From NRI's State Mental Health Agency Services Research, Program Evaluation and Policy in DC two presentations about new data systems NOMs and TRAC.
Are We Ready for the NOMS?, Mark Reynolds and Tracy Leeper (OK). http://www.odmhsas.org/nri
Spent a lot of effort collecting data and using it but never sent it back to the providers. National Outcomes Measures. Web based fee for service model which requires good admission data to stat billing.
Their admission-discharge data did not show much improvement. This is because the discharge data is never updated providers simply carry data over from the admission.
Changes to address this problem
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6 month updates
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after 6 months of no service unplanned discharge (this will attract the agency's attention as they get dinged for this difficulty).
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clinician of record for each client and their performance will be tracked
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required very few data elements (6) for an update
They provide a very nice set of reports for the agencies. Go to agencies and talk with clinicians about the data that they are providing. They also train their own staff how to understand the data and reports.
TRansformation ACcountability (TRAC): A Coordinated Approach to Performance Measurement by the Center for Mental Health Services, Diane Abbate and Jessica Taylor. https://www.samhsa-gpra.samhsa.gov/home/index.htm
Performance management and outcomes systems for all CMHS programs (PRNS, CMHI, PATH, PAIMI). Needed to meet SAMHSA data reporting requirements with standardized measures and accountable. TRAC is basically reporting the NOMs (service) data. Data is collected at baseline, reassessment (6 or 3 months), and discharge. They are collecting client level data though it is deidentified. There is no mechanism for uploading data require the individual data to be entered one at a time.