Financial and Services Accountability Management System (FASAMS) Update on FASAMS Implementation Status May 9, 2019 Orlando, Florida

Legislative Authority Funded by the Florida Legislature through Specific Appropriation 302A to replace existing Substance Abuse and Mental Health Information System (SAMHIS) Developed in compliance with Section 394.77, Florida Statutes, to meet the following requirements: A uniform management information and fiscal accounting system for use by providers of community substance abuse and mental health services A uniform reporting system with uniform definitions and reporting categories An integrated system with automated interfaces to FMMIS and Child Welfare (FSFN) systems Implemented in compliance with 394.9082(3)(h), F.S., to develop and provide a unique identifier for clients receiving behavioral health services through the managing entity to coordinate care

FASAMS Interfaces Automated Interfaces Interface Purposes Florida Medicaid Management Information System (FMMIS) Medicaid Eligibility Data Medicaid Enrollment Data Medicaid Encounter Data Licensed MH Beds Florida Safe Family Network (FSFN) Persons receiving SAMH services who are involved in child welfare system (CWS) DCF Master Client Index (MCI) Creation and maintenance of unique client identifiers from persons receiving SAMH services Information Delivery System (IDS) Data from IDS warehouse regarding SAMH contracts and budgets Provider Licensing and Designation System (PLADS) Licensed SA Beds

Current Data Sets Data Set FASAMS data are designed to provide answers to the following Department’s business questions: “who receive what services from whom to achieve which outcomes at what costs?” Data Set Provider - PAM 155-2, Chapter 3 Waiting List - PAM 155-2, Chapter 7 Client - PAM 155-2, Chapter 4 Acute Care - PAM 155-2, Chapter 8 Treatment Episode - PAM 155-2, Chapter 5 Subcontract - PAM 155-2, Chapter 9 Service Event - PAM 155-2, Chapter 6 Pamphlet 155-2 website: https://www.myflfamilies.com/service-programs/samh/fasams/index.shtml

Data Submission Status Degree of Concordance between FASAMS Record Counts and ME Record Counts Varies across Managing Entities and Data Sets Lowest for Admission and Discharge Record Counts Neither MEs nor Providers currently have access to Raw Data Submitted into FASAMS

Data Submission Status Managing Entities Non-Client-Specific Events (EVNT) Client-Specific Events (SERV) ME Record Counts FASAMS Record Counts Degree of Concordance Big Bend Community Based Care (BBCBC) 22,471 18,141 80.7% 445,782 353,430 79.3% Broward Behavioral Health Coalition (BBHC) 27,747 27,229 98.1% 338,065 342,359 101.3% Central Florida Cares Health System (CFCHS) 28,594 25,076 87.6% 434,782 348,742 80.2% Central Florida Behavioral Health Network (CFBHN) 88,094 85,316 96.8% 2,079,044 1,918,866 92.3% Lutheran Services Florida (LSF) 61,524 33,702 57.8% 644,679 392,257 60.8% Southeast Florida Behavioral Health Network (SEFBHN) 74,250 71,951 96.9% 443,979 453,347 102.1% South Florida Behavioral Health Network (SFBHN) 23,959 23,499 550,834 551,398 100.1% STATE 326,639 284,914 87.2 2,858,121 2,441,533 85.4%  

Data Submission Status    Managing Entities MH Admissions MH Discharges  ME Record Counts FASAMS Record Counts Degree of Concordance Big Bend Community Based Care (BBCBC) 11,365 8,032 70.6% 1,844 3,365 182.4% Broward Behavioral Health Coalition (BBHC) 6,809 6,897 101.2% 5,741 6,673 116.2% Central Florida Cares Health System (CFCHS) 9,800 5,002 51.0% 1,656 851 51.3% Central Florida Behavioral Health Network (CFBHN) 57,064 42,519 74.5% 45,483 0.0% Lutheran Services Florida (LSF) 11,485 7,334 63.8% 2,486 791 31.8% Southeast Florida Behavioral Health Network (SEFBHN) 9,286 9,211 99.1% 5,108 5,801 113.5% South Florida Behavioral Health Network (SFBHN) 13,134 13,170 100.2% 6,662 6,153 92.3% STATE 61,879 49,646 80.2% 23,497 23,634 100.6%

Data Submission Status    Managing Entities SA Admissions  SA Discharges  ME Record Counts FASAMS Record Counts Degree of Concordance Big Bend Community Based Care (BBCBC) 7,433 4,263 57.4% 3,806 2,008 52.7% Broward Behavioral Health Coalition (BBHC) 3,391 3,508 103.5% 3,330 3,320 99.7% Central Florida Cares Health System (CFCHS) 12,033 6,519 54.2% 2,577 1,085 42.1% Central Florida Behavioral Health Network (CFBHN) 27,349 15,710 188,139 11,011 5.8% Lutheran Services Florida (LSF) 12,263 5,944 48.4% 6,758 408 6.0% Southeast Florida Behavioral Health Network (SEFBHN) 6,526 6,401 98.0% 5,416 5,038 93.0% South Florida Behavioral Health Network (SFBHN) 10,009 10,053 100.4% 3,107 5,557 178.8% STATE 79,004 52,398 66.3% 24,994 17,416 69.7%

