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Clinical Management for Behavioral Health Services (CMBHS) May 30, 2008.

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Presentation on theme: "Clinical Management for Behavioral Health Services (CMBHS) May 30, 2008."— Presentation transcript:

1 Clinical Management for Behavioral Health Services (CMBHS) May 30, 2008

2 2 Clinical Management for Behavioral Health Services (CMBHS) is an integrated electronic clinical management system for DSHS behavioral health (BH) services (MH & SA). Electronic Health Record (EHR) Includes billing functionality Unifies DSHS behavioral health data Interoperable with other HHSC systems

3 3 Major Components of CMBHS Online Application EHR used to document and coordinate services for clients receiving mental health & substance abuse services Data Warehouse A central repository for EHR information

4 4 Why Develop CMBHS? SAMHSA: Develop a single system for persons with co-occurring disorders State Legislation: House Bill consolidate organizational structures and functions HHSC: Update current data systems consistent with HHSCs IT strategy DSHS Process Improvement: Eliminate duplicative and non-integrated systems

5 5 Obtaining a better picture of client needs and problems Tracking the whole health and human experience over time Improved measuring of outcomes for providers, agencies and the HHSC enterprise Better understanding of the impact of multiple agency interventions Improved projections of future client and population needs Data Integration Informs Policy

6 6 Project Policy Environment Legislative requirements and innovation opportunities (SB 839, HB 921) Information exchange policy requirements (HIPAA, state Law, 42 CFR) Development of single system for persons with co-occurring disorders Client considerations include access to records and consent for disclosure of information Integration with Mental Health System Transformation initiative

7 7 Current Data Systems Current Data Systems BHIPS CARE NorthSTAR Financial Systems Vendor Systems SAVERR TIERS TMHP Financial Systems DSHS Physical Health

8 8 The Focus Groups members are clinicians IS business analyst and SMEs participate The Focus Groups purpose is to collect and document the system requirements in such a way that they can be used by the software developers to create the application System requirements for CMBHS must support clinical best practices, comply with laws and contracts and meet DSHS and local data needs CMBHS Focus Group

9 9 Considerations During Development of CMBHS Current and emerging policy issues Budget and competing state and local needs Client care vs. data management system Technological advances and limitations Service quality and outcomes Oversight for clinical quality and compliance Facilitate meeting state and local data and reporting needs Support clinical best practices Facilitate compliance with laws and contracts

10 10 ServiceDelivery Assessment Screening ProgressNotes TreatmentPlan WaitingList Admission TreatmentPlan Review Review Discharge Clinical Documentation Structure DischargeSummary

11 11 Meets HIPPA compliant data security standards Industry standard Internet security, SSL encryption, firewalls Unique user IDs and passwords Access to screens/data are controlled by job function and role Data shared between providers controlled by client consent as per laws and rules CMBHS System Security

12 12 Beta Pilot Process Sites include MH, SA and BHO Training provided to 1 to 3 staff from each site Focus on the clinician as key users Evaluation of user interface (UI) and clinical appropriateness of data fields and functions Online Help included and technical assistance available through call system Opportunities for pilot feedback through routine teleconferences; DSHS addresses feedback Approximately 30 changes implemented to date based on pilot input

13 13 CMBHS Beta Test Sites Helen Farabee Regional MHMR Centers NorthSTAR - ValueOptions and Lakes Regional MHMR Center Lubbock Regional MHMR Center Tarrant County MHMR Community Center Amarillo Council on Alcoholism Managed Care Center For Addictive/Other Disorders, Inc. Recovery Resource Council

14 14 CMBHS Beta Functionality Includes Provider Set-up Client Search Client Profile Screening Assessment (Adult, Adolescent, MH, SA) Assessment Narrative Progress Notes (Clinical, Administrative) Treatment Plan Treatment Plan Review Discharge documentation

15 15 CMBHS Production Release #1 Financial Eligibility Assessment Administration of medication & TIMA Crisis documentation Service authorizations (UM) Waiting list Reports & downloads Consent for release of information Consent to treatment Child Assessment Referral Messaging system Claims (SA) Additional work spaces Will include Beta functionality plus the following:

16 16 CMBHS Final Production Release Doctors orders and prescriptions Crisis Services documentation State Hospital data exchange Quality management and compliance Medicaid eligibility and billing Other? Will include Release #1 functionality plus the following:

17 17 CMBHS Project Schedule Milestones Beta Application Complete Release to 7 Pilot Sites Functionality: 27 Use Cases Data Exchange Proof of Concept Complete 11/01/0701/0910/13/0504/01/06 Milestones Online Production Release Functionality: 55 Use Cases Data Exchange DPS Interface Drug Court Interface Phase Three Phase Two Phase One Milestones Catapult Consulting Business Analysis Technical Analysis Beta Deployed To pilot Sites 1/14/08

18 18 1 CMBHS Online Web clientProvider uses CMBHS online for all functions 2 CMBHS Data Exchange 1 BatchProvider uses vendor system to feed data to CMBHS 3 CMBHS Data Exchange 2 Conversational near real-time Provider uses vendor system to feed data to CMBHS 4 CMBHS Online/Data Exchange Web clientProvider uses CMBHS as front end to feed data to their vendor system at the backend Options for Provider Use of CMBHS

19 19 PlanDeployment Plan for Deployment of CMBHS 1. Staggered approach over the course of months 2. DSHS will provide training to providers (train the trainer and directly to clinical staff) and at multiple locations 3. Level of training will be adjusted to provider implementation approach (see page 18) and Contract Type (MH, SA, BHO) 4. Technical assistance and support for providers will be available by phone

20 20 Next Steps CMBHS Beta extended through June 15, 2008 Conference calls with providers will continue Focus Group will continue development of new use cases New CMBHS functionality will be user tested prior to release DSHS will continue to share information about CMBHS and obtain feedback from users

21 21 You may submit questions to: You may submit questions to: CMBHS website is: CMBHS website is: Contact CMBHS

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