training and making sure at the end of the day the addiction services at large is always available for consultation, either indirectly, like, through communication, or directly with a referral.