DETAILED TABLE OF CONTENTS

• I. Introduction to the Draft Requirements Analysis for Decision Support 2000+  by Sarah Minden and Dorothy Webman
  • A New Conceptual Model: One Information System Serving Many Purposes
    • Goals of the Information System
    • How the Model Operates
    • Key Features of the Information System
    • Types of Information
      • Descriptive Information: What are we doing?
      • Evaluative Information: How well are we doing?
      • Prescriptive Information: What should we be doing?
      • Corrective Information: Does what we are doing match what we should be doing?
    • Answers for Many Questions by Using Different Units of Analysis
      • The Population as the Unit of Analysis
      • The Plan as the Unit of Analysis
      • The Person as the Unit of Analysis
    • Linking Data
    • Advantages of Linking Data
    • Challenges to Linking Data
    • Use of Existing Data
    • Establishes Standards
    • An Historical Perspective
    • Current Status of Mental Health Information
    • Related Efforts
    • The Relationship between Health and Mental Health Data
    • Purpose of this Report
  • Appendix A: A Vignette---How a County Planner Might Use Population Level Data
  • Appendix B: A Vignette---How Purchasers and Consumer Advocates Might Use Plan Level Data
  • Appendix C: A Vignette---How Consumers and Providers Might Use Person Level Data
  • Appendix D: The Mental Health Statistics Improvement Program prepared by John Hornik and Steven Davis
  • Appendix E: HIPAA
  • Appendix F: Summary of Key Characteristics of the Care Needs of Persons with Serious Mental Illness and Implications for Differences in the Requirements for Mental Health Data and Medical Data
• II. Population Data by Steven Davis
  • Summary
  • What is the Intended Purpose or Function of this Component?
  • What Information is Required to Accomplish this Purpose?
    • Domains of Data to be Collected
    • Other Requirements and Considerations
    • Sources of Population Data
  • Who Provides the Information?
  • What Information is Produced to Accomplish this Purpose?
  • Who Uses the Information that is Produced?
  • How Ready is this Component for Inclusion in the Information System?
  • What Future Efforts are Required for Readiness?
    • Populations Surveys
    • Population-based Report Cards
    • Questionnaire Design and Statistical Analysis
    • Sampling and Data Collection
    • Broad, System Issues
    • Vehicles for Data Collection
    • New Technologies and Methodologies
    • Measures
    • Incentives
    • Future Activities
  • Table 1
  • References
• III. Enrollment Data  by Sharon Guidera
  • Summary
  • What is the Intended Purpose or Function of this Component?
  • What Information is Required to Accomplish this Purpose?
    • Criteria for Data Selection
    • Types and Sources of Data
    • Data Elements
  • Who Provides the Information?
  • What Information is Produced to Accomplish this Purpose?
  • Who Uses the Information that is Produced?
  • How Ready is this Component for Inclusion in the Information System?
    • Sponsor Identifier
    • Plan Identifier
    • Member Identifier
    • Self Reported Health Status
    • Functional Status
    • Occupation
    • Residential and Living Arrangements
    • Primary Language of Enrollees
    • Disenrollment Reason
    • Cause of Death
    • Family Status
  • What are the Linkage Issues?
  • Table 1
  • References
• IV. Encounter Data by Sharon Guidera
  • Summary
  • What is the Intended Purpose or Function of this Component?
  • What Information is Required to Accomplish this Purpose?
    • Data Elements
  • Who Provides the Information?
  • What Information is Produced to Accomplish this Purpose?
  • Who Uses the Information that is Produced?
  • How Ready is this Component for Inclusion in the Information System?
  • What are the Linkage Issues?
  • Table 1
  • References 
• V. Financial Data by Meredith Rosenthal and Steven Davis
  • Summary
  • What Is the Intended Purpose or Function of the Financial Component? 
  • What Information is Required and Produced to Accomplish this Purpose?
    • Transaction Data
    • Financial Incentive Data
    • General Accounting Data
  • How are the Financial Data Linked to Other Data?
  • What Future Efforts Are Required for Inclusion in an Integrated Information System?
  • Table 1
  • Glossary
  • References
• VI. Human Resources Data by Denise Noonan
  • Summary
  • What is the Intended Purpose or Function of this Component?
  • What Information is Required to Accomplish this Purpose?
    • Core Data Elements
    • Unique Provider Identifier
  • Who Provides the Information?
  • Who Uses the Information that is Produced?
  • How Ready Are These Components for Inclusion in the Information System?
  • What Future Efforts are Required for Readiness?
  • Table 1
  • Table 2
  • References
• VII. Organizational Data by Denise Noonan
  • What is the Intended Purpose or Function of this Component?
  • What Information is Required to Accomplish this Purpose?
  • Who Provides the Information?
  • Who Uses the Information that is Produced?
  • How Ready Are These Components for Inclusion in the Information System?
  • What Future Efforts are Required for Readiness?
  • Table 1
  • References
• VIII. Clinical Guidelines by Tom Trabin
  • Summary
  • What is the Intended Purpose or Function of this Component?
  • What Information is Required to Accomplish this Purpose?
