LOUISIANA Community Mental Health Services Block Grant ...

System. It has not yet been decided how the coordination of data between Medicaid and OMH will
take place.
iPHARMACY SYSTEMS. OMH now operates the proprietary Health Care Systems (HCS) Medics
pharmacy software system in each of the seven regional community pharmacies and each of the state
psychiatric hospitals. This software automates prescription processing and management reporting,
especially statewide monitoring of the utilization and costs of pharmaceuticals. These data have been
critical for providing data to the OMH Pharmacy and Therapeutics Committee and in reviewing and
managing the cost of pharmaceuticals statewide. Data are regularly uploaded to the OMH data
warehouse. HCS interfaces with PIP in the hospitals to capture patient admission data. This past
fiscal year, OMH began to replace the HCS system with the PRISM (NewTech, Inc.) software system
in the regional community settings in order to upgrade system technology and operations to be more
in keeping with the LA Board of Pharmacy requirements. Statewide implementation is underway.
Pharmacy will be included in the requirements of the electronic behavioral health record system, at
which time the PRISM system will be discontinued.
OTHER INFORMATION MANAGEMENT SYSTEMS. In addition to the above listed OMH data
systems, there exist program specific data systems that are supported by OMH. These include the
CRIS data system for the Child and Adolescent Response Team (CART), the ECSS-MIS supporting
the Early Childhood Supports and Services (ECSS), and RiteTrack, a proprietary information system
supporting the Louisiana Youth Enhancement Services (LA-YES). In each case, these specialized
service programs have unique database needs that have been addressed by either building a suitable
database in-house or in the case of LA-YES, purchasing a compatible commercial data management
system. In each of these cases, efforts have been made to make sure that whatever system is being
used, key clinical information can be uploaded to the OMH data warehouse which is the primary
repository of this information for OMH.
Data Definitions & Methodology
SMI and EBD Definitions: OMH population definitions follow the national definition. However,
Louisiana uses the designation SMI for what is more usually referred to as
SPMI. SMI (SPMI) is a national designation that includes only those
individuals suffering from the most severe forms of mental illness.
Estimation Methodology: OMH uses the CMHS estimation methodology, applying the national
prevalence rates for SMI (2.6%) and EBD (9%) directly to current general
population counts to arrive at the estimated prevalence of targeted persons to
be served. This method has been used since the revised rates were published
in 1996.
Admissions: Number of clients that have been admitted during the time period.
Caseload/ Census: Active clients on a specified date. Caseload assumes that when a case is no
longer active, it is closed.
Discharges: Number of clients that have been discharged during the time period.
Persons Served: The number of clients that had an active case for at least one day during the
time period. Persons served is the combination of the number of active clients
on the first day of the time period along with the number of admissions during
the time period.
PART C LOUISIANA FY 2011 PAGE 226
SECTION III: ADULT & CHILD/ YOUTH PLAN – CRITERION 2
MENTAL HEALTH SYSTEM DATA EPIDEMIOLOGY - INCIDENCE & PREVALENCE ESTIMATES