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Client and Service Information (CSI) Database

Managing Change

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Department of Mental HealthStatistics and Data Analysis Data Quality Group

MANAGER:

Tom Wilson

ANALYSTS:

Jennifer Taylor

Mischa Matsunami

Christine Beck

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Upcoming CSI Training Sessions

I. Managing Change

II. Technical Level

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Covered in this Presentation

A. Changes to CSI

B. Integrating CSI changes

C. Impact of required CSI changes

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A. Changes to CSI

CSI Data Reporting Goals

1. To further the Mental Health Services Act (MHSA) vision of transformation by collecting relevant data on all services.

2. To revise and update the existing Client Services Information (CSI) System.

3. To develop the capacity to report the Uniform Reporting System (URS) data to CMHS.

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A. Changes to CSI DMH Preparations for Changes in CSI Reporting

We must make changes to:

• The processing of incoming CSI data• CSI System Documentation• Data model for DMH statistical reporting

database

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A. Changes to CSI DMH Preparations for Changes in CSI Reporting

In addition, we must:

• Notify counties of changes to CSI reporting

• Train county mental health staff and DMH staff on changes to CSI

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A. Changes to CSI County Preparations for Changes in CSI Reporting

1. County data submission to CSI must be current to June 2006

2. MHSA-required CSI data collected for all services (MHSA or not MHSA services), and for all consumers (MHSA FSPs and all other county mental health consumers).

3. County must pass the DMH CSI submission testing process.

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A. Changes to CSI CSI System Documentation

The authority on the data reporting requirements for CSI.

Available by request:Tom.Wilson@dmh.ca.gov Tom Wilson, Research Manager, CSI Unit, Department of Mental Health

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A. Changes to CSI CSI Data Fields

• CLIENT RECORD Primary Language (C-07.0) Preferred Language (C-08.0) Ethnicity (C-09.0) Race (C-10.0)

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A. Changes to CSI CSI Data Fields cont’d

• SERVICE RECORDSpecial Population (S-12.0)Place of Service (S-24.0)Evidence Based Practices/Service Strategies

(S-25.0)Trauma (S-26.0)Client Index Number (CIN) (S-27.0)

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A. Changes to CSI CSI Data Fields cont’d

• SERVICE RECORD cont’d Axis I Diagnosis (S-28.0) Axis I Primary (S-29.0) Additional Axis I Diagnosis (S-30.0) Axis II Diagnosis (S-31.0) Axis II Primary (S-32.0) Additional Axis II Diagnosis (S-33.0) Axis III Summary Codes/Primary Diagnosis Codes

(S-34.0, S-35.0) Axis V/GAF Diagnosis (S-36.0) Substance Abuse/Dependence (S-37.0) Substance Abuse/Dependence- Diagnosis (S-38.0)

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A. Changes to CSI

CSI Data Fields cont’d

• PERIODIC RECORDCaregiver Status (P-10.0)

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B. Integrating CSI Changes

• Work with your county’s CSI analyst and your county’s contact to establish a plan for implementation.

• Plan an implementation strategy.

• Train your staff.

Managing CSI changes

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B. Integrating CSI Changes

CSI System Staff Assignments

Region CSI Staff

Bay Area

Superior

Waling Rosello

Waling.rosello@dmh.ca.gov

(916) 654-2629

South

LA

Superior

Bryan Fisher

Bryan.fisher@dmh.ca.gov

(916) 653-5493

Central Valley

Superior

Krista Christian

Krista.christian@dmh.ca.gov

(916) 654-2968

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Managing CSI changes cont’d

For services in or before June 2006, use CSI format without changes.

For services in or after July 2006, use CSI format with changes.

JanFeb

MarApr

MayJune

JulyAug Sep

CHANGES TO CSI

Month of Service 2006

B. Integrating CSI Changes

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B. Integrating CSI Changes

Scenario 1: It is September 2006.

County “A” completed CSI submissions for service month June 2006 in August.

Next steps:• Test changes to CSI and get approval from

DMH.• Submit service month July 2006 using the CSI

format with the changes.

Scenarios

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B. Integrating CSI Changes

Scenario 2: It is September 2006.

County “B” completed CSI submissions for service month January 2006 in August.

Next steps:• Submit service months February 2006 through

June 2006 using the CSI format without the changes.

• Test changes to CSI and get approval from DMH.

• Submit service month July 2006 using the CSI format with the changes.

Scenarios cont’d

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B. Integrating CSI Changes

• County mental health staff and DMH staff will work together to implement the changes during this year.

• We hope the impact of these changes on the counties will not be heavy.

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Changes to CSI will affect:

• Data collection

• Data management and reporting

• Data use

C. Impact of CSI Changes

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Changes in Data Collection

Identify people who need training:

• Client intake staff

• County program staff

• Provider data quality staff

• County data quality staff

C. Impact of CSI Changes

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Changes in Data Management and Reporting

Identify people who need training:

• County data quality staff

• Software development staff (county IT staff / vendor contact)

C. Impact of CSI Changes

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Changes in Data Use

Identify people who need training:

• County data quality staff

• County research staff

• County program staff

C. Impact of CSI Changes

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C. Impact of Required Changes

Data Quality

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Questions?