Clinical Management for Behavioral Health Services

(CMBHS)

Texas Department of

State Health Services

Debabrata MitraTechnical Architect 1

What is CMBHS?

• CMBHS is a web-based electronic health records system for mental health and substance abuse treatment providers

• CMBHS is a clinical tool utilized for assessing and treating mental health and substance abuse disorders

• CMBHS is developed and hosted by DSHS2

Project Background and Goals

• Legislatively-directed consolidation of mental health and substance abuse treatment services– Program Coordination– Technology Coordination

• CMBHS as a Transformative Activity– Supported by state’s Mental Health Transformation Project– Provides cornerstone for interagency data exchange

• Project Goals– One tool to improve client care and health outcomes – Management tool for state-funded mental health and

substance abuse services– Maintain Security

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Primary User Base

• State-funded and contracted substance abuse program providers

• State-funded and contracted Community Mental Health Clinics (Local Mental Health Authorities)

• State personnel with appropriate access for program oversight

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Training and Support

• Training has occurred in central location, distance learning, and field-based activities

• State maintains training and support staff

• Train-the-trainer model currently in place

• Support staff available

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Agency Partnerships and Data Exchange

• Jail Diversion Activities– CMBHS provides record-matching services for

care coordination with jail bookings– Local Mental Health Authorities access reports on

matched clients

• Office of Court Administration– Access to CMBHS system for authorized users for

criminal cases

• State Drug Court Program6

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Why did we build CMBHS?

CMBHS Features and Workflow

• Intake– Registration, Screening, Financial Eligibility, Reservations

• Assessment• Service Planning

– Treatment Plan, Service Authorization

• Service Documentation– Progress Notes, Lab Results, Medication Orders, Referrals,

Consent to Release

• Discharge– Discharge Assessment, Discharge Summary, Follow-up

CMBHS Administrative Features

• Occupancy Management– Census, Wait List

• Claims Management• Manage Contracts

– Contract Measures, Financial Status Reports, Invoices

• Reports– Online Reports, Download Reports

CMBHS Architecture

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CMBHS Architecture

Software Products

– Microsoft .Net Framework 3.5– DSHS MVC/SOA Framework– C# – Oracle 10g– Oracle RAC– Microsoft BizTalk Server 2006– Microsoft ISA Server 2006– Business Objects XI

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Implementation Strategy

ProductionRelease 1

ProductionRelease 1

ProductionRelease 2

ProductionRelease 2

ProductionRelease 3

ProductionRelease 3

PreventionServices

PreventionServices

InterventionServices

InterventionServices

BHO/HMOServices

BHO/HMOServices

Data ExchangeVendor Systems

Data ExchangeVendor Systems

MedicaidIntegration

MedicaidIntegration

Treatment Services

Treatment Services

Screening/ReferralServices

Screening/ReferralServices

Data Exchange(DPS/OCA)

Data Exchange(DPS/OCA) Data WarehouseData Warehouse

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Data Exchange using Standard Transactions

• X12 HIPAA/HITSP– Enrollment (834)– Benefit Eligibility (270/271)– Encounter (837)– Service Authorization (278)– Continuity of Care Document (C32, C80/83)

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Behavioral Health Information Exchange

Lab OutpatientClinic

Residential Clinic

MH Hospital

Pharmacy

Commercial PayerTMHPDSHS

State Behavioral Health Database

Data Access through Consent and Security Roles

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Demo Site

CMBHS Demo Site URL:

http://www.dshs.state.tx.us/cmbhs/providers.shtm

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