Transcript Slide 1

Clinical Management
for
Behavioral Health Services
(CMBHS)
May 6, 2008
Clinical Management for Behavioral Health
Services (CMBHS) is an integrated
electronic clinical management system for
DSHS behavioral health (MH & SA)
services.
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Electronic Health Record (EHR)
Integrates billing functionality
Unifies DSHS behavioral health data
Interoperable with other HHSC systems
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Major Components of CMBHS
Online Application
EHR used to document
and coordinate services
for clients receiving
mental health &
substance abuse services
Operational Data
Store
A central
repository for EHR
information
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Developing CMBHS
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Client care vs. data management system
CMBHS Focus Group members - clinicians
Focus Group approach to design:
 Provide information needed at the point of
service
 Improve provider efficiency using real-world
workflow
 Use of data from other systems and providers
 Support clinical best practice
 Ensure compliance with laws and contracts
 Meet DSHS and local data needs
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Application Development
•Current and emerging policy issues
•Budget and competing needs
•Technical considerations
•Service quality and outcomes
•Client’s access to own clinical information
•Clinical quality and compliance reviews
•State and local level reporting needs
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System Security
•Industry standard Internet security,
encryption, firewalls
•Individual user IDs and passwords
•User authentication
•Screens and data are assigned by job
function/role
•Automated consent to allow client control
of access to different types of records
•Privacy and reason for sharing data
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Opportunities to Inform
Policy and Practice through
Data Integration
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Obtaining a better picture of client problems
Tracking the whole health and human
experience over time
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Outcome measures for individual agencies
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Outcome measures for the enterprise
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Understanding the impact of multiple agency
interventions
Improved projections of future client needs
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Data Exchange Issues
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Purpose of sharing data (individual care
coordination or system change)
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Control of data after release
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Data validity and verification
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Client matching protocols
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Maintaining connections to other data
systems
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BH Data Exchange
iServ
Other
Provider &
BHO Data
Systems
Business
Components
Behavioral
Health Data
Data
Exchange
Service Consumer (External Domains)
NetSmart
BH
Service
Provider
Behavioral
Health
Business
Services
Security/Consent
Anasazi
Data
Exchange
Security/Consent
SA Provider
Proprietary
EHRs
Service Provider
Service Consumer (EHR Systems)
State
Web EHR
(CMBHS)
Financial
Systems
Physical
Health
Providers
Law
Enforcement
Judicial
Systems
Social
Services
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Provider Use of CMBHS
1.
2.
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Provider use of CMBHS EHR online (includes
reports and data download capabilities)
Provider use of CMBHS EHR online, with
provider pulling data to feed other
applications/systems
Provider use of other EHR and provision of
required data to CMBHS through delayed
batch exchange
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CMBHS Beta Test Sites
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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
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CMBHS Beta Functionality
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Provider Set-up
Client Search
Client Profile
Screening
Assessment (Adult., Adol., MH, SA)
Assessment Narrative
Progress Notes (Clinical, Administrative)
Treatment Plan
Treatment Plan Review
Discharge documentation
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CMBHS Production Release
Beta functionality plus the following:
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Determination of
ability to pay
Administration of
medications
TIMA documentation
Crisis documentation
Nurses Note and
Assessment
Authorizations (UM)
Waiting List
Reports & downloads
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Consent for release of
information
Consent to Treatment
Child Assessment
Case Management
Referral
Messaging system
Claims (SA)
Additional Work
Spaces
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Final Production Release
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Doctors orders and prescriptions
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Crisis Services documentation
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State Hospital data exchange
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Community MH services claims
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Pharmacy management
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Quality management and compliance
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Medicaid eligibility and billing
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Other
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CMBHS Project Schedule
Beta Deployed
To pilot Sites
10/13/05
Phase One
Milestones
•Catapult Consulting
•Business Analysis
•Technical Analysis
04/01/06
11/01/07
01/09
Phase Two
Phase Three
Milestones
•Beta Application Complete
•Release to 7 Pilot Sites
•Functionality: 27 Use Cases
•Data Exchange Proof of
Concept Complete
Milestones
•Online Production Release
•Functionality: 55 Use Cases
•Data Exchange
•DPS Interface
•Drug Court Interface
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Implementation of CMBHS
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Deployment plan under construction under
guidance of the DSHS CMBHS Steering
Committee
Staggered approach to implementation
DSHS will provide training to providers (train
the trainer and clinical staff)
Adjust level of training to provider
implementation approach
Technical assistance and support will be
available by phone. May include user groups,
online etc
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Contact CMBHS
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You may submit questions to:
[email protected]
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CMBHS website is:
http://www.dshs.state.tx.us/cmbhs
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QUESTIONS