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Clinical Management for Behavioral Health Services (CMBHS)

Clinical Management for Behavioral Health Services (CMBHS). Texas Department of State Health Services. Debabrata Mitra Technical Architect. What is CMBHS?. CMBHS is a web-based electronic health records system for mental health and substance abuse treatment providers

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Clinical Management for Behavioral Health Services (CMBHS)

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

  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 8/30/2014 2

  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. 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 8/30/2014 4

  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 8/30/2014 5

  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 8/30/2014 6

  7. Why did we build CMBHS?

  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

  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

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

  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)

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

  15. Demo Site CMBHS Demo Site URL: http://www.dshs.state.tx.us/cmbhs/providers.shtm 8/30/2014 15

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