SMART Statewide Maryland Automated Record Tracking

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Presentation transcript:

SMART Statewide Maryland Automated Record Tracking Stephan Sherman University of Maryland, Institute for Governmental Service and Research (IGSR)) shermans@umd.edu March, 2009

SMART Highlights Based upon federal Web Infrastructure for Treatment Services (WITS) public domain software designed in 2002 Deployed in 17 states and counties Enhanced using cost and code sharing strategies through a national collaborative of member jurisdictions (WCP) Customized in MD and nationally through IGSR & FEI Developed as an integrated consent-driven electronic health record Designed to share assessment, treatment, case management, criminal justice, and drug court data statewide

SMART Benefits for MD State Agencies Statewide collaboration in real-time while meeting federal and state confidentiality regulations Interagency data repository for performance reporting within and between agencies Real-time data exchange with existing data systems Client- and event-driven records support agency daily operations and decision making Cross-agency data can be warehoused for secondary analysis and research Enhancements can be shared at no additional development cost to MD

SMART Services Oriented Architecture Database MD Division of Parole & Probation Data Exchange MD Department of Juvenile Services SMART Users SA Providers Parole & Probation Juvenile Services Corrections Drug Courts Data Exchange SMART EHR & Consents Mont County Juvenile Justice Info Services Data Exchange Anasazi, AMS and Other Systems Data Exchange

SMART Client- and Event-Driven Electronic Case Records (EHR) Treatment Modules Intake/Case Open Contract Management and Billing Assessment/History Admissions/Discharges Treatment Planning Encounters and Notes Case Management StateStat Data Reporting NOMMS/SOMS/TEDS Reporting Criminal Justice Modules Intake/Case Open History and Current Charges Screening/Risk Assessment Admissions/Discharges Case Management Field Supervision and Notes StateStat Data Reporting BJA/OJP Drug Court data reporting Electronic Consents Automated Labs and Drug Testing Uses bar code scanning technology Chain of custody is maintained Results available in real time Shared across network via consents

SMART Electronic Consents

SMART Progress Report

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 Family/ Child Care Alcohol/Drug Treatment Social Services Mental Health System Cost Effectiveness Vocational Individual Family Community Educational PTSD & Mental Health Crime Housing/ Transportation Primary Care System Housing Authority 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