IGSR SMART Briefing for: Maryland State Drug and Alcohol Abuse Council INSTITUTE FOR GOVERNMENTAL SERVICE AND RESEARCH IGSR SMART Briefing for: Maryland State Drug and Alcohol Abuse Council 23 June 2010

SMART Collaborative Highlights INSTITUTE FOR GOVERNMENTAL SERVICE AND RESEARCH Based upon federal Web Infrastructure for Treatment Services (WITS) public domain software designed in 2002 Customized in MD and nationally through IGSR & FEI Deployed in 22 states and counties Enhanced using cost and code sharing strategies through a national collaborative of member jurisdictions (WCP) Designed to share assessment, treatment, case management, criminal justice, and drug court data across agency boundaries Developed as an integrated consent-driven electronic case record

SMART Collaborative Benefits INSTITUTE FOR GOVERNMENTAL SERVICE AND RESEARCH Statewide collaboration occurs in real-time between government agencies, non-profit organizations and providers Electronic consents enforce federal and state confidentiality regulations Interagency data repository promotes performance reporting within and between agencies Interface strategies facilitate record sharing with legacy systems Client- and event-driven records support daily operations Development costs can be shared across stakeholders and agencies

SMART MD Strategies for HIE INSTITUTE FOR GOVERNMENTAL SERVICE AND RESEARCH Adopt standard Health Level 7 (HL7) record structures and methods for exchanging information Develop SMART as both a repository and potential source of records incorporating HL7 consent directives under development Participate in MD DPSCS pilot for sharing records meeting NIEM standards

MD Network of Users Accessing the SMART Service Oriented Architecture INSTITUTE FOR GOVERNMENTAL SERVICE AND RESEARCH SMART Users Treatment Agencies Parole and Probation Juvenile Services Drug Courts Real-time External Systems SMART Application And Database Servers MD Division of Parole & Probation Data Service MD Department of Juvenile Services Data Service SMART EHR/ECR Montgomery County JJIS Data Service Existing County & Provider Systems Data Service EHR/ECR = Electronic Health/Case Record Data Service = HL7 .xml using Windows Communication Foundation (WCF) and/or MQSeries in real-time.

SMART: Client- and Event-Driven Electronic Records (EHR/ECR) INSTITUTE FOR GOVERNMENTAL SERVICE AND RESEARCH

SMART MD Metrics SMART MD database metrics as of 12/11/09   Number of agencies 755 Number of facilities 806 Total Users 14,961 Active users* 3,525 Total client profiles 964,166 Total client profiles from MQ Server 172,342 Total intake cases 1,604,897 Active intake cases 434,851 Average number of new cases/month** 19,604 *Logged on at least once within the last 12 months. **Over the last 12 months. Average for 11/1/2007 to 10/31/2008 was 20,384.

SMART Electronic Consents INSTITUTE FOR GOVERNMENTAL SERVICE AND RESEARCH

Federal CSAT Recovery Oriented Systems of Care (ROSC) Model Abstinence Evidence-Based Practice Systems of Care Addiction Services System Child Welfare and Family Services Employment Services & Supports Private Providers Family/ Child Care Alcohol/Drug Treatment Social Services Mental Health System Cost Effectiveness Vocational Individual Family Community Educational PTSD & Mental Health Crime Housing/ Transportation Housing Authority Primary Care System Health Care Perception Of Care Spiritual HIV Services Vocational Services Indian Health Services Financial VSO & Peer Support Legal Case Mgt Homelessness Retention Health Insurance Criminal Justice System Wellness Health DoD & Veterans Affairs Access/Capacity Social Connectedness Ongoing Systems Improvement

INSTITUTE FOR GOVERNMENTAL SERVICE AND RESEARCH Contact Information Stephan Sherman, Associate Director Institute for Governmental Service and Research 9658 Baltimore Blvd, Suite 205 College Park, Md 20740 301.397.2336 shermans@umd.edu