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North Carolina Health Information Exchange 

In 2015, the General Assembly established the NC Health Information Exchange Authority (HIEA), commonly known as NC HealthConnex. The HIE is a secure and electronic network that gives authorized health care professionals the ability to access and share health-related information across the state. The goal is to improve health care quality, enhance patient safety, improve health incomes, and reduce overall health care costs.

This legislation requires providers to have EHR and be connected to the HIE in order to receive any funding from state dollars including Medicaid, NC HealthChoice, and the State Employee Health Plan. 

H70 "Delay NC HealthConnex for Certain Providers" was introduced by primary sponsors Representatives Josh Dobson, Donny Lambeth, Greg Murphy, M.D., and Donna White, R.N. on February 13. The goal of this bill is to postpone until 2021 the mandate to purchase electronic health record software and connect to the NC Health Information Exchange, which currently has a deadline of this June.  

NC HIE>>
 
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Integrated Care

Over the past decade, the integration of behavioral health and general medical services has been shown to improve patient outcomes, save money, and reduce stigma related to mental health. Significant research spanning three decades has identified one model – the Collaborative Care Model – in particular, as being effective and efficient in delivering integrated care.

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MACRA Resources

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) changes the way psychiatrists and other physicians working with Medicare patients will be paid. The goal is to reimburse care based on quality and value rather than the number of services you provide. 

MACRA Resources>>
 
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Seclusion and Restraint

NC HIE>>
 
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A Psychiatrist’s Toolkit: Supervising NPs and PAs

Nurse Practitioners and Physician Assistants (NP/PA) have long played an important role in the provision of healthcare in North Carolina. NP/PAs have worked with psychiatrists in every practice setting—private practice, institutions, and particularly community mental health agencies. The traditional multi-disciplinary team approach of psychiatric care has instilled an appreciation for and reliance upon all clinicians in the care of this complex patient population, making the field uniquely situated to embrace the evolving health care delivery system of team-based care, collaborative care, accountable care, and shared savings. To that end, psychiatry’s ability to work with other professionals, to assess skills, and to assist in their development will be even more crucial.

See Supervising NPs and PAs Toolkit>>
 
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CPT Coding, DSM-5, & ICD-10 Information

The last few years have brought major changes to the way psychiatrists diagnose, code and bill for their patients' treatment. 

See DSM-5 Resources>>
 
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