{"id":178941,"date":"2026-02-04T18:29:56","date_gmt":"2026-02-04T18:29:56","guid":{"rendered":"https:\/\/healthit.gov\/blog\/?p=178941"},"modified":"2026-02-17T19:31:51","modified_gmt":"2026-02-17T19:31:51","slug":"advancing-the-future-of-behavioral-health-data-exchange","status":"publish","type":"post","link":"https:\/\/healthit.gov\/blog\/behavioral-health\/advancing-the-future-of-behavioral-health-data-exchange\/","title":{"rendered":"Advancing\u00a0the Future of Behavioral Health Data Exchange\u00a0"},"content":{"rendered":"\n

Patients with behavioral health conditions are often dually-burdened with chronic physical health conditions. Consequently, providers caring for these patients must coordinate their care to get the best possible health outcomes. The lack of reliable health information exchange and integration of health data across care settings can inhibit this essential care coordination. For example, individuals may face duplicative tests, medication errors, or gaps in care at critical moments. HHS recognizes the vital role that innovative health information technology (health IT) plays a vital role in solving these challenges. Improved electronic data exchange can expand access to behavioral health care, support enhanced care coordination, empower clinical decision-making, and lead to improved health outcomes. <\/p>\n\n\n\n

The Behavioral Health Information Technology (BHIT) Initiative<\/a> is addressing the need for improved data exchange in behavioral healthcare settings. Nine new pilot projects will advance health data exchange to improve behavioral health care coordination. View press release announcing the pilot projects<\/a><\/p>\n\n\n\n

BHIT Initiative<\/strong> <\/h2>\n\n\n\n

The BHIT Initiative is a $20 million<\/a> effort led by ASTP\/ONC and the Substance Abuse and Mental Health Services Administration (SAMHSA). The effort includes partnering with the industry to develop the USCDI+ Behavioral Health (USCDI+ BH) dataset<\/a> and the FHIR\u00ae Behavioral Health Profiles Implementation Guide (BH IG)<\/a> to provide standardized data elements and technical specifications to improve the state of behavioral health data exchange across care settings. The pilot projects will test the USCDI+ BH dataset and the FHIR\u00ae BH IG to assess behavioral health data exchange in real world settings across the country.   <\/p>\n\n\n\n

Pilots Selected<\/strong> <\/h2>\n\n\n\n

The\u00a0testing will not only improve the standards and technical specifications\u00a0of the\u00a0USCDI+\u00a0BH\u00a0dataset but\u00a0will\u00a0also\u00a0provide vital information\u00a0about providers\u2019\u00a0implementation experience\u00a0as well as\u00a0legal and policy considerations\u00a0for the broader provider community.\u00a0Pilot\u00a0participants\u00a0represent\u00a045\u00a0exchange partners across\u00a0Colorado,\u00a0Connecticut,\u00a0Delaware,\u00a0Florida,\u00a0Massachusetts,\u00a0North Carolina,\u00a0Oregon,\u00a0Rhode Island,\u00a0and Washington,\u00a0DC.\u00a0Along with technical\u00a0assistance,\u00a0ASTP\/ONC and SAMHSA will provide\u00a0funds\u00a0ranging from $300,000 to $690,000\u00a0to implement innovative, community-driven\u00a0projects\u00a0that test the USCDI+ BH dataset\u00a0and\u00a0FHIR\u00ae\u00a0BH\u00a0IG,\u00a0and support improved behavioral health\u00a0information exchange\u00a0over the next\u00a0year.\u00a0<\/p>\n\n\n\n

\"A<\/figure>\n\n\n\n

The pilot projects will identify effective practices and opportunities that can support improved behavioral health data exchange for patients and providers. This includes care coordination, federal and state reporting, patient access and consent, and consent management for entities covered by federal requirements for the confidentiality of substance use disorder patient records (42 C.F.R. Part 2). <\/p>\n\n\n\n

Many pilot projects also are leveraging health information exchanges as infrastructure for data sharing, and two are exploring innovative uses of artificial intelligence alongside the use of USCDI+ BH data elements. Importantly, these pilot projects include participants at varying levels of health IT maturity, increasing the likelihood that the solutions developed can scale across diverse provider types and settings. <\/p>\n\n\n\n

Looking Ahead<\/strong> <\/h2>\n\n\n\n

The pilot projects have already begun the initial phase of their work, and will be complete by the end of 2026. The lessons learned from the pilot projects will inform refinements to the USCDI+ BH data elements and FHIR\u00ae BH IG technical specifications. The knowledge gained also will shape the development of the Behavioral Health Information Resource \u2013 a comprehensive tool that incorporates lessons learned and best practices from the pilots, with a planned release in 2027. Stay tuned for more updates and find the informational resource on our website next year. <\/p>\n\n\n\n

