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Second level
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CSI = Training June 2006
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Click to edit Master title style<= /div>
Click to edit Master subtitle sty= le
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------=_NextPart_01C69913.CCC85FF0 Content-Location: file:///C:/48C8B227/CSI_Training_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C69913.CCC85FF0 Content-Location: file:///C:/48C8B227/CSI_Training_files/slide0027.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Slide 1
CSI TRAINING
Managing Changes to CSI with the
= Mental Health Services Act (MHSA) and the
= Data Infrastructure Grant (DIG)
= July 1, 2006
Purpos= e:
The pr= esentation is designed for County and direct provider administrators or project manager= s to use to educate their county providers, county staff, counselors, IT staff= and staff tangentially affected by CalOMS. The intent is not only to inform b= ut also to create enthusiasm and an understanding of the benefits of the program.
User I= nstruction:
The pr= esentation is designed to be customized by the county or direct provider. For example w= here you see yellow text or NAME, insert your organization’s name. Insert County Logo – put your logo on the front slide.  Highlighted text should be modif= ied to describe your project or supply other relevant information.
If you= wish to put your county logo in the right top corner of every slide, take the followi= ng steps:  1. open the second s= lide of the presentation.  2.  go to View on the Tool Bar, Sele= ct Master and Slide Master.  3.= NAME Logo Here is in the top right, you can delete it or replace it. 4. To ret= urn to “normal” view select Close Master View or select View and Normal.
Slides= 19 – 26 require extensive customization to describe your organization’s Cal= OMS project.

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CSI Tr= aining June 2006
Wha= t is CSI?
nCSI is the Client and Service Information System.  = The State Department of Mental Health (DMH) requires all counties to col= lect and report CSI data on all Mental Health Services. 
n&= #13;
nTimely and accurate reporting of this data to the Department of Mental Heal= th is mandated.
n&= #13;
nCSI data will be use= d in conjunction with MHSA Data to evaluate the achievement= s of the County’s MHSA plan. 
n
CalOMS= =3D the California Outcomes Measurement System.
The pu= rpose and intent of CalOMS is to collect information for providers, counties, and t= he state to
•Improve services to clients,
•Improve program planning and better manage services,
•Meet federal outcomes reporting requirements, state outcomes or performance reporting, and to report to funding agencies.
It pro= vides information about services that will help answer questions from the Legislature, help agencies compete for grants and other funding, and docu= ment effectiveness and cost effectiveness.

CalOMS= has been developed over several years – initially work was done within ADP, = then Counties and providers were brought in to collaboratively provide input. Input was gathered from providers, county administrators and researchers = in the field.

It is = ADP’s intent for CalOMS to create a system that will be less paperwork but not = less people work.

CalOMS= will support client/participant services, in that, CalOMS will give Counties and providers:
•ability to analyze their business and improve services for AOD clients/participants
•a sense of control through the addition of structure
•a focus on aspects of their programs that may not normally be considered, because of the varying forms of data analysis that will take place and the enlisting of experts for this data analysis
•An internal report card

ADP un= derstands the positive impact that CalOMS data will have on the improvement of AOD services. ADP is looking for effective ways to provide CalOMS data back to Counties and providers as quickly as possible.
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CSI Training June 2006
Why= Is The State Modifying CSI?
nTo further the Mental Health Services Act (MHSA) vision of transformation by collect= ing relevant data on all services.
n&= #13;
nTo revise and update= the existing Client Services Information (CSI) System.
n&= #13;
nTo develop the capac= ity for data compliance to the federal Uniform Reporting System (U= RS); an objective of the federal Data Infrastructure Grant (DIG).
n&= #13;
n
CalOMS= =3D the California Outcomes Measurement System.
The pu= rpose and intent of CalOMS is to collect information for providers, counties, and t= he state to
•Improve services to clients,
•Improve program planning and better manage services,
•Meet federal outcomes reporting requirements, state outcomes or performance reporting, and to report to funding agencies.
It pro= vides information about services that will help answer questions from the Legislature, help agencies compete for grants and other funding, and docu= ment effectiveness and cost effectiveness.

