Presentation on theme: "IGSR SMART Briefing for: Maryland State Drug and Alcohol Abuse Council"— Presentation transcript:
1 IGSR SMART Briefing for: Maryland State Drug and Alcohol Abuse Council INSTITUTE FORGOVERNMENTALSERVICE AND RESEARCHIGSR SMART Briefing for:Maryland State Drug andAlcohol Abuse Council23 June 2010
2 SMART Collaborative Highlights INSTITUTE FORGOVERNMENTALSERVICE AND RESEARCHBased upon federal Web Infrastructure for Treatment Services (WITS) public domain software designed in 2002Customized in MD and nationally through IGSR & FEIDeployed in 22 states and countiesEnhanced using cost and code sharing strategies through a national collaborative of member jurisdictions (WCP)Designed to share assessment, treatment, case management, criminal justice, and drug court data across agency boundariesDeveloped as an integrated consent-driven electronic case record
3 SMART Collaborative Benefits INSTITUTE FORGOVERNMENTALSERVICE AND RESEARCHStatewide collaboration occurs in real-time between government agencies, non-profit organizations and providersElectronic consents enforce federal and state confidentiality regulationsInteragency data repository promotes performance reporting within and between agenciesInterface strategies facilitate record sharing with legacy systemsClient- and event-driven records support daily operationsDevelopment costs can be shared across stakeholders and agencies
4 SMART MD Strategies for HIE INSTITUTE FORGOVERNMENTALSERVICE AND RESEARCHAdopt standard Health Level 7 (HL7) record structures and methods for exchanging informationDevelop SMART as both a repository and potential source of records incorporating HL7 consent directives under developmentParticipate in MD DPSCS pilot for sharing records meeting NIEM standards
5 MD Network of Users Accessing the SMART Service Oriented Architecture INSTITUTE FORGOVERNMENTALSERVICE AND RESEARCHSMART UsersTreatment AgenciesParole and ProbationJuvenile ServicesDrug CourtsReal-timeExternal SystemsSMARTApplicationAndDatabaseServersMD Division of Parole & ProbationData ServiceMD Department of Juvenile ServicesData ServiceSMARTEHR/ECRMontgomery County JJISData ServiceExisting County & Provider SystemsData ServiceEHR/ECR = Electronic Health/Case RecordData Service = HL7 .xml using Windows Communication Foundation (WCF) and/or MQSeries in real-time.
6 SMART: Client- and Event-Driven Electronic Records (EHR/ECR) INSTITUTE FORGOVERNMENTALSERVICE AND RESEARCH
7 SMART MD Metrics SMART MD database metrics as of 12/11/09 Number of agenciesNumber of facilitiesTotal Users ,961Active users* 3,525Total client profiles ,166Total client profiles from MQ Server 172,342Total intake cases 1,604,897Active intake cases ,851Average number of new cases/month** 19,604*Logged on at least once within the last 12 months.**Over the last 12 months. Average for 11/1/2007 to 10/31/2008 was 20,384.
8 SMART Electronic Consents INSTITUTE FORGOVERNMENTALSERVICE AND RESEARCH
9 Federal CSAT Recovery Oriented Systems of Care (ROSC) Model AbstinenceEvidence-Based PracticeSystems of CareAddictionServices SystemChild Welfareand FamilyServicesEmploymentServices & SupportsPrivateProvidersFamily/ Child CareAlcohol/Drug TreatmentSocialServicesMental HealthSystemCost EffectivenessVocationalIndividualFamilyCommunityEducationalPTSD & Mental HealthCrimeHousing/TransportationHousingAuthorityPrimary CareSystemHealth CarePerceptionOf CareSpiritualHIV ServicesVocational ServicesIndian HealthServicesFinancialVSO & Peer SupportLegalCase MgtHomelessnessRetentionHealth InsuranceCriminal JusticeSystemWellnessHealthDoD & Veterans AffairsAccess/CapacitySocial ConnectednessOngoing Systems Improvement
10 INSTITUTE FORGOVERNMENTALSERVICE AND RESEARCHContact InformationStephan Sherman, Associate DirectorInstitute for Governmental Service and Research9658 Baltimore Blvd, Suite 205College Park, Md 20740