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Client and Service Information (CSI) Database. Managing Change. Department of Mental Health Statistics and Data Analysis Data Quality Group. MANAGER: Tom Wilson ANALYSTS: Jennifer Taylor Mischa Matsunami Christine Beck. Upcoming CSI Training Sessions. Managing Change Technical Level.
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Client and Service Information (CSI) Database Managing Change
Department of Mental HealthStatistics and Data AnalysisData Quality Group MANAGER: Tom Wilson ANALYSTS: Jennifer Taylor Mischa Matsunami Christine Beck
UpcomingCSI Training Sessions • Managing Change • Technical Level
Covered in this Presentation • Changes to CSI • Integrating CSI changes • Impact of required CSI changes
A. Changes to CSICSI Data Reporting Goals • To further the Mental Health Services Act (MHSA) vision of transformation by collecting relevant data on all services. • To revise and update the existing Client Services Information (CSI) System. • To develop the capacity to report the Uniform Reporting System (URS) data to CMHS.
A. Changes to CSIDMH Preparations for Changes in CSI Reporting We must make changes to: • The processing of incoming CSI data • CSI System Documentation • Data model for DMH statistical reporting database
A. Changes to CSIDMH Preparations for Changes in CSI Reporting In addition, we must: • Notify counties of changes to CSI reporting • Train county mental health staff and DMH staff on changes to CSI
A. Changes to CSICounty Preparations for Changes in CSI Reporting • County data submission to CSI must be current to June 2006 • MHSA-required CSI data collected for all services (MHSA or not MHSA services), and for all consumers (MHSA FSPs and all other county mental health consumers). • County must pass the DMH CSI submission testing process.
A. Changes to CSICSI System Documentation The authority on the data reporting requirements for CSI. Available by request: Tom.Wilson@dmh.ca.gov Tom Wilson, Research Manager, CSI Unit, Department of Mental Health
Changes to CSICSI Data Fields • CLIENT RECORD • Primary Language (C-07.0) • Preferred Language (C-08.0) • Ethnicity (C-09.0) • Race (C-10.0)
Changes to CSICSI Data Fieldscont’d • SERVICE RECORD • Special Population (S-12.0) • Place of Service (S-24.0) • Evidence Based Practices/Service Strategies (S-25.0) • Trauma (S-26.0) • Client Index Number (CIN) (S-27.0)
Changes to CSICSI Data Fields cont’d • SERVICE RECORD cont’d • Axis I Diagnosis (S-28.0) • Axis I Primary (S-29.0) • Additional Axis I Diagnosis (S-30.0) • Axis II Diagnosis (S-31.0) • Axis II Primary (S-32.0) • Additional Axis II Diagnosis (S-33.0) • Axis III Summary Codes/Primary Diagnosis Codes (S-34.0, S-35.0) • Axis V/GAF Diagnosis (S-36.0) • Substance Abuse/Dependence (S-37.0) • Substance Abuse/Dependence- Diagnosis (S-38.0)
A. Changes to CSI CSI Data Fieldscont’d • PERIODIC RECORD • Caregiver Status (P-10.0)
B. Integrating CSI Changes Managing CSI changes • Work with your county’s CSI analyst and your county’s contact to establish a plan for implementation. • Plan an implementation strategy. • Train your staff.
B. Integrating CSI Changes Managing CSI changes cont’d For services in or before June 2006, use CSI format without changes. For services in or after July 2006, use CSI format with changes. CHANGES TO CSI Jan May July Mar Sep Feb Apr June Aug Month of Service 2006
B. Integrating CSI Changes Scenarios Scenario 1: It is September 2006. County “A” completed CSI submissions for service month June 2006 in August. Next steps: • Test changes to CSI and get approval from DMH. • Submit service month July 2006 using the CSI format with the changes.
B. Integrating CSI Changes Scenarios cont’d Scenario 2: It is September 2006. County “B” completed CSI submissions for service month January 2006 in August. Next steps: • Submit service months February 2006 through June 2006 using the CSI format without the changes. • Test changes to CSI and get approval from DMH. • Submit service month July 2006 using the CSI format with the changes.
B. Integrating CSI Changes • County mental health staff and DMH staff will work together to implement the changes during this year. • We hope the impact of these changes on the counties will not be heavy.
C. Impact of CSI Changes Changes to CSI will affect: • Data collection • Data management and reporting • Data use
C. Impact of CSI Changes Changes in Data Collection Identify people who need training: • Client intake staff • County program staff • Provider data quality staff • County data quality staff
Changes in Data Management and Reporting C. Impact of CSI Changes Identify people who need training: • County data quality staff • Software development staff (county IT staff / vendor contact)
Changes in Data Use C. Impact of CSI Changes Identify people who need training: • County data quality staff • County research staff • County program staff
C. Impact of Required Changes Data Quality