CalOMS= has been developed over several years – initially work was done within ADP, = then Counties and providers were brought in to collaboratively provide input. Input was gathered from providers, county administrators and researchers = in the field.

It is = ADP’s intent for CalOMS to create a system that will be less paperwork but not = less people work.

CalOMS= will support client/participant services, in that, CalOMS will give Counties and providers:
•ability to analyze their business and improve services for AOD clients/participants
•a sense of control through the addition of structure
•a focus on aspects of their programs that may not normally be considered, because of the varying forms of data analysis that will take place and the enlisting of experts for this data analysis
•An internal report card

ADP un= derstands the positive impact that CalOMS data will have on the improvement of AOD services. ADP is looking for effective ways to provide CalOMS data back to Counties and providers as quickly as possible.
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CSI Training June 2006
Who Will Be Included?
n
§= ;MHSA requires that CSI data be collected <= /span>for all services (MHSA or non-MHSA = services), and for all consumers.
Any on= e who receives funding from ADP will be expected to participate.  Any organization that is current= ly collecting CADDS data will be expected to collect CalOMS data.
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CSI Training June 2006
How= Will CSI Data Be Collected?
n
§= ;CSI Data will be collected from the INSYST System using the following Insyst screens: <= /span>
§
§= Client Registration Screen
§= Episode Screen
§= Service Entry Screen
§= Periodic Screen
Any on= e who receives funding from ADP will be expected to participate.  Any organization that is current= ly collecting CADDS data will be expected to collect CalOMS data.
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CSI Training June 2006
When Is CSI Data Reported?
<= span style=3D'font-size:133%'>nMonthly ̵= 1; Data for new clients
nMonthly ̵= 1; A record for each service is reported, which includes expanded data
nPeriodically – Selected data fields are reported:
¨at entry =
¨annually&= #13;
¨at closin= g
<= span style=3D'font-size:133%;visibility:hidden'>§
Any on= e who receives funding from ADP will be expected to participate.  Any organization that is current= ly collecting CADDS data will be expected to collect CalOMS data.
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CSI Training June 2006
When Are CSI Changes Effective?
nJuly 1, 2006
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CSI Training June 2006
Change= s to CSI – Client Registration
<= span style=3D'font-size:75%'>nClient Registration Form
<= span style=3D'font-size:17%;visibility:hidden'>n
nChanges have occurred and new data fields have been added.
nClient Registration screens have changed to accommodate the new data fields. 
<= span style=3D'font-size:42%;visibility:hidden'>n
<= span style=3D'font-size:75%'>nREQUIRED CSI FIELDS
<= span style=3D'font-size:75%'>nDate of Birth&= #13;
<= span style=3D'font-size:75%'>nGender (Sex)&#= 13;
<= span style=3D'font-size:75%'>nSocial Security Number
<= span style=3D'font-size:75%'>nClient Index N= umber (CIN) #
<= span style=3D'font-size:75%'>nEducation (Periodic data)
<= span style=3D'font-size:75%'>nLanguage <= /span>
<= span style=3D'font-size:75%'>¨Primary La= nguage #
<= span style=3D'font-size:75%'>¨Preferred Language #
<= span style=3D'font-size:17%;visibility:hidden'>¨
nLEGEND
•*   Change in data field
•#   New data field =
<= span style=3D'font-size:67%;visibility:hidden'>n
<= span style=3D'font-size:67%;visibility:hidden'>n
Client Identification and Demographic Data (20 questions)
   Unique Client Identifiers
   TEDS data elements

