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COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006<br />

What is the current system?<br />

“Indicators should be developed with a clear<br />

definition of the purpose of this data from a<br />

policy perspective, and how the data are<br />

supposed to guide useful decision making at the<br />

State level…<br />

…to inform regarding how it will be most<br />

valuable for the states to collect information<br />

about prevalence, screening, assessment, and<br />

outcomes in a way that will be programmatically<br />

meaningful based on each states situation. Since<br />

we are developing a data set that will influence<br />

the activity of every clinician in the nation for<br />

years to come, it is extremely important that we<br />

approach this in a way that helps us collect<br />

meaningful and useful information based on each<br />

states capacity to do so.”<br />

The current behavioral health system<br />

consists of multiple, disparate systems that:<br />

• do not talk to each other<br />

• collect different information<br />

• use different definitions<br />

• collects information per payer source.<br />

• cannot track individual service recipients<br />

longitudinally across payers.<br />

These issues are long standing and well<br />

documented (LBFC, KPMG)<br />

Current System<br />

• BDAP CIS collects info on BDAP dollars- (Phila 20%<br />

of clients)<br />

• OMHSAS HC’s is a claims payment system<br />

• CCRS POMS- collects info for MH dollars for<br />

individuals registered in county MH programs (MA<br />

FFS, County $, etc) (POMS limited- good reporting<br />

not occurring)<br />

• Promise- MA FFS claims payment system<br />

• HCSIS- substantial investment- $50 millioncostly/difficult<br />

to upgrade.<br />

• Corrections has separate data bases.<br />

Result<br />

The result is that we can’t answer the most<br />

simple and important questions:<br />

• what are we getting for our $,<br />

• how is the system performing,<br />

• what is the outcome for the client?<br />

What should the system look like?<br />

Different Levels<br />

• The systems should be integrated, or at least<br />

have the ability to talk to each other (based on<br />

the premise that we will have separate systems<br />

forever). Data should easily flow from providercounty-state-to<br />

federal level. Data generated<br />

should be meaningful.<br />

• Reduce paperwork burden<br />

• Real time trends for planning<br />

FEDERAL<br />

Funding<br />

STATE<br />

LOCAL<br />

MH, D&A Admin Units & Programs<br />

Federal Agencies<br />

State Agencies<br />

Payers<br />

Admin and<br />

Provider Agencies<br />

2

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