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IGSR SMART Briefing for: Maryland State Drug and Alcohol Abuse Council 23 June 2010 I NSTITUTE FOR G OVERNMENTAL S ERVICE AND R ESEARCH.

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Presentation on theme: "IGSR SMART Briefing for: Maryland State Drug and Alcohol Abuse Council 23 June 2010 I NSTITUTE FOR G OVERNMENTAL S ERVICE AND R ESEARCH."— Presentation transcript:

1 IGSR SMART Briefing for: Maryland State Drug and Alcohol Abuse Council 23 June 2010 I NSTITUTE FOR G OVERNMENTAL S ERVICE AND R ESEARCH

2 SMART Collaborative Highlights Based upon federal Web Infrastructure for Treatment Services (WITS) public domain software designed in 2002 Customized in MD and nationally through IGSR & FEI Deployed in 22 states and counties Enhanced 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 boundaries Developed as an integrated consent-driven electronic case record I NSTITUTE FOR G OVERNMENTAL S ERVICE AND R ESEARCH

3 I NSTITUTE FOR G OVERNMENTAL S ERVICE AND R ESEARCH SMART Collaborative Benefits Statewide collaboration occurs in real-time between government agencies, non-profit organizations and providers Statewide collaboration occurs in real-time between government agencies, non-profit organizations and providers Electronic consents enforce federal and state confidentiality regulations Electronic consents enforce federal and state confidentiality regulations Interagency data repository promotes performance reporting within and between agencies Interagency data repository promotes performance reporting within and between agencies Interface strategies facilitate record sharing with legacy systems Interface strategies facilitate record sharing with legacy systems Client- and event-driven records support daily operations Client- and event-driven records support daily operations Development costs can be shared across stakeholders and agenciesDevelopment costs can be shared across stakeholders and agencies

4 SMART MD Strategies for HIE Adopt standard Health Level 7 (HL7) record structures and methods for exchanging information Develop SMART as both a repository and potential source of records incorporating HL7 consent directives under development Participate in MD DPSCS pilot for sharing records meeting NIEM standards I NSTITUTE FOR G OVERNMENTAL S ERVICE AND R ESEARCH

5 MD Network of Users Accessing the SMART Service Oriented Architecture SMART Application And Database Servers MD Department of Juvenile Services Data Service MD Division of Parole & Probation Montgomery County JJIS Data Service EHR/ECR = Electronic Health/Case Record Data Service = HL7.xml using Windows Communication Foundation (WCF) and/or MQSeries in real-time. SMART Users Treatment Agencies Parole and Probation Juvenile Services Drug Courts External Systems Real-time SMART EHR/ECR Existing County & Provider Systems Data Service I NSTITUTE FOR G OVERNMENTAL S ERVICE AND R ESEARCH

6 SMART: Client- and Event- Driven Electronic Records (EHR/ECR) I NSTITUTE FOR G OVERNMENTAL S ERVICE AND R ESEARCH

7 SMART MD Metrics SMART MD database metrics as of 12/11/09 Number of agencies755 Number of facilities806 Total Users14,961 Active users*3,525 Total client profiles964,166 Total client profiles from MQ Server172,342 Total intake cases1,604,897 Active intake cases434,851 Average 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. 7

8 SMART Electronic Consents I NSTITUTE FOR G OVERNMENTAL S ERVICE AND R ESEARCH

9 9 Federal CSAT Recovery Oriented Systems of Care (ROSC) Model Individual Family Community Ongoing Systems Improvement Family/ Child Care Housing/ Transportation Financial LegalCase Mgt VSO & Peer Support Health Care PTSD & Mental Health Alcohol/Drug Treatment Vocational Educational Spiritual Addiction Services System Mental Health System Primary Care System Child Welfare and Family Services Housing Authority Social Services Health Insurance DoD & Veterans Affairs Indian Health Services Criminal Justice System Abstinence Employment Crime Homelessness Evidence-Based Practice Cost Effectiveness Perception Of Care Social Connectedness Access/Capacity Retention Vocational Services HIV Services Services & Supports Systems of Care Recovery Wellness Health Private Providers

10 Contact Information Stephan Sherman, Associate Director Institute for Governmental Service and Research 9658 Baltimore Blvd, Suite 205 College Park, Md I NSTITUTE FOR G OVERNMENTAL S ERVICE AND R ESEARCH


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