Tennessee Outcomes Measurement System (TOMS) v.1.3 Tracking and Improving Behavioral Health Care Throughout Tennessee

What is TOMS? The Tennessee Outcomes Measurement System is a data gathering and analysis system that Tennessee providers will use to collect self-report outcomes data and obtain consumer progress reports. It is sponsored by the state of Tennessee and the Tennessee Association of Mental Health Organizations (TAMHO), and has been developed jointly with TeleSage, Inc.

What are Consumer Outcomes? Consumer outcomes are indicators of quality of life that measure domains, such as symptom severity and social functioning, as well as recovery. Outcomes must by definition measure change over time, so taking the survey at regular intervals is necessary.

What are the Benefits of Outcomes Tracking? Consumer: Empowerment in recovery process; treatment planning with clinician Clinician: Identify consumer strengths and areas to work on in treatment; monitor changes over time Agencies: Quality improvement; meet requirements of certification, accreditation and/or payor organizations TAMHO: planning and quality improvement; identify best practices State: planning and quality improvement; develop best practices and state benchmarks; demonstrate accountability for resources

Guiding Principles Minimal burden on consumers and providers User-friendly technology No dedicated hardware or additional software needed onsite Actionable reports for clinicians and agencies Flexibility and ability to incorporate feedback from stakeholders

Estimated Consumer Completion Parent/Guardian Survey The TOMS Instruments Estimated Consumer Completion Time: 6-12 minutes Adult Survey Total: 51 items Youth Survey Total: 59 items Parent/Guardian Survey Total: 55 items

Survey Domains Adult Depression Anxiety Hostility Psychoticism Physical Impairment Social Functioning (Peer) Social Functioning (Spouse) Social Functioning (Family) Recovery Core Functioning Medication Compliance Medication Side Effects Substance Use Housing Transportation Safety Legal Work Functioning Service Utilization

Survey Domains Youth and Parent/Guardian Problem Severity Internalizing Externalizing Delinquency Hopefulness Functioning Inclusion in Mental Health Services Medication Legal Service Utilization School Self-Harm Housing Substance Abuse (youth only)

Sample Items Adult Survey In the past 7 days … Never Rarely Some- times Often Almost Always 1. I felt sad. 1 2 3 4 5 5. I felt nervous. 18. I heard voices when I was alone.

Survey Intervals New Clients Intake, +3 months, +6 months, +12 months, +24 months, +36 months, etc. Existing Clients* (phase in at patient review) Intake, +12 months, +24 months, +36 months, etc. *Existing clients are those who have been receiving services at your agency for at least one month.

Technology Options for Survey Administration Immediate Reports PHONE PC WEB ODBC Database PAPER* Export in any format *Rapid Data Entry

The TOMS Website

The TOMS Website Features available as of March 15, 2007: Adult, Youth and Parent/Guardian paper, online & phone surveys Rapid Data Entry Adult, Youth and Parent/Guardian clinic reports Assessments Due page Edit Clinician page Email Preferences page Help features such as detailed staff instructions, Frequently Asked Questions page, and video training modules

Paper Survey Administration

Phone Survey Administration

Online Survey Administration