    • Clinical Decision Support
    • Treatment Process Tracking
    • Guideline Variance Tracking
  • Who Provides the Information?
    • Clinical Decision Support
    • Treatment Process Tracking
    • Guideline Variance Tracking
  • What Information is Produced to Accomplish this Purpose?
    • Clinical Decision Support
    • Treatment Process Tracking
    • Guideline Variance Tracking
  • Who Uses the Information that is Produced?
    • Clinical Decision Support
    • Treatment Process Tracking
    • Guideline Variance Tracking
  • How Ready is This Component for Inclusion in the Information System?
    • Clinical Decision Support
    • Treatment Process Tracking
    • Guideline Variance Tracking
  • What Future Efforts are Required for Readiness?
    • Clinical Decision Support
    • Treatment Process Tracking
    • Guideline Variance Tracking
  • What are the Hardware and Software Requirements for Linkage with Other Components and Information Systems?
    • Clinical Decision Support
    • Treatment Process Tracking
    • Guideline Variance Tracking
  • What are the Requirements for Protecting Privacy and Maintaining Confidentiality and Ensuring Cultural Competence?
• IX. Data Collection Related to System Guidelines by Sarah Minden and Noel Mazade
  • Summary
  • What is the Intended Purpose or Function?
    • Definition of system guidelines
    • Types of System Guidelines
      • Type I System Guidelines
      • Type II System Guidelines
      • Type III System Guidelines
  • What Information Is Required to Accomplish this Purpose?
    • Important Beginnings
  • Development and Implementation of System Guidelines
    • Fidelity Measures
    • Guideline Dissemination
    • Barriers to Implementation
  • What Future Efforts are Required for Readiness?
    • CMHS Activities
    • Performance Standards and Indicators
    • Fidelity Measures
    • Consensus-based Evidence
  • Figure 1
  • References
• X. Performance Indicators and Report Cards
  • What Is the Intended Purpose or Function of this Component?
    • Objectives and Priorities of the Mental Healthcare System
    • Level of Use
    • Philosophy and Values Regarding Performance Indicators
    • Mental Health Report Cards
  • What Information is Required to Accomplish this Purpose?
  • Who Provides this Information?
  • What Information is Produced to Accomplish this Purpose?
  • Who Uses the Information?
  • How Ready is this Component for Inclusion in the Information System?
  • What Future Efforts are Required for Readiness?
    • Standardized Definitions of Measures
    • Methodological Issues and Guidelines for Implementation
    • Guidelines for Analysis and Presentation of Data
    • Specific Next Steps
  • References
• XI. Consumer Outcomes Measures by Vijay Ganju
  • Summary
  • What Is the Intended Purpose or Function of this Component?
  • What Information Is Required to Accomplish this Purpose?
    • Types of Outcomes
    • Selecting Outcomes
    • Proposed Measurement Sets
  • Who Provides the Information?
  • What Information is Produced?
  • Who Uses the Information?
  • How Ready Is the Component for Inclusion in the Information System?
  • What Future Efforts are Needed for Readiness?
  • References
• XII. Overarching Issues  
  • A Consumer and Family Perspective by Laura Van Tosh
    • Introduction
    • What are the Information Needs of Consumers and Families?
    • What are the Benefits of the Information System Prototype to Consumers and Families?
      • Reducing Fragmentation
      • Promoting Accountability
      • Raising Standards of Excellence for Care
      • Raising Standards of Excellence for Information
      • Promoting Visionary Policy Development
      • Reinforcing the Link between Service Delivery and Quality of Care
      • Promoting Integrated Services and Integrated Information Systems
      • Promoting Competition and the Use of Consumer Report Cards
      • What are the Challenges of a Uniform Data and Information System to Consumers and Families? 
      • Weakened Informed Consent
      • Ability to Access Medical Records
      • Expanded Choices for Consumers and Families
      • Data Interpretation and Reporting
    • Conclusion: Prevent the Loss of Individuality
  • Cultural Competence by Christine Hale and Mario Hernandez
    • What is a Culturally Competent Information System?
    • Challenges to Culturally Competent Data Collection and Analysis
    • Toward a Culturally Competent Information System
    • Components of a Culturally Competent Information System
    • References
  • Privacy by Caroline L. Kaufmann
    • People and Privacy in Mental Health Information Systems: Comment from Consumers in the Electronic Village
      • Introduction
    • Mental Health Information Systems – The Good, The Bad, The Uncertain
      • Good Things about an Integrated Mental Health Information Systems
      • Consumer Review of Records
      • Standardization
      • Service Coordination
      • Increased Linkages
      • Bad Things about an Integrated Information System
      • Restricted Access to Psychiatric Records
      • Data Trends Become Self-fulfilling Prophesies
      • Internal Linkages Limit Consumer Alternatives
      • Expanded Information Systems Do Not Increase Availability of Service
      • An Uncertain Future for Mental Health Information Systems
    • References
  • Technology by Tom Rich
    • Data Integration Strategies
      • The Centralized Approach
      • The Virtual Database Approach
    • Data Technologies
    • Discussion