Published on August 4, 2022
Avoiding a patient blood draw and a duplicate lab test because your organization is connected to the HIE portal is a good thing. If it means avoiding blood draws for your patients with Serious Mental Illness (SMI), the connection means much more.
When Southwest Network was first connected to Contexture, one of the most immediate benefits was the ability to check for lab work on patients with SMI and avoid a blood draw if labs had already been done, according to Danielle Griffith, Corporate Compliance Director for Southwest Network. Being able to view previous lab results and see what medications had already been prescribed for their patients with SMI was enough for Southwest Network to be “sold” on participation in the HIE; however, they wanted to find the best ways to take advantage of the connection to Contexture.
Southwest Network, a nonprofit charitable organization, has served children with emotional disturbances and adults with SMI in Maricopa County since 1999. Services for children and adolescents are provided from three regional offices and at five Arizona Department of Child Safety offices. Services for adults are provided at seven outpatient clinics, including two integrated health homes that offer primary care services in coordination with behavioral health services.
When Southwest Network began working with the Arizona HIE, a pilot team was given access to the portal and reviewed the information and services that were available. The team put together eight patient panels focused on two primary profiles of patients: a children’s group selected for acute needs and adult groups consisting of patients with SMI who receive services 24/7 from their assigned Assertive Community Treatment (ACT) team and are deemed most likely to go to the hospital. Initially, the aim was to develop a standard process for receiving and responding to Alerts. The response and the results have been good, according to Griffith.
Southwest Network has realized two key benefits so far, Griffith said, including finding members through an Alert who are not currently engaged and re-engaging them in their behavioral health services, and finding members with new or existing medical conditions, like pregnancy, and tailoring services to support the health of the whole individual. She estimates that the Southwest Network ACT teams now receive five to ten Alerts a week.
“As soon as we know we have a member who has been hospitalized, we can contact the hospital and any involved family members to initiate discharge planning, which helps prevent re-hospitalization,” Griffith said. “We are all very excited with the member information and services that we receive from Contexture, and we see how this is helpful in treating the whole individual and working with a member’s entire healthcare team. This is where we are going as a state and a country, and we are excited to be in the vanguard and part of the learning process.”