Admiss= ion Data (11 questions)
   TEDS data elements
     Currently in the CADDS Admission Data Elements
   Discharge Data (2 questions= )
   TEDS data elements
   Similar to CADDS Admission = Data Elements
Alcoho= l and Drug Use Data (13 questions)
   TEDS data elements
   NOMS data elements
   Minimum Treatment Outcome Questions (MTOQ’s)
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CSI Training June 2006
Change= s to CSI Client Registration
<= span style=3D'mso-special-format:bullet;color:#00007D;mso-color-index:2;positio= n: absolute;left:-9.02%;top:.3em;font-family:Wingdings;font-size:75%'>nClient Registration Form
nRequired CSI Fields - Continued
<= span style=3D'font-size:75%'>nEthnicity/Race= *
<= span style=3D'font-size:75%'>nHispanic Origi= n *
<= span style=3D'font-size:75%'>nOther Factors = (Not to be used after July 1, 2006)
<= span style=3D'font-size:75%'>nCaregiver (Und= er 18/Over 18) #
<= span style=3D'font-size:75%'>nBirth Name = ;
<= span style=3D'font-size:75%'>nPlace of Birth=
<= span style=3D'font-size:75%'>nMother’s= First Name
n
n(CSI Periodic Data must be entered on Client Registration and the Periodic screen) =
nLEGEND
•*   Change in data field
•#   New data field =
<= span style=3D'font-size:75%;visibility:hidden'>n
Client Identification and Demographic Data (20 questions)
   Unique Client Identifiers
   TEDS data elements

Admiss= ion Data (11 questions)
   TEDS data elements
     Currently in the CADDS Admission Data Elements
   Discharge Data (2 questions= )
   TEDS data elements
   Similar to CADDS Admission = Data Elements
Alcoho= l and Drug Use Data (13 questions)
   TEDS data elements
   NOMS data elements
   Minimum Treatment Outcome Questions (MTOQ’s)
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CSI Training June 2006
NEW - = Client Index Number (CIN)
nPurpose: Identifi= es Medi-Cal or Healthy Families Plan recipients.  The Client Index Number (CIN) mus= t be reported if the client is a Medi-Cal recipient or Healthy Families Plan recipient. 
n
nPlease= note: Entry of a CIN in this field is an eligibility   indicator for CSI only. Medi-Cal eligibility records still need to be entered on the Medicaid Eligibility screen for each client for each mont= h of eligibility in order for services to be claimed to Medi-Cal.<= span style=3D'mso-spacerun:yes'> 
<= span style=3D'visibility:hidden'>n
<= span style=3D'visibility:hidden'>n
<= span style=3D'visibility:hidden'>n
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CSI Training June 2006
Change= s to CSI – Client Registration
nEducation (Per= iodic data)
¨Indicate the clients’ highest grade completed up= 3;
¨to 20. This field is a periodic data field and must =
¨be reported at initial registration and updated
¨annually on the periodic screen and client
¨registration screen if the number changes.
n
Client Identification and Demographic Data (20 questions)
   Unique Client Identifiers
   TEDS data elements

Admiss= ion Data (11 questions)
   TEDS data elements
     Currently in the CADDS Admission Data Elements
   Discharge Data (2 questions= )
   TEDS data elements
   Similar to CADDS Admission = Data Elements
Alcoho= l and Drug Use Data (13 questions)
   TEDS data elements
   NOMS data elements
   Minimum Treatment Outcome Questions (MTOQ’s)
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CSI Training June 2006
Change= s to Language
•NEW - Primary Language
• Purpose: Identifies the primary language utilized by the client.
•
•NEW - Preferred Language
• Purpose: Identifies the language in which the client prefers to receive mental health services. • “In what language would the client prefer to receive mental health services?”
•
Client Identification and Demographic Data (20 questions)
   Unique Client Identifiers
   TEDS data elements

Admiss= ion Data (11 questions)
   TEDS data elements
     Currently in the CADDS Admission Data Elements
   Discharge Data (2 questions= )
   TEDS data elements
   Similar to CADDS Admission = Data Elements
Alcoho= l and Drug Use Data (13 questions)
   TEDS data elements
   NOMS data elements
   Minimum Treatment Outcome Questions (MTOQ’s)
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CSI Training June 2006
Chang= es to Ethnicity & Hispanic Origin
nSeparate collection = of Ethnicity and Hispanic Origin data-  establishes consistency with and allows capacity to <= span style=3D'position:absolute;top:31.35%;left:9.73%;width:97.75%;height:5.18%= '>report to the Federal Uniform Reporting System (URS).
n
nUpdated Ethnicity Fi= eld – Now allows selection of up to five ethnicities.
n&= #13;
nNew Hispanic Origin Field – distinct indicator for Hispanic Origin.
n
nUse: Allows analysis= of Ethnicity and Hispanic Origin data to ensure provision = of culturally competent mental health services.  Allows state and county data to b= e compared to federal census data.
Client Identification and Demographic Data (20 questions)
   Unique Client Identifiers
   TEDS data elements

