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IGSR SMART Briefing for: Maryland State Drug and Alcohol Abuse Council 23 June 2010

I NSTITUTE FOR G OVERNMENTAL S ERVICE AND R ESEARCH. IGSR SMART Briefing for: Maryland State Drug and Alcohol Abuse Council 23 June 2010. SMART Collaborative Highlights. I NSTITUTE FOR G OVERNMENTAL S ERVICE AND R ESEARCH.

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IGSR SMART Briefing for: Maryland State Drug and Alcohol Abuse Council 23 June 2010

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  1. INSTITUTEFOR GOVERNMENTAL SERVICE ANDRESEARCH IGSR SMART Briefing for: Maryland State Drug and Alcohol Abuse Council 23 June 2010

  2. SMART CollaborativeHighlights INSTITUTEFOR GOVERNMENTAL SERVICE ANDRESEARCH • 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 INSTITUTEFOR GOVERNMENTAL SERVICE ANDRESEARCH • 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 INSTITUTEFOR GOVERNMENTAL SERVICE ANDRESEARCH • 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 INSTITUTEFOR GOVERNMENTAL SERVICEAND RESEARCH Real-time • SMART Users • Treatment Agencies • Parole and Probation • Juvenile Services • Drug Courts 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) INSTITUTEFOR GOVERNMENTAL SERVICEAND RESEARCH

  7. SMART MD Metrics SMART MD database metrics as of 12/11/09 • Number of agencies 755 • Number of facilities 806 • Total Users 14,961 • Active users* 3,525 • Total client profiles 964,166 • Total client profiles from MQ Server 172,342 • Total intake cases 1,604,897 • Active intake cases 434,851 • 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 INSTITUTEFOR GOVERNMENTAL SERVICE ANDRESEARCH

  9. Federal CSAT Recovery Oriented Systems of Care (ROSC) Model Recovery 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 Vocational Cost Effectiveness 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 Health Wellness DoD & Veterans Affairs Access/Capacity Social Connectedness Ongoing Systems Improvement

  10. INSTITUTEFOR GOVERNMENTAL SERVICEAND RESEARCH Contact Information • Stephan Sherman, Associate Director • Institute for Governmental Service and Research • 9658 Baltimore Blvd, Suite 205 • College Park, Md 20740 • 301.397.2336 • shermans@umd.edu

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