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Research ArticleOriginal Research

Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integrating Behavioral Health and Primary Care

Maribel Cifuentes, Melinda Davis, Doug Fernald, Rose Gunn, Perry Dickinson and Deborah J. Cohen
The Journal of the American Board of Family Medicine September 2015, 28 (Supplement 1) S63-S72; DOI: https://doi.org/10.3122/jabfm.2015.S1.150133
Maribel Cifuentes
From the Department of Family Medicine, University of Colorado School of Medicine, Aurora (MC, DF, PD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, RG, DJC); Oregon Rural Practice-based Research Network, Portland (MD); Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC).
RN, BSN
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Melinda Davis
From the Department of Family Medicine, University of Colorado School of Medicine, Aurora (MC, DF, PD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, RG, DJC); Oregon Rural Practice-based Research Network, Portland (MD); Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC).
PhD
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Doug Fernald
From the Department of Family Medicine, University of Colorado School of Medicine, Aurora (MC, DF, PD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, RG, DJC); Oregon Rural Practice-based Research Network, Portland (MD); Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC).
MA
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Rose Gunn
From the Department of Family Medicine, University of Colorado School of Medicine, Aurora (MC, DF, PD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, RG, DJC); Oregon Rural Practice-based Research Network, Portland (MD); Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC).
MA
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Perry Dickinson
From the Department of Family Medicine, University of Colorado School of Medicine, Aurora (MC, DF, PD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, RG, DJC); Oregon Rural Practice-based Research Network, Portland (MD); Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC).
MD
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Deborah J. Cohen
From the Department of Family Medicine, University of Colorado School of Medicine, Aurora (MC, DF, PD); Department of Family Medicine, Oregon Health & Science University, Portland (MD, RG, DJC); Oregon Rural Practice-based Research Network, Portland (MD); Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC).
PhD
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Article Figures & Data

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    Table 1. EHRs and Access to Clinical Information in ACT Practices (n = 11)
    Practice IDFederal DesignationOwnershipGeographyEHR(s)Shared EHRAccess to Clinical Information
    7NoneClinicianSuburbane-MDs V7.2YesFull
    9NoneClinicianRuralGE Centricity V9.5YesFull
    10NoneClinicianSuburbaneClinical Works V10.0YesFull
    13NoneClinicianUrbanAllscripts TouchWorks V11.4YesFull
    14NoneHospital SystemSuburbanHealth Connect (EPIC) V Summer 09YesPartial
    4FQHCPrivate, not for profitSuburbaneClinical Works V10.0YesFull
    12FQHCHospital SystemSuburbanNextGen V5.8YesFull
    16FQHCHospital SystemSuburbanSiemens EDM V24 Siemens LCR V2.2YesFull
    Document management system and clinical database (not an EHR)
    17CMHCPrivate, not for profitRuralUnicare Profiler V15 (BH) AdvancedMD (PC)NoRestricted
    18CMHCPrivate, not for profitUrbanNetsmart TIER (BH) GE Centricity (PC)NoRestricted
    19CMHCPrivate, not for profitRuralQualifacts Systems, Inc. Carelogic V5 (BH) Intergy (PC)NoFull
    • Access to Clinical Information Abbreviations: Full, access to all parts of the record granted to primary care providers (PCPs) and behavioral health clinicians (BHCs); Partial, access to only relevant parts of the record granted to PCPs and BHCs; Restricted, restricted access to the record granted to PCPs and BHCs, such that needed clinical information was inaccessible at the point of care; BH, behavioral health; CMHC, community mental health center; EHR, electronic health record; FQHC, federally qualified health center; PC, primary care.

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The Journal of the American Board of Family     Medicine: 28 (Supplement 1)
The Journal of the American Board of Family Medicine
Vol. 28, Issue Supplement 1
September-October 2015
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Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integrating Behavioral Health and Primary Care
Maribel Cifuentes, Melinda Davis, Doug Fernald, Rose Gunn, Perry Dickinson, Deborah J. Cohen
The Journal of the American Board of Family Medicine Sep 2015, 28 (Supplement 1) S63-S72; DOI: 10.3122/jabfm.2015.S1.150133

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Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integrating Behavioral Health and Primary Care
Maribel Cifuentes, Melinda Davis, Doug Fernald, Rose Gunn, Perry Dickinson, Deborah J. Cohen
The Journal of the American Board of Family Medicine Sep 2015, 28 (Supplement 1) S63-S72; DOI: 10.3122/jabfm.2015.S1.150133
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  • Re: Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integrating Behavioral Health and Primary Care
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  • Advancing Care Together by Integrating Primary Care and Behavioral Health
  • Strategies to Support the Integration of Behavioral Health and Primary Care: What Have We Learned Thus Far?
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Keywords

  • Behavioral Medicine
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  • Integrated
  • Electronic Medical Records
  • Medical Informatics
  • Mental Health
  • Primary Health Care

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