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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.
Electronic Health Record (EHR)
Integrates billing functionality
Unifies DSHS behavioral health data
Interoperable with other HHSC systems
2
Major Components of CMBHS
Online Application Operational Data
EHR used to document Store
and coordinate services A central
for clients receiving repository for EHR
mental health & information
substance abuse services
3
Developing CMBHS
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
4
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
5
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
6
Opportunities to Inform
Policy and Practice through
Data Integration
Obtaining a better picture of client problems
Tracking the whole health and human
experience over time
Outcome measures for individual agencies
Outcome measures for the enterprise
Understanding the impact of multiple agency
interventions
Improved projections of future client needs
7
Data Exchange Issues
Purpose of sharing data (individual care
coordination or system change)
Control of data after release
Data validity and verification
Client matching protocols
Maintaining connections to other data
systems
8
BH Data Exchange
State Service Provider Financial
Web EHR Systems
Service Consumer (External Domains)
Behavioral
(CMBHS) Service Consumer (EHR Systems)
Health
Security/Consent
Security/Consent
Physical
SA Provider Data Business Data
Exchange Health
Proprietary Services Exchange
EHRs
Providers
Anasazi Business Law
Components Enforcement
NetSmart
BH
Service Judicial
Provider iServ Systems
Other Behavioral
Provider &
Health Data Social
BHO Data
Systems Services
9
Provider Use of CMBHS
1. Provider use of CMBHS EHR online (includes
reports and data download capabilities)
2. Provider use of CMBHS EHR online, with
provider pulling data to feed other
applications/systems
3. Provider use of other EHR and provision of
required data to CMBHS through delayed
batch exchange
10
CMBHS Beta Test Sites
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
11
CMBHS Beta Functionality
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
12
CMBHS Production Release
Beta functionality plus the following:
Determination of Consent for release of
ability to pay information
Administration of Consent to Treatment
medications Child Assessment
TIMA documentation Case Management
Crisis documentation Referral
Nurses Note and Messaging system
Assessment
Claims (SA)
Authorizations (UM)
Waiting List Additional Work
Spaces
Reports & downloads
13
Final Production Release
Doctors orders and prescriptions
Crisis Services documentation
State Hospital data exchange
Community MH services claims
Pharmacy management
Quality management and compliance
Medicaid eligibility and billing
Other
14
CMBHS Project Schedule
Beta Deployed
To pilot Sites
10/13/05 04/01/06 11/01/07 01/09
Phase One
Phase Two
Milestones
Phase Three
•Catapult Consulting Milestones
•Business Analysis •Beta Application Complete
•Technical Analysis Milestones
•Release to 7 Pilot Sites
•Online Production Release
•Functionality: 27 Use Cases
•Functionality: 55 Use Cases
•Data Exchange Proof of
•Data Exchange
Concept Complete
•DPS Interface
•Drug Court Interface
15
Implementation of CMBHS
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
16
Contact CMBHS
You may submit questions to:
cmbhs@dshs.state.tx.us
CMBHS website is:
http://www.dshs.state.tx.us/cmbhs
17
QUESTIONS
