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Behavioral Health Services

Government Behavioral Health Services has faced many challenges over the years due to severe budget cuts, rising pharmaceutical costs, and the HIPAA mandate, to name just a few.

Government Consulting
 

FOX Systems, Inc. (FOX) has a long history of working collaboratively with local, county and state government behavioral health agencies to provide help with strategies to address these and other issues.

FOX understands not just healthcare, but also healthcare systems, and has created a specialty in the development of information system requirements, both functional and technical, for behavioral systems.

Behavioral health encompasses both substance abuse and mental health, and involves the long-term, often lifetime, care of a client. Consequently, the need for a longitudinal mental health record is paramount. There are interfaces between the Behavioral Health services for both local and state governments and their law enforcement, judicial and forensic, and a total systems approach is often needed to actually create a requirements database.

HIPAA has been a difficult challenge for behavioral health agencies because HIPAA was designed around a medical model of care and physical medicine services. Behavioral health has had its own coding systems (e.g, DSM) and strict Privacy standards which have to be made compatible with HIPAA standards and the national Designated Standards Maintenance Organizations have not have the expertise and inclination to readily address these challenges. At FOX, we understand and will work with you to help your organization become compliant with HIPAA while continuing to support the special needs of your discipline.

Our consultants include project managers, business analysts, systems programmers and analysts, training and documentation specialists, operations research specialists, and clinical/medical specialists. We also provide experts in workflow solutions and web-enabled technologies.

FOX consultants have provided support to government behavioral health agencies in the areas of:

  • Procurement of new payment systems

  • RFP Preparation

  • HIPAA Transaction and Code Sets Gap Analysis

  • HIPAA Privacy and Security Assessments

  • HIPAA Privacy Rule Implementation

  • Requirements analysis and implementation of management information systems

  • Contingency Planning

  • Policy and procedure development

  • Project Management Office (PMO)

HIPAA requirements have necessitated many changes in behavioral health services. FOX has experts in all areas of HIPAA - Privacy, Security, Transactions, and Code Sets. FOX consultants participate in industry-wide development organizations and decision-making groups, and can represent the issues that differentiate government agencies from the private sector.


Some highlights of FOX's behavioral healthcare project experience are found below:

  • Completed HIPAA Security, Privacy and Transactions & Code Sets assessment for California Department of Mental Health (CA DMH). FOX Team performed gap analysis, covered entity assessment, provided compliance recommendations and is currently involved with project management to remediate for full HIPAA compliance.

  • Conducting a Transactions and Code Sets assessment, gap analysis and requirements determination along with system recommendations for the California Department of Health Services (CA DHS) Short Doyle/Medi-Cal System for Mental Health and Substance Abuse.

  • Performed IV&V for the implementation of a behavioral health system for the New Mexico Department of Health

  • Implementation of a Cerner Enterprise System for behavioral health (which included the County’s alcohol and drug program services), public health and correctional medical programs for the Orange County, California Healthcare Agency (HCA). The system provides electronic medical record, scheduling, clinical and administrative tracking, billing, and other enterprise functionality.

  • HIPAA EDI, Privacy and Security assessment and compliance planning project for the Los Angeles County Department of Mental Health (LAC DMH), which is responsible for countywide mental health services administration through a network of county clinics and contract providers. The FOX team performed the gap analysis in legacy systems and developed a detailed compliance plan identifying the necessary technology, architecture, approach, tasks, schedule and budget for compliance.

  • Developed a master plan for automation for the California Department of Mental Health for state hospitals.

 

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