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DMHMRSAS ITS May 15, 2002. What Got Us To This Point. Data Issues Between CSBs

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1. DMHMRSAS – CSB Interface Web Application Development Technically Speaking Review from a Development Perspective How we got to this point What the issues were and are Why are we changing What Are the Changes What Is Effecting Change What Are the Issues With Change What We Want to Be Vision of Tomorrow Issues of Tomorrow When changes can be expected Review from a Development Perspective How we got to this point What the issues were and are Why are we changing What Are the Changes What Is Effecting Change What Are the Issues With Change What We Want to Be Vision of Tomorrow Issues of Tomorrow When changes can be expected

2. DMHMRSAS ITS May 15, 2002 This is an ongoing IssueThis is an ongoing Issue

3. DMHMRSAS ITS May 15, 2002 What Got Us To This Point Standardization 1985 Development of ICDE/Taxonomy 1986 Performance Contract Paper Submission Paper Analysis The beginning of efforts to capture like service and client data from the CSBs. The ICDE was an outgrowth of a federal effort from the Mental Health Statistics Improvement Program to collect comparable data from the 50 states. The taxonomy was the list of defined services offered in the MH/MR/SA system. The performance contract was the mechanism to standardize reporting of client and fiscal data from the 40 CSBs. The forms were lengthy and cumbersome.The beginning of efforts to capture like service and client data from the CSBs. The ICDE was an outgrowth of a federal effort from the Mental Health Statistics Improvement Program to collect comparable data from the 50 states. The taxonomy was the list of defined services offered in the MH/MR/SA system. The performance contract was the mechanism to standardize reporting of client and fiscal data from the 40 CSBs. The forms were lengthy and cumbersome.

4. DMHMRSAS ITS May 15, 2002 What Got Us To This Point Accuracy 1987 Central Office Database Paper Submission Keying Errors Automated Reporting to Limited # of Staff Accuracy has always been a problem because aggregate data was prepared from two non-integrated components: clinical and fiscalAccuracy has always been a problem because aggregate data was prepared from two non-integrated components: clinical and fiscal

5. DMHMRSAS ITS May 15, 2002 What Got Us To This Point Accountability 1988/89 CSB Automation Effort Hardware Software Based on ICDE & Taxonomy Specifications to Produce 4th Quarter Report A collaborative effort between CO and CSBsA collaborative effort between CO and CSBs

6. DMHMRSAS ITS May 15, 2002 What Got Us To This Point Accountability 1990/91 Paradox CARS application 2nd & 3rd Quarter Reporting Performance Contract 4th Quarter Report Standard Input & Output DOS based Bulletin Board Service Movement toward addressing the “aggregate” issue, “a single application”, and getting data from CSBs to COMovement toward addressing the “aggregate” issue, “a single application”, and getting data from CSBs to CO

7. DMHMRSAS ITS May 15, 2002 What Got Us To This Point Accountability 1992 ACCESS CARS Windows Based Error Checking Data Available to CSBs for Additional Reporting 1993 SCADS Individual Client Data Encrypted Files Technology response in upgrade to Windows application Individual Client Data sent to CO.Technology response in upgrade to Windows application Individual Client Data sent to CO.

8. DMHMRSAS ITS May 15, 2002 What Are the Issues 1994-99 Reality Proliferation of Reporting Requirements Federal State General Assembly Offices in DMHMRSAS Grants Projects Proliferation of Applications Central Office Developed Independently Developed Reporting Requirements increased from almost every perspective Application response to data needs. Sometimes not cost effective, and sometimes resource burdenReporting Requirements increased from almost every perspective Application response to data needs. Sometimes not cost effective, and sometimes resource burden

9. DMHMRSAS ITS May 15, 2002 What Are the Issues Technology 2000 CHRIS (Human Rights) Logon to Central Office Database Logon Maintenance PRAIS Precedent Technical Support Logon to Facility Network Technical Support Finger Pointing Movement toward a central Database. Technical issuesMovement toward a central Database. Technical issues

10. DMHMRSAS ITS May 15, 2002 What Are the Issues Technology 2001 Review of Requirements & Processes VACSB Data Management Committee Identification of all Data Reporting Requirements Identification of all Data Elements Normalization Single Submission? Performance Contracting Process 50 % Reduction in Requirements Elimination of 3rd Quarter Report CHRIS POMS Review of the entire Reporting Requirements IssueReview of the entire Reporting Requirements Issue

11. DMHMRSAS ITS May 15, 2002 What Are the Changes New Systems at CSBs Same Reporting Requirements Maintenance & Staff Resources New Systems at Central Office & Facilities DI to Control Development Web Based Development Warehousing Reality of ChangeReality of Change

12. DMHMRSAS ITS May 15, 2002 What We Look Like Today Same Requirements of Standardization, Accuracy and Accountability Infrastructure Changes Access/Security Issues Some things stay the same. Some things change. Some things are new.Some things stay the same. Some things change. Some things are new.

13. DMHMRSAS ITS May 15, 2002 What Is Effecting Change Same Requirements of Standardization, Accuracy and Accountability Data Management Plan State Reporting Federal Reporting Legislative Inquiry Sharing Data SOS This will never change. The process must change.SOS This will never change. The process must change.

14. DMHMRSAS ITS May 15, 2002 What Is Effecting Change Infrastructure Changes Move From Multiple Applications at CSBs Support Issues with 40 CSBs Multiple Application Maintenance Issues Browser Based HIPAA – VPN, PKI, LAN Security Why the process has to change.Why the process has to change.

15. DMHMRSAS ITS May 15, 2002 What Are Issues With Change Access/Security Issues CSB Authorizers Initiate Logons Terminate Logons Suspend Logons Role Security Unauthorized Entry Virus What is new? Logon Authorizers who are not part of our network or COWhat is new? Logon Authorizers who are not part of our network or CO

16. DMHMRSAS ITS May 15, 2002 What We Want To Be Applications Upload/Download Discharge Readiness Discharge Planning Continuity of Care Medicaid Reporting What process change is currently being made? Upload/Download – response to virus & email issues Discharge Planning and Barriers – from paper to electronic medium Continuity of Care – from keying into an application (POMS) to on line Medicaid – from paper to on line availability On line reportingWhat process change is currently being made? Upload/Download – response to virus & email issues Discharge Planning and Barriers – from paper to electronic medium Continuity of Care – from keying into an application (POMS) to on line Medicaid – from paper to on line availability On line reporting

17. DMHMRSAS ITS May 15, 2002 Vision of Tomorrow Single Submission Plan MPI Private Providers Data Management Committee work Single submission MPI Private ProvidersData Management Committee work Single submission MPI Private Providers

18. DMHMRSAS ITS May 15, 2002 Issues of Tomorrow Standardization Accuracy Accountability Reality Technology Reporting Issues stay the sameReporting Issues stay the same

19. DMHMRSAS ITS May 15, 2002 When Changes Can Be Expected In Process Now Moving now… this is not an effort with a clearly defined start and finish but will continue to be an evolving process as long as there are reporting requirementsMoving now… this is not an effort with a clearly defined start and finish but will continue to be an evolving process as long as there are reporting requirements

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