Pending Enhancements ME Access to FASAMS Data Requirements HQ and Managing Entities will have read-access to the same , non-production instance of FASAMS data. HQ will have access to all the data.  MEs will have access to the data they submitted. FEI’s Proposed Long-Term Solution   Purchase an additional server – Do contract amendment to enable this purchase Create a new database instance that contains a copy of all data sets in production environment – Refresh these data nightly This solution can be implemented by September 2019 FEI’s Proposed Interim Solution   Use SQL Server Reporting Services (SSRS) to enable MES to access their FASAMS data via reports ME’s will be able to execute and export these reports into whatever tools they like for further analysis This solution can be implemented by July 1, 2019.

Pending Enhancements Unique Client Identifier (UCI) Build two new reports allowing submitting entities to retrieve all of their clients with UCIs and clients without a UCI. New XML file for ME Outcome Targets Allow submitting entities to submit an XML data set for submitting the Targets for both Outcome Measures and Output Measures. New Baker Act Data Elements in Treatment Episode Add BakerActRouteCode of 4 for Voluntary Examination

Pending Enhancements New Baker Act Data Elements in Treatment Episode BakerActRoleCode 01 – Judge 02 – Police Officer 05 – Licensed Practitioner of the Healing Arts 08 – Self 09 – Unknown

Pending Enhancements New Baker Act Data Elements in Treatment Episode BakerActCrisisInterventionTrained? 0 – No 1 – Yes 3 – Unknown BakerActMobileUnit?

Pending Enhancements New Baker Act Data Elements in Treatment Episode BakerActSchoolSetting? 0 – No 1 – Yes Note: Rules will be created to validate the correct combination of BakerActCrisisInterventionTrainedCode, BakerActSchoolSettingCode, and BakerActMobileUnitCode based on BakerActRouteCode and BakerActRoleCode

Pending Enhancements New Pregnancy Data Elements in Discharge Entity ExpectedDeliveryDate This data element will be added to the Health Sub-Entity of Performance Outcome Measure Must be provided and is required if PregnantCode is 1 ActualDeliveryDate This data element will be added to the Discharge Entity Must be provided and is required if BirthOutcomeCode is 1 or 2 BirthWeight (pounds and ounces) Conditionally Optional. Required only if BirthOutcomeCode is 1 or 2. M

Pending Enhancements Integration of Supplemental Data Sets Florida Assertive Community Treatment (FACT) Report Community Action Team (CAT) Report Behavioral Health Catalog of Care Report Managing Entity Monthly Progress Report Women’s Special Funding Report Family Intervention Treatment (FIT) Report Monthly Care Coordination Report Conditional Release Report Forensic Diversion Report Forensic Multidisciplinary Team Repo

Integration Plan Contract Reference Data Set Number of Data Elements Number of Data Elements in FASAMS Data Elements Needing Integration Expected Integration Date Guidance Document 16 FACT 22 18 4 1/1/2020 Guidance Document 32 CAT 23 21 2 Template 4 Supplemental Behavioral Health Catalog of Care 14 7/1/2020 Template 11 ME Monthly Progress Report Already in FASAMS 9/1/2019 Template 12 ME Monthly Expenditure Report Already in FASAMS (need to revise algorithms) Template 13 ME Monthly Carry Forward Expenditure Report Template 16 Women's Special Funding Report 20 12 8

Integration Plan Contract Reference DATA Set Number of Data Elements Number of Data Elements in FASAMS Number of Data Elements not in FASAMS Expected Integration Date Template 21 Care Coordination On hold - pending decision from the program office Template 22 Conditional Release 23 19 4 1/1/2020 Template 23 Forensic Diversion 7 5 2 7/1/2020 Template 25 Forensic Multidisciplinary Team 11 10 1 9/1/2019

Pending Enhancements Migration of Legacy SAMHIS Data Modules Seclusion and Restraint (SANDR) Treatment Alternative to Needy Families (TANF Enrollment) Department of Correction (DOC Inmate Releases and Appointments for SAMH Services) Note: OITS Team is analyzing the business requirements and working on a plan to transition the SANDR, TANF, and DOC applications into FASAMS or another, supportable environment.  This analysis will be complete by 6/30/2019.

Questions and Answers

SAMH Quality Assurance Director Contact Information Sen-Yoni Musingo, Ph.D. SAMH Quality Assurance Director senyoni.musingo@myflfamilies.com (850) 717-4464