Clinical Management for Behavioral Health Services (CMBHS) Texas Department of State Health Services Debabrata Mitra Technical Architect 4/22/2017

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 4/22/2017 2

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 4/22/2017

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 4/22/2017 4

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 4/22/2017 5

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 4/22/2017 6

Why did we build CMBHS? 4/22/2017

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

CMBHS Administrative Features Occupancy Management Census, Wait List Claims Management Manage Contracts Contract Measures, Financial Status Reports, Invoices Reports Online Reports, Download Reports

CMBHS Architecture 4/22/2017

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 4/22/2017

Implementation Strategy Production Release 1 Release 2 Release 3 Prevention Services Intervention BHO/HMO Data Exchange Vendor Systems Medicaid Integration Treatment Screening/Referral (DPS/OCA) Data Warehouse 4/22/2017

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) 4/22/2017

Behavioral Health Information Exchange Lab Outpatient Clinic Residential MH Hospital Pharmacy Commercial Payer TMHP DSHS State Behavioral Health Database Data Access through Consent and Security Roles 4/22/2017

Demo Site http://www.dshs.state.tx.us/cmbhs/providers.shtm CMBHS Demo Site URL: http://www.dshs.state.tx.us/cmbhs/providers.shtm 4/22/2017 15