Admiss= ion Data (11 questions)
   TEDS data elements
     Currently in the CADDS Admission Data Elements
   Discharge Data (2 questions= )
   TEDS data elements
   Similar to CADDS Admission = Data Elements
Alcoho= l and Drug Use Data (13 questions)
   TEDS data elements
   NOMS data elements
   Minimum Treatment Outcome Questions (MTOQ’s)
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CSI Training June 2006
Changes to Ethnicity/Race
n Change - Selection of up to = five ethnicities.
n
¨= A  Wh= ite I   Japanese P  Ot= her Pacific Islander <= /span>
¨= B  Bl= ack J   Filipino Q  Korean
¨= C  Na= tive K  Other Asian R  Samoan
¨    American <= /div>
¨= E  Chinese         L  Other Non-White S  Asi= an Indian
¨= F  Vi= etnamese M  Unknown T  Ha= waiian Native  
¨= G  La= otian N  Other Southeast Asian U  Guamanian
¨= H  Ca= mbodian O  Hmong W  Mien=
¨=
Client Identification and Demographic Data (20 questions)
   Unique Client Identifiers
   TEDS data elements

Admiss= ion Data (11 questions)
   TEDS data elements
     Currently in the CADDS Admission Data Elements
   Discharge Data (2 questions= )
   TEDS data elements
   Similar to CADDS Admission = Data Elements
Alcoho= l and Drug Use Data (13 questions)
   TEDS data elements
   NOMS data elements
   Minimum Treatment Outcome Questions (MTOQ’s)
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CSI Training June 2006
Changes to Hispanic Origin
n New Hispanic Origin table is as follows:
n
¨= 1 - Not Hispanic
¨= 2 - Mexican/Mexican American
¨= 4 - Puerto Rican
¨= 5 - Other Latino
¨= G - Guatemalan
¨= N - Nicaraguan
¨= M - South American
¨= S - Salvadoran
¨= U - Unknown/Not Reported
Client Identification and Demographic Data (20 questions)
   Unique Client Identifiers
   TEDS data elements

Admiss= ion Data (11 questions)
   TEDS data elements
     Currently in the CADDS Admission Data Elements
   Discharge Data (2 questions= )
   TEDS data elements
   Similar to CADDS Admission = Data Elements
Alcoho= l and Drug Use Data (13 questions)
   TEDS data elements
   NOMS data elements
   Minimum Treatment Outcome Questions (MTOQ’s)
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CSI Training June 2006
Caregiver
nPurpose: Identifies the number of persons the clie= nt cares for / is respon= sible for at least 50% of the time:
n&= #13;
¨<= /span>Number of children less than 18 years of age the c= lient cares for / is responsible = for at least 50% of the time.
¨Number of dependent adults 18 years of age and abo= ve the client cares for = / is responsible for at least 50% of the time.
n
n VALUES:
n          00 =3D  None
n
n 01 thro= ugh 98 =3D   Number of children <= span style=3D'font-family:Arial;mso-ascii-font-family:Arial;mso-bidi-font-famil= y: "Times New Roman";mso-hansi-font-family:Arial;font-size:75%'>less than or over  18 years of = age     that the client = cares for / is responsible for at least 50% of     the time.
n
n          99 =3D   Unknown / Not Reported
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CSI Training June 2006
Caregiver
§This data element is needed to produce summary data on the number of clients who have dependent children under 18 years of age and/or dependent adults 18 years and older, how many dependents, and if the client is = primary caregiver in order to identify patterns of need.  This information will help reflect critical areas of the lives of California’s ment= al health clients.
<= span style=3D'visibility:hidden'>n
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CSI Training June 2006
Change= s to CSI Client Registration
n<= b>
nCSI Periodic Data must be entered on Client Registration and Periodic Screens.
n
n
n<= span style=3D'mso-special-format:lastCR;display:none'>
Client Identification and Demographic Data (20 questions)
   Unique Client Identifiers
   TEDS data elements

