DMHMRSAS CSB Interface

1
DMHMRSAS CSB Interface

• Web Application Development Technically Speaking

2
What Got Us To This Point

• Data Issues Between CSBs CO
• Standardization
• Accuracy
• Accountability
• Reality
• Technology

3
What Got Us To This Point

• Standardization
• 1985 Development of ICDE/Taxonomy
• 1986 Performance Contract
• Paper Submission
• Paper Analysis

4
What Got Us To This Point

• Accuracy
• 1987 Central Office Database
• Paper Submission
• Keying Errors
• Automated Reporting to Limited of Staff

5
What Got Us To This Point

• Accountability
• 1988/89 CSB Automation Effort
• Hardware
• Software
• Based on ICDE Taxonomy
• Specifications to Produce 4th Quarter Report

6
What Got Us To This Point

• Accountability
• 1990/91 Paradox CARS application
• 2nd 3rd Quarter Reporting
• Performance Contract
• 4th Quarter Report
• Standard Input Output
• DOS based
• Bulletin Board Service

7
What Got Us To This Point

• Accountability
• 1992 ACCESS CARS
• Windows Based
• Error Checking
• Data Available to CSBs for Additional Reporting
• 1993 SCADS
• Individual Client Data
• Encrypted Files

8
What Are the Issues

• 1994-99 Reality
• Proliferation of Reporting Requirements
• Federal
• State
• General Assembly
• Offices in DMHMRSAS
• Grants
• Projects
• Proliferation of Applications
• Central Office Developed
• Independently Developed

9
What Are the Issues

• Technology
• 2000 CHRIS (Human Rights)
• Logon to Central Office Database
• Logon Maintenance
• PRAIS Precedent
• Technical Support
• Logon to Facility Network
• Technical Support
• Finger Pointing

10
What Are the Issues

• Technology
• 2001 Review of Requirements Processes
• VACSB Data Management Committee
• Identification of all Data Reporting Requirements
• Identification of all Data Elements
• Normalization
• Single Submission?
• Performance Contracting Process
• 50 Reduction in Requirements
• Elimination of 3rd Quarter Report
• CHRIS
• POMS

11
What Are the Changes

• New Systems at CSBs
• Same Reporting Requirements
• Maintenance Staff Resources
• New Systems at Central Office Facilities
• DI to Control Development
• Web Based Development
• Warehousing

12
What We Look Like Today

• Same Requirements of Standardization, Accuracy
  and Accountability
• Infrastructure Changes
• Access/Security Issues

13
What Is Effecting Change

• Same Requirements of Standardization, Accuracy
  and Accountability
• Data Management Plan
• State Reporting
• Federal Reporting
• Legislative Inquiry
• Sharing Data

14
What Is Effecting Change

• Infrastructure Changes
• Move From Multiple Applications at CSBs
• Support Issues with 40 CSBs
• Multiple Application Maintenance Issues
• Browser Based
• HIPAA VPN, PKI,
• LAN Security

15
What Are Issues With Change

• Access/Security Issues
• CSB Authorizers
• Initiate Logons
• Terminate Logons
• Suspend Logons
• Role Security
• Unauthorized Entry
• Virus

16
What We Want To Be

• Applications
• Upload/Download
• Discharge Readiness
• Discharge Planning
• Continuity of Care
• Medicaid
• Reporting

17
Vision of Tomorrow

• Single Submission Plan
• MPI
• Private Providers

18
Issues of Tomorrow

• Standardization
• Accuracy
• Accountability
• Reality
• Technology

19
When Changes Can Be Expected

• In Process Now