Spreadsheet: 3d0aeb36-fff7-4e7d-ad94-0c24cd8b451e
Sheet: Sheet1

Massachusetts ADRC IT Survey | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10
IT Systems Development Questions  We are canvassing grantees to gain a better handle on the IT-MIS systems used by the ADRCs and the types of information that will be tracked for their ADRC program and services from other programs an individual might receive subsequent to an ADRC contact.  Please check which of the following features will be part of your IT-MIS systems, whether the information will be recorded at the individual or aggregate level, the source of the data, and how this information will be brought together specifically for each:
 |  | Included in ADRC MIS? |  |  |  |  | Available directly to Consumers? | Source of the Data  (client report, provider submits, ADRC follow-up, electronic administrative data, MMIS) | Who maintains the IT system? (in-house agency, vendor …) | How Data Will Be Integrated? (e.g., electronic interface that merges data from different sources, ADRC staff follow-up with customer, reports from __ system entered manually, etc.; or do not plan to integrate)
ESMV-- Elder Services of the Merrimack Valley, Inc. | Individual or Aggregate Tracking Indicate with an I for individual or A for aggregate at what level the information will be recorded | Part of existing MIS prior to ADRC | Added or enhanced through ADRC | Will be added or enhanced through ADRC | Other, please describe | Software Program/ Vendor
Resource Information |  |  |  |  |  | HOMIS -developed and provided by State |  |  | In-house at ESMV--IT Department and Administrator.  Support at State-level
Website |  | x |  | possibly |  |  | Yes
Customer Information/Use of ADRC Services |  |  |  |  |  |  |  |  |  | System entered manually.  No plan to integrate with financial data from Medicaid.
Intake | I and A | x |  |  |  |  |  | HOMIS
Referral to Services | I and A | x |  |  |  |  |  | HOMIS
LTC Support Options | I and A | x |  |  |  |  |  | HOMIS
Futures Planning | ?
Functional Screen/LOC Determination
Conducted | I and A | x |  |  |  |  |  | HOMIS
Outcome (approved/denied) | I and A | x |  |  |  |  |  | HOMIS
Financial Eligibility
Conducted
Outcome (approved/denied)
Needs Assessment1
Care Plan | I |  |  |  |  |  |  | HOMIS
Other Services Provided by ADRC2
All Programs Offered by ESMV | I and A |  |  |  |  |  |  | HOMIS
Service Use Subsequent to ADRC Contact3
Medicaid | A
HCBS | A |  |  |  |  |  |  | HOMIS
Institutional4 | A |  |  |  |  |  |  | HOMIS
OAA | A |  |  |  |  |  |  | HOMIS
State Program | A |  |  |  |  |  |  | HOMIS
Other (please specify) |  |  |  |  |  |  |  | HOMIS
Payments for Services Subsequent to ADRC Contact
Medicaid
HCBS | A |  |  |  |  | Medicaid |  | MMIS
Institutional4 | A |  |  |  |  | Medicaid |  | MMIS
OAA | A |  |  |  |  |  |  | HOMIS
State Program | A |  |  |  |  |  |  | HOMIS
Other (please specify)
1  May not differ from screen or LOC determination. 2  Please identify any other services that would be tracked on an individual or aggregate basis. 3  An indication of individual implies that individual data from ADRC contacts will be matched to individual data for use of services funded by Medicaid, OAA, State Program and Other.  Aggregate means that the overall trends in the use of services form these payment sources will be available, bit not specifically for ADRC customers. 4  Nursing facility or ICF-MR.