These pilot projects represent an important step toward a more interoperable healthcare system that supports integrated behavioral and physical health care. By testing standardized data exchange in real-world settings across the country, we’re building the foundation for scaled adoption that can improve continuity of care, improve exchange of data across care settings, and deepen the connection between two parts of the healthcare system that are often siloed.  <\/p>\n\n\n\n

Stay Engaged<\/strong> <\/h2>\n\n\n\n

We encourage stakeholders to stay tuned for updates on pilot project progress and for opportunities to provide feedback on the USCDI+ BH dataset and FHIR\u00ae BH IG.  <\/p>\n\n\n\n

This blog post was co-authored with Christopher D. Carroll, the Principal Deputy Assistant Secretary for Mental Health and Substance Use at the Substance Abuse and Mental Health Services Administration (SAMHSA).<\/em> <\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Patients with behavioral health conditions\u00a0are often\u00a0dually-burdened\u00a0with\u00a0chronic physical health conditions.\u00a0Consequently, providers caring for these patients must coordinate their care to get the best possible health outcomes.\u00a0The lack of reliable\u00a0health\u00a0information exchange\u00a0and integration\u00a0of health data\u00a0across care\u00a0settings\u00a0can\u00a0inhibit\u00a0this essential\u00a0care coordination. For example,\u00a0individuals may face duplicative tests,\u00a0medication errors, or gaps in care at critical moments.\u00a0<\/p>\n","protected":false},"author":617,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":true,"template":"","format":"standard","meta":{"_acf_changed":false,"_selected_menu":"","_show_breadcrumbs":"true","_blog_show_featured_image":false,"footnotes":""},"categories":[8],"archived-category":[],"featured":[391],"topics":[409,408],"class_list":["post-178941","post","type-post","status-publish","format-standard","hentry","category-behavioral-health","featured-featured","topics-behavioral-health","topics-care-continuum"],"acf":{"blog_authors":[{"blog_author_profiles":"199259"},{"blog_author_profiles":"212550"}],"hp_news_hide":false},"yoast_head":"\nAdvancing\u00a0the Future of Behavioral Health Data Exchange\u00a0 - ONC Blog<\/title>\n<meta name=\"description\" content=\"Visit the ONC Blog to explore thoughtful commentary, official updates, and in-depth analysis on health information technology, data strategy, AI, and policy from ONC.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/healthit.gov\/blog\/behavioral-health\/advancing-the-future-of-behavioral-health-data-exchange\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Advancing\u00a0the Future of Behavioral Health Data Exchange\u00a0\" \/>\n<meta property=\"og:description\" content=\"Visit the ONC Blog to explore thoughtful commentary, official updates, and in-depth analysis on health information technology, data strategy, AI, and policy from ONC.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/healthit.gov\/blog\/behavioral-health\/advancing-the-future-of-behavioral-health-data-exchange\/\" \/>\n<meta property=\"og:site_name\" content=\"ONC Blog\" \/>\n<meta property=\"article:published_time\" content=\"2026-02-04T18:29:56+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-02-17T19:31:51+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/healthit.gov\/blog\/wp-content\/uploads\/sites\/4\/2026\/02\/blog_feature-graphic_bhit-initiative-light-1.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"628\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"peter.keesey\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"peter.keesey\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/healthit.gov\/blog\/behavioral-health\/advancing-the-future-of-behavioral-health-data-exchange\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/healthit.gov\/blog\/behavioral-health\/advancing-the-future-of-behavioral-health-data-exchange\/\"},\"author\":{\"name\":\"peter.keesey\",\"@id\":\"https:\/\/healthit.gov\/blog\/#\/schema\/person\/85b95a940f5b5e0f94945dded36a67a6\"},\"headline\":\"Advancing\u00a0the Future of Behavioral Health Data Exchange\u00a0\",\"datePublished\":\"2026-02-04T18:29:56+00:00\",\"dateModified\":\"2026-02-17T19:31:51+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/healthit.gov\/blog\/behavioral-health\/advancing-the-future-of-behavioral-health-data-exchange\/\"},\"wordCount\":879,\"publisher\":{\"@id\":\"https:\/\/healthit.gov\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/healthit.gov\/blog\/behavioral-health\/advancing-the-future-of-behavioral-health-data-exchange\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/healthit.gov\/blog\/wp-content\/uploads\/sites\/4\/2026\/02\/blog_feature-graphic_bhit-initiative-light-1.png?w=1024\",\"articleSection\":[\"Behavioral Health\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/healthit.gov\/blog\/behavioral-health\/advancing-the-future-of-behavioral-health-data-exchange\/\",\"url\":\"https:\/\/healthit.gov\/blog\/behavioral-health\/advancing-the-future-of-behavioral-health-data-exchange\/\",\"name\":\"Advancing\u00a0the Future of Behavioral Health Data Exchange\u00a0 - 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