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Sally Gibson
King, Summer (SAMHSA/OPPI)
Clark, Spencer (SAMHSA/CSAT/DPT)
SOR Program Data Collections and Performance Measurement
Friday, October 19, 2018 11:52:06 AM
Summer
Good morning. I wanted to send this email to give you requested feedback on Data Collections and Performance Measurement from email dated 10-17-18.
Overall comments from staff:
The client instrument is very long, and many elements could be pulled from the EHR or chart. It seems clunky and duplicative until you get to the questions that actually are client facing. For that section, my question would really be one of workflow. We are going to face similar challenges to what we are with ISAPs: our staff’s capacity *and* client compliance.
It would certainly be more cumbersome and time consuming. In order to do it, we would need more staff to handle the increased workload.
This is basically the same evaluation protocol for other SAMHSA grants, except we have dedicated evaluation staff for those grants, covered by those grants, to collect these data. Does this come with any financial support to cover evaluation time? Depending on the client number/caseload, this could be at least a 0.5-1.0 FTE, especially after the case load gets established.
To get at some of what was asked below, for feedback, the burden of data collection is relatively significant (again, depending on the client numbers). This is in no small part due to the fact that it’s a relatively long interview (30-60 minutes), and it’s a longitudinal design, (potentially) even after discharge - and this client population isn’t known for their follow-through. Essentially, we could
(would need to?) dedicate a lot of time to tracking procedures if we wanted to ensure a higher response rate (which SAMHSA is always looking for).
As far as the utility of the data, I like the NOMs (overall – it’s not perfect), and I like it for monitoring outcomes, QI, etc. So, it’s pretty good data, if you can get it.
Ways to make this easier would include phone interviews and pulling as much info from the EHR as possible. Also, not getting the 3- and 6- month follow-ups after discharge… I think doing anything they can to reduce the data being collected would also be helpful, especially at follow-up and discharge intervals…
If we have to collect these, I think we’re going to need to talk about hiring additional staff, and incentives would help…
I think that overall, staff feel that this will add significant additional workload and will require additional staff and that some of the information is already being gathered so it is a duplication of what is already being done. It would be nice to see if we can find a way gather the data in a more streamlined way without duplication.
Thanks
Sally
From: Clark, Spencer (SAMHSA/CSAT/DPT)
Sent: Wednesday, October 17, 2018 4:44 PM
To: [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected];
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[email protected]; [email protected]; [email protected]; Gowdy, Rick ; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]
Subject: Proposed Project: State Opioid Response (SOR) and Tribal Opioid Response (TOR) Program Data Collection and Performance Measurement—NEW
Dear STR and SOR Project Directors and Staff:
This is in follow-up to my correspondence to you of last week, indicating the publication of a Federal Registry Notice (FRN) containing the proposed reporting guidelines for the SOR and TOR Grant initiatives.
Please find attached below the proposed SOR information plans and reporting instruments that were referenced in the recent posting of the Federal Register for your review and comment.
I cannot emphasize too greatly how important it is for you to carefully review and comment on these reporting tools, and provide whatever recommendations that you have regarding implementation issues.
I am hopeful that with your feedback we can enter into a meaningful dialogue to maximize the usefulness of this reporting, and minimize any unnecessary reporting burden.
Send comments to Summer King, SAMHSA Reports Clearance Officer, 5600 Fishers Lane, Room 15E57-B, Rockville, Maryland 20857, OR email a copy to [email protected].
Written comments should be received by December 3, 2018.
I would appreciate your copying me on any feedback that you provide in this process so that I can be fully prepared to participate in this dialogue.
