What Does a Substance Use Facility Need in an EHR?
When it comes to substance use treatment, an EHR is instrumental in fostering better care coordination and improving clinical care. In order to meet the demands of addiction rehabilitation facilities, an EHR must account for both the operational needs of the agency – and unique functional needs for clients, such as IOP (intensive outpatient) and inpatient-specific options.
One of the main challenges for substance use treatment is coordination of care, within the organization, across multiple services and providers. This means substance use agencies typically need EHR functionality such as ePrescribing, Decision Support, and Lab Integration.
They also often look for certified programs that qualify them to participate in programs like Meaningful Use, MACRA, MIPS, etc.
PIMSY offers all of the above-mentioned functionality, plus also provides streamlined data entry, robust electronic billing, and customizable organization-wide reporting & accountability tools.
Substance Use-specific functionality that you should look for in an EHR:
For agencies offering inpatient treatment, you need to be able to see the real-time status of all the clients in your facility – and create a daily bed attendance log & daily notes for everyone in the program, easily and efficiently.
With PIMSY’s color-coded bed management screen, you can quickly & easily schedule beds, maintain a waiting list, and determine when a space should become available. Click here for details.
Comprehensive Session Notes: Assessment, Progress, Group, and Team
Treatment for SUDs often requires integrated case management. This means that record-tracking; follow-up plans of care; and the development of performance indicators – in a shared clinical decision-making platform – are all essential to effective treatment.
Strong note management capabilities in an EHR help to: monitor a patient’s progress, avoid redundant treatment, and encourage adherence to the treatment plan. Robust notes – of various types – also ensure that all of the information & authorization management contained in a client’s chart are both integrated and easily accessible.
e-Prescribing allows physicians, nurse practitioners, and psychiatrists to electronically send prescriptions to a pharmacy instead of having to fax or call it in. Connecting the point of care directly to the pharmacy improves communication and collaboration; decreases the risk of medical error or prescription fraud; minimizes the risk of drug-to-drug or drug-to-allergy interaction; and improves medication adherence.
When integrated with an EHR, you can manage medications, view patient history, and send prescriptions – all from one place! If you are a psychiatrist or a clinician who is responsible for prescribing medication, your organization may benefit greatly from e-prescribing integrated with your EHR.
PIMSY has been partnered with H2H Solutions for e-Prescribing since 2011, as part of our initial Meaningful Use Certification, and utilizes Digital Rx. This is a two-way electronic communication, which means that not only will the pharmacy receive the scripts electronically, but if the pharmacist has a question or issue, they can send that info back through Digital Rx – right into PIMSY for the clinician to receive.
Clinical Decision Support
Decision Support is customizable to your specs and can be deployed across multiple areas of the system. When entering your data into PIMSY, decision support automatically pops up – alerting you to client care data.
Using PIMSY’s eMAR capabilities, you can track exactly which medications are administered to which client: by whom, where, and when. Not only does the eMAR feature give you total medication accountability, but it reduces administrative errors and decreases documentation time.
With built in inventory and tracking, eMar allows a facility to track the med bottles, auto-decrement the bottle counts according to what has been dosed, and allows for matching of manual bottle counts to the system counts. For organizations that work directly with a pharmacy, or have an onsite pharmacy, this tracking can be linked to the original package all the way down to the individual pills. Bar code scanning technology is integrated with this feature.
To assist long distance client-clinician contact, PIMSY has partnered with Secure Video to offer integrated HIPAA-compliant telehealth services. This capability allows you to conduct a session right from your PIMSY calendar and sends automatic meeting invitations to your clients for seamless scheduling.
With lab integration, you can pull lab result files directly into your practice management software, flag any criteria you want to monitor (such as having all positive drug tests show up red in the results) and can pull global reports based off those results. With PIMSY, you can attach the results to the client chart without having to scan, type, or otherwise enter data.
UB-04 billing is a type of billing an institutional provider can use for the reimbursement of medical and mental health claims. Billing for IOP and inpatient services is a very unique functionality that some EHRs do not consider when creating their billing rules and procedures but can be a valuable function in an EMR.
PIMSY can seamlessly process and easily accommodate the special needs of all UB-04 billing, allowing full control over the type of bill, attending provider and rev code specifics for all inpatient claims including residential facilities, IOP/PHP services and other institutional claims.
Personal Health Information (PHI) security and HIPAA compliance is important for any agency, but especially crucial for substance use facilities. In order to protect your data and ensure compliance, an EHR should have secure hosting that adheres to HIPAA and HITECH protocols; encrypts communications and operation processes; blocks unauthorized traffic; and manages threats.
PIMSY hosts all data on Microsoft Azure with Cloud services to provide solid data encryption and security. This means that your client and practice data is being backed up, multiple times daily, to one of the world’s most secure Cloud providers, at three of their different geo-locations.
MIPS – Meaningful Use – MACRA
PIMSY is in the process of becoming ONC-ACB 2015 Edition certified.
If your facility treats Substance Use / SUDs, use the checklist above to find a behavioral health EHR that will best support your services. To see if PIMSY is right for your organization – or for details of the functionality highlighted above – contact us: 877.334.8512, ext 1 // email@example.com