Proposed Changes for DMHA Data in SFY 2017 Presentation Summary
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March 29, 2016
Proposed
DARMHA Data Changes
f
or SFY 2017
Presented by Wendy Harrold
, Deputy Director,
Provider Quality and Performance
Meeting Logistics
We have muted your phones; please use the
webinar chat feature to make comments and ask
questions.
This PowerPoint will posted on the DARMHA
Provider Page,spxhttps://dmha.fssa.in.gov/DARMHA/ProviderPage.a
Why does DMHA need this data?
Grant reporting
Substance Abuse Prevention and Treatment Block Grant
Mental Health Block Grant
Performance Measures
Consumer Outcomes
Consumer Page Change
When adding a consumer record, DARMHA will validate
that the Internal ID and the Medicaid ID are not duplicated
within your agency. (SS# together with DOB are already
checked.)
New Questions
Does the consumer speak a language other than English at
home? Yes or No
If Yes, what is the language?
Spanish
Other – Specify _________
If Yes, does the consumer’s ability to communicate in
English interfere with his/her ability to be understood or to
understand others who speak in English?
Episode Page Changes
Changing the episode start date and DSC start date
The episode start date and DSC Start Date can be
changed using the web interface for up to 30 days
after submission.
The dates cannot be more than 30 days past.
The dates can only be changed once.
Additional records have to be within episode start
date.
Episode Page Changes
Insurance history – When you submit new data for
the insurance field you will need to provide a date
- the insurance type start date.
An new episode cannot be dated more than six
months in the past.
Diagnosis List
To be consistent with Medicaid and insurers, we
are going to remove ICD header codes from the
diagnosis list (I highlighted them in yellow in the
diagnosis list I sent out.)
Specialized Treatment Field
Use Option: Medication-Assisted Opioid Therapy –
when the use of opioid medications such as
methadone or buprenorphine will be part of the
consumer’s treatment plan. Can be used with all
agreement types. (Note: this was Opioid Treatment)
Note About Diagnosis Records
We need a ICD-10 diagnosis record for episodes
open in SFY 2016. We are creating a report so you
will know what consumers still need a new
diagnosis record.
We would like to have all consumers served in SFY
2016 to have the new diagnosis record by August
2016.
CANS and ANSA Changes
We are adding the SuperUser database to
DARMHA. SuperUser Booster information will be
available in DARMHA.
Birth to Five Certification Validation – In order to
use this tool, the clinician needs to be certified for
the tool.
Algorithm Label Change for DCS placement labels
Label change for one item: Disruptions in
Childgiving/Attachment Losses
to
Disruptions in
Caregiving/Attachment Losses
CANS and ANSA Changes
Designees will be allowed to change the following
for staff (email address, phone number, internal ID,
and reactivate Clinician Only). Note – First name
and last name is used to match Praed Foundation
data.
NOMS Page Changes
All consumers must have an answer to the Primary
drug questions. There will not be a “Not
Applicable” anymore. There will be a “None.” CA
agreement type cannot say “None” to the primary
drug questions, except if it is a consumer with
gambling addiction.
Consumer Education Level
Removing options 17 and 18 and adding option 70 –
Graduate or Professional School
NOMS Page Changes
Social Support (add new verbiage)
-2 = No attendance in the past month
2 =
Less than once a week
- 1-3 times in past month
3 =
About once a week
- 4-7 times in past month
4 =
2 to 3 times a week
- 8-15 times in past month
5 =
At least 4 times a week
- 16-30 times in past
month
6 = Some attendance in past month, but frequency
unknown
Encounters Changes – Service Setting
Starting in July, when you send in encounters you
will need to select the service setting for the day.
Encounter Changes
Starting July 1
st
, all encounters would need to have
a location code for the location of the service.
We are looking into using a location code that may
already exist for your facilities.
Encounter Changes
In order to be counted as a CA consumer in
Performance Measure numbers, the consumer
must have substance abuse service encounters.
Need Volunteers to Test
If you are interested in being involved with the
testing new changes, please email
DARMHA@fssa.in.gov
and let them know how you
submit data (via the website, import or Web
Services)
Testing SFY 2017 Changes
Manuals will be available by early May.
We will be implementing SFY 2017 changes in QA
incrementally. All the changes will be available for
testing in QA by June 1
st
.
DARMHA QA – Testing Environment
The test environment -
https://dmhaqa.fssa.in.gov/DARMHAQA
We have been told by our state HIPAA staff that
no
real data can be in DARMHA QA
. Data has to be
test data. We will be checking to see if providers
are putting in real data – if they are, the data will
be wiped out.
CONTACT INFORMATION
Wendy Harrold
, Deputy Director, Provider
Quality and Performance
wendy.harrold@fssa.in.gov
(317) 232-7824
DARMHA Support
DARMHA@fssa.in.gov
(317) 232-7925
Certification Issues
CANS-ANSA@fssa.in.gov
Proposed changes for DMHA data in SFY 2017 were presented by Wendy Harrold, Deputy Director of Provider Quality and Performance. The presentation covered reasons for needing data, such as grant reporting and performance measures. Changes included validation checks for consumer records, episode start dates, insurance history requirements, and modifications to the diagnosis list. Important updates regarding language preferences, communication abilities, and specialized treatment fields were also discussed.