Admiss= ion Data (11 questions)
   TEDS data elements
     Currently in the CADDS Admission Data Elements
   Discharge Data (2 questions= )
   TEDS data elements
   Similar to CADDS Admission = Data Elements
Alcoho= l and Drug Use Data (13 questions)
   TEDS data elements
   NOMS data elements
   Minimum Treatment Outcome Questions (MTOQ’s)
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CSI Training June 2006
Changes= to CSI – Episode Opening
<= span style=3D'font-size:67%'>nClient Epis= ode Opening Form
<= span style=3D'font-size:67%'>¨Changes ha= ve occurred and new data fields have been added.
<= span style=3D'font-size:67%'>¨Client Epi= sode screens have changed to accommodate the new data fields. 
<= span style=3D'font-size:67%;visibility:hidden'>¨
<= span style=3D'font-size:67%'>¨Require= d CSI Fields
<= span style=3D'font-size:67%'>nTrauma = #
<= span style=3D'font-size:67%'>nDiagnosis #= 3;
<= span style=3D'font-size:67%'>¨Axis I (P=3DPrimary   S=3DSecon= dary)
&se= ct;Axis I Additional DX
<= span style=3D'font-size:67%'>¨Axis II (P=3DPrimary  S=3DSecondary)&= #13;
&se= ct;Axis II Additional DX
<= span style=3D'font-size:67%'>¨Axis III (Medical Condition Code or Medical Condition Diagnosis)
<= span style=3D'font-size:67%'>¨Axis IV &#= 13;
<= span style=3D'font-size:67%'>¨Axis V (Current/Past Year, Periodic da= ta)
&sec= t;Axis V - Acceptable - 001 through 100 =3D Valid Ax= is-V / GAF Rating
<= span style=3D'font-size:67%'>nSubstance Abuse/Dependence Issue #
<= span style=3D'font-size:67%'>nSubstance Abuse Diagnosis #
<= span style=3D'font-size:67%'>nLiving Situati= on (Periodic data)
<= span style=3D'font-size:67%'>nEmployment Sta= tus (Periodic data)
<= span style=3D'font-size:67%'>nLegal Consent = (Periodic data)
n
§= LEGEND
•*   Change in data field
•#   New data field
Client Identification and Demographic Data (20 questions)
   Unique Client Identifiers
   TEDS data elements

Admiss= ion Data (11 questions)
   TEDS data elements
     Currently in the CADDS Admission Data Elements
   Discharge Data (2 questions= )
   TEDS data elements
   Similar to CADDS Admission = Data Elements
Alcoho= l and Drug Use Data (13 questions)
   TEDS data elements
   NOMS data elements
   Minimum Treatment Outcome Questions (MTOQ’s)
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CSI Training June 2006
NEW &#= 8211; Episode Opening - Trauma
nPurpose: Identifies clients that have experienced traumatic events including experiences such as having witnessed violence, having been a victim of crime or violence, having lived through a natural disaster, having been a combatant or civilian in a war zone, having witnessed or having been a victim of a severe accident, or having been a victim of physical, emotional, or sexual abuse.
n
n    Values
n
n    Y =3D Yes
n    N =3D No
n    U =3D Unknown / Not r= eported
<= span style=3D'visibility:hidden'>n
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CSI Training June 2006
NEW &#= 8211; Episode Opening - Trauma
nQuestion: What if some service records for a given client report a ‘yes’ in Trauma and others= a ‘no’? How is that going to be interpreted?&= #13;
n
nAnswer: It is possible that some mental heal= th providers working with a client may be aware of traumatic events in the client’s life and that others are not. If any provider in contact with the client is aware of trauma = in the client’s history, they are encouraged to report it. It’s understood that some service records may refle= ct the client’s contact with trauma, while other records may not.
¨ <= /div>
n<= span style=3D'mso-special-format:lastCR;display:none'>
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CSI Training June 2006
Change= s in Diagnosis
•Diagnosis code reporting includes:
<= span style=3D'font-size:108%'>&se= ct;Axis I (Primary or secondary) <= /div>
<= span style=3D'font-size:108%'>&se= ct;Axis II (Primary or secondary) =
&sec= t;Axis III – Additional Field and Codes - Gen= eral Medical Condition Code or General Medical = Diagnosis Code
<= span style=3D'font-size:108%'>&se= ct;Axis IV
<= span style=3D'font-size:108%'>&se= ct;Axis V current and past year
§
Client Identification and Demographic Data (20 questions)
   Unique Client Identifiers
   TEDS data elements

