1. 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

2. 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

3. 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

4. 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

5. 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.

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

7. SMART MD Metrics SMART MD database metrics as of 12/11/09
Number of agencies
Number of facilities
Total Users ,961
Active users* 3,525
Total client profiles ,166
Total client profiles from MQ Server 172,342
Total intake cases 1,604,897
Active intake cases ,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.

8. SMART Electronic Consents
INSTITUTE FOR
GOVERNMENTAL
SERVICE AND RESEARCH

9. 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

10. 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