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Presentation Transcript
March 29, 2016 Proposed DARMHA Data Changes for SFY 2017 Presented by Wendy Harrold , Deputy Director, Provider Quality and Performance
Meeting Logistics We have muted your phones; please use the webinar chat feature to make comments and ask questions. This PowerPoint will posted on the DARMHA Provider Page, https://dmha.fssa.in.gov/DARMHA/ProviderPage.a spx
Why does DMHA need this data? Grant reporting Substance Abuse Prevention and Treatment Block Grant Mental Health Block Grant Performance Measures Consumer Outcomes
Consumer Page Change When adding a consumer record, DARMHA will validate that the Internal ID and the Medicaid ID are not duplicated within your agency. (SS# together with DOB are already checked.) New Questions Does the consumer speak a language other than English at home? Yes or No If Yes, what is the language? Spanish Other Specify _________ If Yes, does the consumer s ability to communicate in English interfere with his/her ability to be understood or to understand others who speak in English?
Episode Page Changes Changing the episode start date and DSC start date The episode start date and DSC Start Date can be changed using the web interface for up to 30 days after submission. The dates cannot be more than 30 days past. The dates can only be changed once. Additional records have to be within episode start date.
Episode Page Changes Insurance history When you submit new data for the insurance field you will need to provide a date - the insurance type start date. An new episode cannot be dated more than six months in the past.
Diagnosis List To be consistent with Medicaid and insurers, we are going to remove ICD header codes from the diagnosis list (I highlighted them in yellow in the diagnosis list I sent out.) Specialized Treatment Field Use Option: Medication-Assisted Opioid Therapy when the use of opioid medications such as methadone or buprenorphine will be part of the consumer s treatment plan. Can be used with all agreement types. (Note: this was Opioid Treatment)
Note About Diagnosis Records We need a ICD-10 diagnosis record for episodes open in SFY 2016. We are creating a report so you will know what consumers still need a new diagnosis record. We would like to have all consumers served in SFY 2016 to have the new diagnosis record by August 2016.
CANS and ANSA Changes We are adding the SuperUser database to DARMHA. SuperUser Booster information will be available in DARMHA. Birth to Five Certification Validation In order to use this tool, the clinician needs to be certified for the tool. Algorithm Label Change for DCS placement labels Label change for one item: Disruptions in Childgiving/Attachment Losses to Disruptions in Caregiving/Attachment Losses
CANS and ANSA Changes Designees will be allowed to change the following for staff (email address, phone number, internal ID, and reactivate Clinician Only). Note First name and last name is used to match Praed Foundation data.
NOMS Page Changes All consumers must have an answer to the Primary drug questions. There will not be a Not Applicable anymore. There will be a None. CA agreement type cannot say None to the primary drug questions, except if it is a consumer with gambling addiction. Consumer Education Level Removing options 17 and 18 and adding option 70 Graduate or Professional School
NOMS Page Changes Social Support (add new verbiage) -2 = No attendance in the past month 2 = Less than once a week - 1-3 times in past month 3 = About once a week - 4-7 times in past month 4 = 2 to 3 times a week - 8-15 times in past month 5 = At least 4 times a week - 16-30 times in past month 6 = Some attendance in past month, but frequency unknown
Encounters Changes Service Setting Starting in July, when you send in encounters you will need to select the service setting for the day. Fed Code Description 1 DETOXIFICATION, 24-HOUR SERVICE, HOSPITAL INPATIENT 2 DETOXIFICATION, 24-HOUR SERVICE, FREE-STANDING RESIDENTIAL 3 REHABILITATION/RESIDENTIAL HOSPITAL (OTHER THAN DETOXIFICATION) 4 REHABILITATION/RESIDENTIAL SHORT TERM (30 DAYS OR FEWER) 5 REHABILITATION/RESIDENTIAL LONG TERM (MORE THAN 30 DAYS) 6 AMBULATORY INTENSIVE OUTPATIENT 7 AMBULATORY NON-INTENSIVE OUTPATIENT 8 AMBULATORY DETOXIFICATION
Encounter Changes Starting July 1st, all encounters would need to have a location code for the location of the service. We are looking into using a location code that may already exist for your facilities.
Encounter Changes In order to be counted as a CA consumer in Performance Measure numbers, the consumer must have substance abuse service encounters.
Need Volunteers to Test If you are interested in being involved with the testing new changes, please email DARMHA@fssa.in.gov and let them know how you submit data (via the website, import or Web Services)
Testing SFY 2017 Changes Manuals will be available by early May. We will be implementing SFY 2017 changes in QA incrementally. All the changes will be available for testing in QA by June 1st.
DARMHA QA Testing Environment The test environment - https://dmhaqa.fssa.in.gov/DARMHAQA We have been told by our state HIPAA staff that no real data can be in DARMHA QA. Data has to be test data. We will be checking to see if providers are putting in real data if they are, the data will be wiped out.
CONTACT INFORMATION Wendy Harrold, Deputy Director, Provider Quality and Performance wendy.harrold@fssa.in.gov (317) 232-7824 DARMHA Support DARMHA@fssa.in.gov (317) 232-7925 Certification Issues CANS-ANSA@fssa.in.gov
