Treatment Episode Outcomes System: 2010 and Beyond
Staff from the ODMH Office of Research and Evaluation (ORE) are managing the development and implementation of a treatment episode outcomes system that collects four client-level National Outcome Measures (NOMs) and randomly surveys 4,000 consumers on perception of care, social functioning, and social connectedness with the Mental Health Statistics Improvement Program (MHSIP) and the Youth Services Survey for Families (YSS-F) instruments. The new system of outcomes data collection and reporting is guided by two principles developed by the Measuring Outcomes Efficiently Workgroup in the spring of 2009:
- Reduce administrative burden by 50% compared to the old outcomes system
- Align outcomes measurement with SAMHSA’s Block Grant requirements
Featured News
OH BH Report on Mental Health Consumers with Military Service
Approximately 30% of adults (N = 71,980/240,871) treated for mental illness in SFY 2011 had an admission record in the Ohio Behavioral Health Module or OH BH. ODMH analysts examined admission and discharge records of adult consumers with a history of military service to produce the Special Population Report: Mental Health Consumers with Military Service. The Vets Report presents information on the 2% of adult consumers identified as having military service histories. The vast majority of veterans identified in the analysis--98.6%--were from service eras other than Iraqi Freedom or Afghani Enduring Freedom.
Pilot Test of the new Mental Health Outcomes Record has Begun!
The primary purpose of piloting the new record in the OH BH web-based facility operated by ODADAS is to test the feasibility of several new fields and requirements in the Department's outcomes and information system known as Treatment Episode Outcomes or TEO. In addition to submission of an admission record in the OH BH, piloting agencies are also asked to test the update and discharge record, and where applicable, the transfer record. While the goal is to require just one yearly update, we are asking participating providers to submit an update record during March of 2012 for the purpose of testing this function. More details about pilot requirements are found in the attached document titled Pilot Parameters.
ODMH recognizes that the OH BH web-based facility is not sufficient as a data entry utility for large agencies that serve thousands of consumers. Before finalizing a required mental health record with batch upload capacity, we are testing the feasibility and reliability of the records' data elements through the web-based facility. It is likely that some data elements will be modified or even dropped as a consequence of the pilot. We are including agencies in the pilot that are likely to submit batch records so that a wide range of stakeholders can help us assess the viability of all potential data entry fields. We will begin testing the batch upload facility in April 2012. ODMH aims to require submission of the SMD/SED behavioral health record by all certified mental health service providers on July 1, 2012.
If your agency would like to participate and currently has a log-in ID for the OH BH, accessing the new mental health record requires only that you identify your agency as an "SMD/SED Reporting Provider" on the Set-up page. After logging in to the application, you can choose the Training Environment to learn more about the TEO record system or go straight to the Production Environment. If your agency would like to participate and does not have a log-in ID for the OH-BH, access can obtained through an online registry located at https://prod.ada.ohio.gov/Turnstile/Login/FormsLogin.aspx.
The TEO User Manual and Definitions can be downloaded here: TEO User Manual , TEO Definitions.
For more information about the pilot, please contact carol.carstens@mh.ohio.gov
Report available on Consumer Perception of Care Survey Results
From January through June 2011, the Office of Research and Evaluation conducted a random mail survey of 16,000 adult consumers and parents of child and adolescent consumers. Data from the surveys are used for Block Grant reporting requirements, to inform quality improvement initiatives, and to give stakeholders an indication of how consumers perceive their experience of the community mental health system. Responses from the 2011 random mail survey were analyzed and compiled into a public report of findings. These findings will be reported to SAMHSA in early December 2011. More detail about the surveys are located at the MHSIP and YSS-F survey instruments link.
Correspondence
- 01/27/2011 - ODMH response to Hamilton County Mental Health and Recovery Services Board Inquiry
- 01/18/2011 - Hamilton County Mental Health and Recovery Services Board Inquiry
- 12/23/2010 - ODMH Numbered Advisory 12-FY11-2: New Admission and Outcomes System
- 11/12/2010 - ODMH Numbered Advisory 11-FY11-2: New Admission and Outcomes System
Approaches to Data Collection
To support Ohio's Block Grant reporting of the National Outcome Measures (NOMs), the Department is pursuing two major approaches to data collection:
- Collection of client-level NOMs for employment status/school suspensions, living situation, and criminal justice involvement through an expanded mental health option in the existing electronic Ohio Behavioral Health System (OH-BH) administered by ODADAS
- Collection of NOMs for social functioning, social connectedness, and consumer perception of care through randomized sampling of consumers with the MHSIP and YSS-F survey instruments.
Data Infrastructure Grant (DIG)
In April 2010, the Department applied for a SAMHSA-funded Data Infrastructure Grant (DIG) to support collection and reporting of the NOMs through the Treatment Episode Outcomes module of the OH-BH and randomized sampling of consumers. Ohio’s DIG proposal was written by staff in the Department’s Office of Research and Evaluation (ORE). SAMHSA funded the proposal through a letter of award on September 17, 2010.
TEO Workgroup
In May 2010, the Department chartered a cross-divisional workgroup to develop and implement a web-based Treatment Episode Outcomes (TEO) system to collect and report client-level NOMs through a mental health option in the OH-BH. The workgroup also has oversight of the Department’s randomized consumer survey sampling with the MHSIP and YSS-F, which is scheduled to begin in calendar year 2011. In July 2010, TEO Workgroup representatives reviewed plans for the proposed outcomes system with a constituent group made up of provider, board, trade association, and consumer representatives. Feedback from the presentation to the constituent group was incorporated into discussions in August and September 2010 with the Ohio Association of County Behavioral Health Authorities (OACBHA), the Ohio Council of Behavioral Health (OCBHP), the Ohio Association of Child Caring Agencies (OACCA), and the Behavioral Health System Transitions Workgroup about the TEO component of the OH-BH and consumer sampling.