1. Clinical Management for Behavioral Health Services (CMBHS)
Texas Department of
State Health Services
Debabrata Mitra
Technical Architect
4/22/2017

2. What is CMBHS?
CMBHS is a web-based electronic health records system for mental health and substance abuse treatment providers
CMBHS is a clinical tool utilized for assessing and treating mental health and substance abuse disorders
CMBHS is developed and hosted by DSHS
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3. Project Background and Goals
Legislatively-directed consolidation of mental health and substance abuse treatment services
Program Coordination
Technology Coordination
CMBHS as a Transformative Activity
Supported by state’s Mental Health Transformation Project
Provides cornerstone for interagency data exchange
Project Goals
One tool to improve client care and health outcomes
Management tool for state-funded mental health and substance abuse services
Maintain Security
4/22/2017

4. Primary User Base
State-funded and contracted substance abuse program providers
State-funded and contracted Community Mental Health Clinics (Local Mental Health Authorities)
State personnel with appropriate access for program oversight
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5. Training and Support
Training has occurred in central location, distance learning, and field-based activities
State maintains training and support staff
Train-the-trainer model currently in place
Support staff available
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6. Agency Partnerships and Data Exchange
Jail Diversion Activities
CMBHS provides record-matching services for care coordination with jail bookings
Local Mental Health Authorities access reports on matched clients
Office of Court Administration
Access to CMBHS system for authorized users for criminal cases
State Drug Court Program
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7. Why did we build CMBHS?
4/22/2017

8. CMBHS Features and Workflow
Intake
Registration, Screening, Financial Eligibility, Reservations
Assessment
Service Planning
Treatment Plan, Service Authorization
Service Documentation
Progress Notes, Lab Results, Medication Orders, Referrals, Consent to Release
Discharge
Discharge Assessment, Discharge Summary, Follow-up

9. CMBHS Administrative Features
Occupancy Management
Census, Wait List
Claims Management
Manage Contracts
Contract Measures, Financial Status Reports, Invoices
Reports
Online Reports, Download Reports

10. CMBHS Architecture
4/22/2017

11. CMBHS Architecture Software Products Microsoft .Net Framework 3.5
DSHS MVC/SOA Framework C#
Oracle 10g
Oracle RAC
Microsoft BizTalk Server 2006
Microsoft ISA Server 2006
Business Objects XI
4/22/2017

12. Implementation Strategy
Production
Release 1
Release 2
Release 3
Prevention
Services
Intervention
BHO/HMO
Data Exchange
Vendor Systems
Medicaid
Integration
Treatment
Screening/Referral
(DPS/OCA)
Data Warehouse
4/22/2017

13. Data Exchange using Standard Transactions
X12 HIPAA/HITSP
Enrollment (834)
Benefit Eligibility (270/271)
Encounter (837)
Service Authorization (278)
Continuity of Care Document (C32, C80/83)
4/22/2017

14. Behavioral Health Information Exchange
Lab
Outpatient
Clinic
Residential MH
Hospital
Pharmacy
Commercial Payer
TMHP
DSHS
State Behavioral Health Database
Data Access through Consent and Security Roles
4/22/2017

15. Demo Site http://www.dshs.state.tx.us/cmbhs/providers.shtm
CMBHS Demo Site URL:
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