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I-Smart - Background
The Iowa Service Management and Reporting Tool (I-SMART) project is focused on creating a web-based computing environment to enable the Iowa Department of Public Health, Division of Behavioral Health and Professional Licensure and the providers it supports to share software that supports substance abuse treatment information management.
I-SMART is the Iowa version of the national WITS Project. WITS is an effort sponsored by the Center for Substance Abuse Treatment (CSAT) to promote a set of goals for the national substance abuse treatment system. Those goals are:
- Improve treatment by giving practitioners better access to tools for assessing, planning, tracking, and monitoring client treatment information
- Facilitate cooperation and collaboration across treatment providers by enabling the sharing of client treatment information within the constraints of individual privacy regulations
- Advance the standardization and quality of treatment data to provide the best available treatment information for managing and monitoring system outcomes
- Reduce the amount of treatment funding diverted to cover the costs of administering the system by promoting the sharing and reuse of software
- Help states and substance abuse treatment providers meet key regulatory and reporting requirements with minimal burden and disruption
The I-SMART system will:
- Allow providers to just submit the required admission, discharge, follow-up and service information through a web infrastructure or utilize the entire clinical management system
- Allow providers to capture data from client intake, services, discharge, and tracking
- Allow providers to submit information to states and other organizations for required reporting and financial transaction
- Allow the state to manage provider licenses and do reporting to federal government programs
- Reduce the amount and nature of provider audits by using a system compliant with current state guidelines
There are two major components of the I-SMART approach - the infrastructure (foundation of web services) and the application modules.
- The infrastructure is of greater interest to technical support staff because it is what enables the computer architecture to operate over the Internet within the constraints imposed by various privacy and security regulations.
- The I-SMART application modules are of greater interest to the various groups of end users who use the application on a day-to-day basis. Modules are built to provide a general type of functional capability. Various modules have different primary users, although in some cases a module can be used by more than one type of user.
There are three general sets of modules:
- State Agency Administration
- Provider Management
- Client Treatment Management
Some modules (or actions within modules) will be completed by the provider's administrative staff, some by treatment professionals, and some by provider clerical staff.
Advantages of the I-SMART system are that there is:
- Access to the applications using only an Internet browser with a connection to the web
- One-time data entry with information sharing limited to authorized users only
- Coverage for known reporting requirements (TEDS, PPG's, GPRA) and the ability to produce Heath Insurance Portability and Accountability Act (HIPAA) transactions from compliant environments
- Public domain computing environment that gives states and providers access to the infrastructure and application