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Explore how the SMART system improves substance abuse treatment effectiveness and system performance through automated record tracking and decision support. The SMART system offers real-time access to data, standardized assessments, and enhanced referral tracking capabilities. Learn how SMART supports patient placement criteria and clinical assessments to elevate treatment outcomes.
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Using Decision Support Information to Improve System Performance Peter F. Luongo, Ph.D.March 20, 2008
Treatment Effectiveness • Alcohol and Drug dependent people who participate in drug treatment • Decrease substance use • Decrease criminal activity • Increase employment • Improve their social and intrapersonal functioning • Improve their physical health • Drug use and criminal activity ⇓⇓ for virtually all who enter treatment results the longer they stay in treatment.
Statewide Maryland Automated Record Tracking (SMART) • SMART is a full electronic clinical record (EHR) • All funded treatment providers report data online • SMART addresses key EHR concerns: • Admission, treatment encounters and discharge • Privacy, Practitioner control, Administrative oversight • Interoperability = shares information through XML • Additional Modules • eCourt • Contract Monitoring and Billing
Statewide Maryland Automated Record Tracking (SMART) • Merged Core Programming with National Web Infrastructure for Treatment Services (WITS) Application • Created a Maryland Branch with Maryland Specific programming modules • Future programming from the National Application is shared with Maryland and ADAA will make Maryland specific modules available to other WITS user jurisdictions • Stand Alone Data Analyzer • Ready for deployment and training • Real time access to data • Providers • Jurisdiction decision makers • State oversight (ADAA)
Under development • Automated Drug Testing – May 2008 • Additional Clinical Assessments and Screening • Homicide and suicide lethality assessments • HIV and TB risk assessments • Many Others
What do Substance Abuse Systems Need To Do? • Standardize Patient Assessments • Standardize Patient Placement Criteria • Standardize Performance Measures • Ensure Data Validity and Reliability • Publish the Data • Ask What It Means
Referral Tracking - 2006 Discharges that have been referred or transferred to another level of care using the treatment referral type field Concurrent admission was never discharged from = the case came to the current level of care from a previous treatment episode that was not closed. The client presumably returned to the previous treatment episode and level of care
Referral Tracking - 2007 Discharges that have been referred or transferred to another level of care using the treatment referral type field Concurrent admission was never discharged from = the case came to the current level of care from a previous treatment episode that was not closed. The client presumably returned to the previous treatment episode and level of care