Admiss= ion Data (11 questions)
   TEDS data elements
     Currently in the CADDS Admission Data Elements
   Discharge Data (2 questions= )
   TEDS data elements
   Similar to CADDS Admission = Data Elements
Alcoho= l and Drug Use Data (13 questions)
   TEDS data elements
   NOMS data elements
   Minimum Treatment Outcome Questions (MTOQ’s)
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CSI Training June 2006
Change= s in Diagnosis
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.3em'>nAxi= s II Diagnosis
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.3em'>nRep= orting Requirements
<= span style=3D'font-size:83%;visibility:hidden'>n=
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.3em'>n  Preferred -   DSM-IV-TR Axis II code = ;
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.3em'>n  Acceptable - ICD-9-CM code 
n  Acceptable - V7109 and 7999, IF t= here is not a valid  <= /span>
n        = ;            &n= bsp;   DSM-IV-TR Axis II or ICD-9-CM code
n
§
Client Identification and Demographic Data (20 questions)
   Unique Client Identifiers
   TEDS data elements

Admiss= ion Data (11 questions)
   TEDS data elements
     Currently in the CADDS Admission Data Elements
   Discharge Data (2 questions= )
   TEDS data elements
   Similar to CADDS Admission = Data Elements
Alcoho= l and Drug Use Data (13 questions)
   TEDS data elements
   NOMS data elements
   Minimum Treatment Outcome Questions (MTOQ’s)
------=_NextPart_01C69913.CCC85FF0 Content-Location: file:///C:/48C8B227/CSI_Training_files/slide0140.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Slide 1
CSI Training June 2006
Change= s in Diagnosis
•Axis III – General Medical Condition Code or General Medical Diagnosis Code
•
= nGeneral Medical Condition Summary Code =
nPurpose: Identifies= up to three General Medical Condition Summary Codes from a set list that most closely identify t= he client’s general medical condition(s), if any.
n
<= span style=3D'font-size:92%;color:#CC0066'>nDo not report General Medical Condition Diagnosis. =
n    IF reporting General Medical Condition Summary Code(s).
n
<= span style=3D'font-size:83%'>nReport up to three General Medical Condition Summary Code(s).
<= span style=3D'font-size:83%;visibility:hidden'>n= 3;
<= span style=3D'font-size:92%;visibility:hidden'>•
Client Identification and Demographic Data (20 questions)
   Unique Client Identifiers
   TEDS data elements

Admiss= ion Data (11 questions)
   TEDS data elements
     Currently in the CADDS Admission Data Elements
   Discharge Data (2 questions= )
   TEDS data elements
   Similar to CADDS Admission = Data Elements
Alcoho= l and Drug Use Data (13 questions)
   TEDS data elements
   NOMS data elements
   Minimum Treatment Outcome Questions (MTOQ’s)
------=_NextPart_01C69913.CCC85FF0 Content-Location: file:///C:/48C8B227/CSI_Training_files/slide0141.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Slide 1
CSI Training June 2006
Change= s in Diagnosis
•Axis III – General Medical Condition Code or General Medical Diagnosis Code
<= span style=3D'font-size:80%'>nGeneral Medical Con= dition Summary Code
<= span style=3D'font-size:80%;visibility:hidden'>n= 3;
<= span style=3D'visibility:hidden'>n
<= span style=3D'font-size:110%;visibility:hidden'>•
Client Identification and Demographic Data (20 questions)
   Unique Client Identifiers
   TEDS data elements

