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

2. 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

3. 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

4. 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

5. 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

6. SMART Electronic Consents

7. SMART Progress Report

8. 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