Clinical Management for Behavioral Health Services
(CMBHS)
Texas Department of
State Health Services
Debabrata MitraTechnical Architect 1
What is CMBHS?
• CMBHS is a web-based electronic health records system for mental health and substance abuse treatment providers
• CMBHS is a clinical tool utilized for assessing and treating mental health and substance abuse disorders
• CMBHS is developed and hosted by DSHS2
Project Background and Goals
• Legislatively-directed consolidation of mental health and substance abuse treatment services– Program Coordination– Technology Coordination
• CMBHS as a Transformative Activity– Supported by state’s Mental Health Transformation Project– Provides cornerstone for interagency data exchange
• Project Goals– One tool to improve client care and health outcomes – Management tool for state-funded mental health and
substance abuse services– Maintain Security
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Primary User Base
• State-funded and contracted substance abuse program providers
• State-funded and contracted Community Mental Health Clinics (Local Mental Health Authorities)
• State personnel with appropriate access for program oversight
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Training and Support
• Training has occurred in central location, distance learning, and field-based activities
• State maintains training and support staff
• Train-the-trainer model currently in place
• Support staff available
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Agency Partnerships and Data Exchange
• Jail Diversion Activities– CMBHS provides record-matching services for
care coordination with jail bookings– Local Mental Health Authorities access reports on
matched clients
• Office of Court Administration– Access to CMBHS system for authorized users for
criminal cases
• State Drug Court Program6
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Why did we build CMBHS?
CMBHS Features and Workflow
• Intake– Registration, Screening, Financial Eligibility, Reservations
• Assessment• Service Planning
– Treatment Plan, Service Authorization
• Service Documentation– Progress Notes, Lab Results, Medication Orders, Referrals,
Consent to Release
• Discharge– Discharge Assessment, Discharge Summary, Follow-up
CMBHS Administrative Features
• Occupancy Management– Census, Wait List
• Claims Management• Manage Contracts
– Contract Measures, Financial Status Reports, Invoices
• Reports– Online Reports, Download Reports
CMBHS Architecture
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CMBHS Architecture
Software Products
– Microsoft .Net Framework 3.5– DSHS MVC/SOA Framework– C# – Oracle 10g– Oracle RAC– Microsoft BizTalk Server 2006– Microsoft ISA Server 2006– Business Objects XI
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Implementation Strategy
ProductionRelease 1
ProductionRelease 1
ProductionRelease 2
ProductionRelease 2
ProductionRelease 3
ProductionRelease 3
PreventionServices
PreventionServices
InterventionServices
InterventionServices
BHO/HMOServices
BHO/HMOServices
Data ExchangeVendor Systems
Data ExchangeVendor Systems
MedicaidIntegration
MedicaidIntegration
Treatment Services
Treatment Services
Screening/ReferralServices
Screening/ReferralServices
Data Exchange(DPS/OCA)
Data Exchange(DPS/OCA) Data WarehouseData Warehouse
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Data Exchange using Standard Transactions
• X12 HIPAA/HITSP– Enrollment (834)– Benefit Eligibility (270/271)– Encounter (837)– Service Authorization (278)– Continuity of Care Document (C32, C80/83)
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Behavioral Health Information Exchange
Lab OutpatientClinic
Residential Clinic
MH Hospital
Pharmacy
Commercial PayerTMHPDSHS
State Behavioral Health Database
Data Access through Consent and Security Roles
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Demo Site
CMBHS Demo Site URL:
http://www.dshs.state.tx.us/cmbhs/providers.shtm
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