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

2. 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 , 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 (3)(h), F.S., to develop and provide a unique identifier for clients receiving behavioral health services through the managing entity to coordinate care

3. 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

4. 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 website:

5. 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

6. 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%

7. 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%

8. 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%

9. 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.

10. 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

11. 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

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

13. 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

14. 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

15. 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

16. 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

17. 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

18. 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.

19. Questions and Answers

20. SAMH Quality Assurance Director
Contact Information
Sen-Yoni Musingo, Ph.D.
SAMH Quality Assurance Director
(850)