1. Web Infrastructure For Treatment Systems
FEI.com, Inc.
WITS
Web Infrastructure
For Treatment Systems
Richard Thoreson
Rodney Conrad
Chris White

2. Brief Overview
.NET, open-source, Web-based Case-management and Reporting system for Counties, States, and Health Care Providers
Over $6M and 4+ years of development
Developed by FEI and Westat initially as a CSAT project, multiple States and Counties are customizing WITS
Intended to grow as a Collaborative effort between multiple States and Counties
Current WITS implementations – TN, AK, IA, UT, IL, MD, WY, HI, Sonoma CA, Mendocino CA, Marin CA, San Diego CA
Designed to be highly configurable within multiple State and County Business Environments

3. Access to Recovery Grant
Two Case Studies
Salt Lake County, Utah
Sharing ASI results between Providers
Electronic Consent and Referral
Access to Recovery Grant
Illinois, Tennessee, and Wyoming
Longitudinal GPRA outcomes
Voucher Billing and Adjudication

4. Salt Lake County ASI performed by County Agency
Treatment needs are determined
Electronic referral created to appropriate agency
Public Website with up-to-date Capacity and Waitlist information

5. ASI Screen Shot
Question Hints

6. ASI Narrative
Saved as PDF
On Screen

7. WITS: Electronic Referral
Consent
PDF Consent Form

8. WITS: Electronic Referral
Create Referral Screen
Referrals IN Screen
Referrals OUT Screen

9. Receiving Agency Client Profile and demographic data is preloaded
Saves administrative time with client
More opportunity for treatment
Double check Admission data for accuracy
Creates a clinical note referencing the electronic ASI that was received
Uses the ASI to create Treatment Plan
Previous system was more expensive for County, since they often funded 2 or 3 assessments for the same client

10. WITS: Access to Recovery Grant
WITS was modified to support a Pre-Authorization Voucher System
Live in Production for TN, IL, and WY
Federal Reporting requirements for GPRA
Intake, 30-day Status Interview, 90-day Status, and Discharge
Interview Reminder Report for Providers
Full electronic billing with Real-time Adjudication

11. WITS: Access to Recovery Grant

12. WITS: Access to Recovery Grant
Interview Reminder

13. WITS: Access to Recovery Grant
Comparison of ATR Clients at Intake vs. Discharge

14. Real Time Adjudication
Claim Batch Processing
Remittance Advice

15. Real Time Adjudication
Reduces Provider payment cycle from 3 months to 1 week (Illinois)
No need to mail floppy disk of claim errors back to Providers
Improved Provider to State relationship and more willingness to participate in State/Federal Grant Programs

16. Future WITS Development
Ad-Hoc reporting to allow for statistical comparisons between ASI scoring profiles, Treatment Outcomes, and Treatment Costs
Use Mid-episode Assessment scores to help counselors with Treatment decisions
Expand Payer System Functionality