The behavioral healthcare field’s information technology (IT) continues to lag a generation behind the IT capacity of its physical healthcare peers. This gap is largely due to behavioral healthcare providers’ exclusion from The Health Information Technology for Economic and Clinical Health Act (HITECH), which offered financial incentives to other healthcare providers for demonstrating “meaningful use” of electronic health records (EHR). Unfortunately, today our field has much lower EHR adoption rates and a lack of EHR developers creating IT systems for the behavioral healthcare patient population.
This overdue investment would materially advance the goals of parity, improve overall quality and transitions of care across settings, and help provide greater safety for patients suffering under the nation’s Mental Health crisis.
The ultimate goal of widespread adoption of health information technology — to save American lives through improved coordination of care — is particularly relevant to persons with mental and addictive disorders. According to an eight-state study issued by the Substance Abuse and Mental Health Services Administration (SAMHSA) in December 2006, individuals with serious mental illnesses served by public mental health authorities die — on average — 25 years sooner than other Americans.
SAMHSA directly linked this troubling mortality data to the high incidence of untreated co-occurring chronic medical conditions in this patient population including cancer, hypertension, diabetes, asthma, heart disease, and cardio-pulmonary conditions. It has been reported that hospitalized patients with bipolar disorder have mortality rates that ranged from 35% to 200% higher than any other patients; again, the cause of death was co-occurring chronic diseases.
Health information technology (HIT) is the essential cornerstone of efforts to address this emerging public health crisis. HIT will enable behavioral health and substance abuse providers to effectively coordinate care across mental health and substance abuse service systems, primary care entities, and specialty medicine.
Psychiatric hospitals and residential treatment centers are critical parts of the overall healthcare delivery system, and these organizations have made great strides in beginning to implement HIT to help improve the delivery of behavioral health care and to better coordinate with overall healthcare.
Psychiatric hospitals and residential treatment centers treat a high proportion of Medicare and Medicaid patients.
Much more needs to be done, and financial support by the federal government will be critical to ensuring that behavioral health providers will be able to take the next step in fully implementing HIT along with other hospitals and healthcare providers.
NABH is also working as part of the Behavioral Health Information Technology Coalition to educate Congress about the need to extend HIT incentives to behavioral health.
