WITSWITSWeb Infrastructure Web Infrastructure

For Treatment SystemsFor Treatment Systems

FEI.com, Inc.

Richard ThoresonRichard ThoresonRodney ConradRodney ConradChris WhiteChris White

Brief OverviewBrief Overview .NET, open-source, Web-based Case-management and

Reporting system for Counties, States, and Health Care Providers

Over $6M and 4+ years of development

Developed by FEI and Westat initially as a CSAT project, multiple States and Counties are customizing WITS

Intended to grow as a Collaborative effort between multiple States and Counties

Current WITS implementations – TN, AK, IA, UT, IL, MD, WY, HI, Sonoma CA, Mendocino CA, Marin CA, San Diego CA

Designed to be highly configurable within multiple State and County Business Environments

Two Case StudiesTwo Case Studies

Salt Lake County, UtahSalt Lake County, Utah Sharing ASI results between Sharing ASI results between

ProvidersProviders Electronic Consent and ReferralElectronic Consent and Referral

Access to Recovery GrantAccess to Recovery Grant Illinois, Tennessee, and WyomingIllinois, Tennessee, and Wyoming Longitudinal GPRA outcomesLongitudinal GPRA outcomes Voucher Billing and AdjudicationVoucher Billing and Adjudication

Salt Lake CountySalt Lake County

ASI performed by County AgencyASI performed by County Agency Treatment needs are determinedTreatment needs are determined Electronic referral created to Electronic referral created to

appropriate agencyappropriate agency Public Website with up-to-date Public Website with up-to-date

Capacity and Waitlist informationCapacity and Waitlist information

ASI Screen ShotASI Screen Shot

Question Hints

ASI NarrativeASI NarrativeOn ScreenSaved as PDF

WITS: Electronic WITS: Electronic ReferralReferral

Consent PDF Consent Form

WITS: Electronic WITS: Electronic ReferralReferral

Create Referral Screen Referrals IN Screen

Referrals OUT Screen

Receiving AgencyReceiving Agency Client Profile and demographic data is Client Profile and demographic data is

preloadedpreloaded Saves administrative time with clientSaves administrative time with client More opportunity for treatmentMore opportunity for treatment

Double check Admission data for accuracyDouble check Admission data for accuracy Creates a clinical note referencing the Creates a clinical note referencing the

electronic ASI that was receivedelectronic ASI that was received Uses the ASI to create Treatment PlanUses the ASI to create Treatment Plan Previous system was more expensive for Previous system was more expensive for

County, since they often funded 2 or 3 County, since they often funded 2 or 3 assessments for the same clientassessments for the same client

WITS: Access to Recovery WITS: Access to Recovery GrantGrant

WITS was modified to support a Pre-WITS was modified to support a Pre-Authorization Voucher SystemAuthorization Voucher System

Live in Production for TN, IL, and WYLive in Production for TN, IL, and WY Federal Reporting requirements for Federal Reporting requirements for

GPRAGPRA Intake, 30-day Status Interview, 90-day Intake, 30-day Status Interview, 90-day

Status, and DischargeStatus, and Discharge Interview Reminder Report for ProvidersInterview Reminder Report for Providers Full electronic billing with Real-time Full electronic billing with Real-time

AdjudicationAdjudication

WITS: Access to Recovery WITS: Access to Recovery GrantGrant

WITS: Access to Recovery WITS: Access to Recovery GrantGrant

Interview Reminder

WITS: Access to Recovery WITS: Access to Recovery GrantGrant

Comparison of ATR Clients at Intake vs. Discharge

Real Time AdjudicationReal Time AdjudicationClaim Batch Processing

Remittance Advice

Real Time AdjudicationReal Time Adjudication

Reduces Provider payment cycle Reduces Provider payment cycle from 3 months to 1 week (Illinois)from 3 months to 1 week (Illinois)

No need to mail floppy disk of claim No need to mail floppy disk of claim errors back to Providerserrors back to Providers

Improved Provider to State Improved Provider to State relationship and more willingness to relationship and more willingness to participate in State/Federal Grant participate in State/Federal Grant ProgramsPrograms

Future WITS Future WITS DevelopmentDevelopment

Ad-Hoc reporting to allow for Ad-Hoc reporting to allow for statistical comparisons between ASI statistical comparisons between ASI scoring profiles, Treatment scoring profiles, Treatment Outcomes, and Treatment CostsOutcomes, and Treatment Costs

Use Mid-episode Assessment scores Use Mid-episode Assessment scores to help counselors with Treatment to help counselors with Treatment decisionsdecisions

Expand Payer System FunctionalityExpand Payer System Functionality