Admiss= ion Data (11 questions)
   TEDS data elements
     Currently in the CADDS Admission Data Elements
   Discharge Data (2 questions= )
   TEDS data elements
   Similar to CADDS Admission = Data Elements
Alcoho= l and Drug Use Data (13 questions)
   TEDS data elements
   NOMS data elements
   Minimum Treatment Outcome Questions (MTOQ’s)
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Content-Type: text/html; charset="us-ascii" Slide 1
CSI Training June 2006
Diagno= sis - NOTE
•
¨<= /span>Use of V71.09 or 799.9 is allowed if no other vali= d diagnosis is present on any of the Axis I or Axis = II diagnosis fields on the episode screen.
¨
¨<= /span>Use of V71.09&nbs= p; or 799.9 in Axis II is acceptable only when coded with an “S” for Secondary.<= span style=3D'mso-spacerun:yes'>   Incorrect input of these Diagnosis codes into INSYST will cause an error in CSI data and with the Medi-Cal <= /span>claim which will require immediate correction.  
¨
¨<= /span>Not Acceptable - V71.09 – for Additional DX
§=
•
Client Identification and Demographic Data (20 questions)
   Unique Client Identifiers
   TEDS data elements

Admiss= ion Data (11 questions)
   TEDS data elements
     Currently in the CADDS Admission Data Elements
   Discharge Data (2 questions= )
   TEDS data elements
   Similar to CADDS Admission = Data Elements
Alcoho= l and Drug Use Data (13 questions)
   TEDS data elements
   NOMS data elements
   Minimum Treatment Outcome Questions (MTOQ’s)
------=_NextPart_01C69913.CCC85FF0 Content-Location: file:///C:/48C8B227/CSI_Training_files/slide0099.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Slide 1
CSI Training June 2006
New Substance Abuse Reporting- After 07/01/06
•  NEW= – There are 2 New Substance Abuse / Dependence Fields:
•<= /span>
•Substance Abuse / Dependence Issue <= /div>
•Substance Abuse / Dependence Diagnosis
•<= /span>
Client Identification and Demographic Data (20 questions)
   Unique Client Identifiers
   TEDS data elements

Admiss= ion Data (11 questions)
   TEDS data elements
     Currently in the CADDS Admission Data Elements
   Discharge Data (2 questions= )
   TEDS data elements
   Similar to CADDS Admission = Data Elements
Alcoho= l and Drug Use Data (13 questions)
   TEDS data elements
   NOMS data elements
   Minimum Treatment Outcome Questions (MTOQ’s)
------=_NextPart_01C69913.CCC85FF0 Content-Location: file:///C:/48C8B227/CSI_Training_files/slide0142.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Slide 1
CSI Training June 2006
New Substance Abuse Reporting- After 07/01/06
New - Substance Abuse / Dependence  Diagnosis<= span style=3D'font-size:63%'>
Purpose:  Identifies whether or not the cli= ent has a substance / dep= endence issue.
  Services After 07/01/06= : Report the client’s Substance Abuse / 
  Dependence Issue.
Reporting Requirements= 3;
Y =3D Yes, the client has a substance abuse /  <= /span>
        = ;            &n= bsp;         dependence issue
N =3D No, the client does no= t have a substance
        = ;            &n= bsp;         abuse / dependence issue
U =3D Unknown / Not Reported=
•
•New - Substance Abuse / Dependence  Diagnosis
Purpose: Identifies the client’s substance abu= se /
dependence diagnosis, if any.
Services On or After 07/01/0= 6: Report the client’s Substance Abuse /Depen= dence Diagnosis.= 3;
        = ;     
Client Identification and Demographic Data (20 questions)
   Unique Client Identifiers