The Impact of Delivery Reform on Health Information Exchange with Behavioral Health Providers: Results from a National Representative Survey of Ambulatory Physicians

This study explores whether delivery reform participation affects behavioral health HIE among ambulatory health providers using pooled 2015 –2019 data from the National Electronic Health Record Survey, a nationally representative survey of ambulatory physicians’ technology use (n = 8,703). The independent variable in this analysis was provider participation in ACO, PCMH, Hybrid ACO-PCMH, or standard care. The dependent variable was HIE with behavioral health providers. Chi square analysis estimated unweighted rates of behavioral health HIE across reform models. Logistic regression estimated the impact of delivery reform participation on rates of behavioral health HIE. Unweighted estimates indicated that Hybrid ACO-PCMH providers had the highest rates of HIE (n = 330, 33%). In the fully adjust model, rates of HIE were higher among ACO (AOR = 2.66,p <  .01), PCMH (AOR = 4.73,p <  .001) and Hybrid ACO-PCMH participants (AOR = 5.55,p <  .001) compared to standard care, but they did not significantly vary between delivery models. Physicians infrequently engage in HIE with behavioral health providers. Compared to standard care, higher rates of HIE were found across all models of delivery reform. More work is needed to identify com mon elements of delivery reform models that are most effective in supporting this behavior
Source: Administration and Policy in Mental Health and Mental Health Services Research - Category: Psychiatry Source Type: research