Thank you and best regards,
Spencer Clark
Spencer Clark, MSW, LMSW, ACSW,
Public Health Advisor/
Government Project Officer,
Opioid State Targeted Response, State Opioid Response, and MAT-PDOA Grant Initiatives,
Division of Pharmacologic Therapies,
Center for Substance Abuse Treatment,
Substance Abuse and Mental Health Services Administration,
Department of Health and Human Services,
5600 Fishers Lane, Office 13E25C,
Rockville, MD 20857
Email: [email protected]
Personal Direct Telephone: (240) 276-1027
Main Office Telephone: (240) 276-2700
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Burrell Behavioral Health
Sally Gibson
VP of Addiction Services
[email protected]
(417) 761-5405
www.burrellcenter.com
Burrell Behavioral Health • 1931 E. Cherry Street • Springfield • MO • 65802
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California Department of Health Care Services’ Public Comment on Proposed
State Opioid Response Program Data Collection and Performance Measurement
Summary
The California Department of Health Care Services (“DHCS”) is committed to providing
data necessary for the Substance Abuse and Mental Health Services Administration
(“SAMHSA”) to fulfill the Government Performance and Results Modernization Act of
2010 requirements, as well as ensuring that program goals and objectives of the State
Opioid Response (“SOR”) grant are met. The Grantee Level Tool SAMHSA has
proposed is straightforward, easy to understand, and not overly burdensome.
However, the Client-Level Data Collection Tool (“Client Tool”) that SAMHSA proposes is
exceptionally complicated and lengthy, which would create an immense burden on
providers and cause resources to be shifted away from providing direct patient care. As
a result, DHCS recommends that the Office of Management and Budget deny
SAMHSA’s current request and urge that the Client Tool be revised and abbreviated,
such that it continues to collect sufficient data on patient treatment but does not impose
excessive burdens on treatment providers.
Extensive Client Tool and Administrative Burden to DHCS
At over forty pages in length, the Client Tool is substantially more complex than the
Client Tool currently being utilized by DHCS’ subrecipients for the State Targeted
Response to the Opioid Crisis (“O-STR”) grant. DHCS has been informed by its
subrecipients that a material number of patients are unwilling to submit the information
requested by the existing Client Tool. It is anticipated that the numbers of patients
declining to provide information will increase as a result of the complexity and length of
the proposed reporting tool. This could potentially lead to the collection of less accurate
data on the sample of patients receiving services as part of the SOR, which would run
counter to the objectives of the data collection.
The constraints of the current system prevent DHCS’ subrecipients from inputting
information electronically, increasing the administrative burden on California. In the
current process, only two of DHCS’ subrecipients were selected to submit data. These
subrecipients submit electronic copies of the forms to DHCS, where DHCS personnel
enter the information into the web-based system. DHCS analysts spend approximately
fifteen minutes entering data from each respective form. California estimates data entry
for the SOR form to increase to a minimum of twenty minutes, adding to the
administrative burden.
DHCS recommends the following solutions to remedy the issue: 1) SAMHSA allow
DHCS to designate subrecipients and subrecipients of subrecipients to have their own
accounts in the SAMHSA Performance Accountability and Reporting System (SPARS)
system used to enter Client Tool data. This will create a mechanism for subrecipients to
enter data directly into the system as they conduct interviews; 2) abbreviate the form to
request slightly less detailed information, as this would reduce the time required for
subrecipients to interview patients and increase adherence of the Client Tool data
collection requirements; and 3) allow data to be collected for only a sample of the
Page 1 of 2
California Department of Health Care Services’ Public Comment on Proposed
State Opioid Response Program Data Collection and Performance Measurement
programs and sites to be funded through the grant. These proposed recommendations
fulfill SAMHSA’s performance objectives, while also easing administrative burdens and
efforts needed by providers to collect relevant data.
Treatment Services Definition
DHCS is concerned that use of the phrase treatment services is not adequately defined
in the draft regulations and is likely to cause data to be collected inconsistently by
subrecipients. DHCS recommends that a full, specific, and well-defined explanation of
treatment services be provided, so that programs may be consistent in the data that
they are collecting. This is necessary for meaningful comparisons to be performed
between programs and grantees.
Supporting Statement regarding Confidentiality of Client Data
The supporting statement provided does not provide sufficient assurance that SAMHSA
will protect patient data from unauthorized access or release. The specific statement
that “SAMHSA cannot ensure complete confidentiality of client data” provided on page
four of the document is unlikely to remedy existing client attitudes about providing
extensive data that may be received by malicious parties. Many patients may simply
choose to decline to provide the information, impacting the veracity of the data.
Follow-up Requirements
The estimation of patients required to submit follow-up information, even after
discharging from the program, is unreasonable. This requirement adds to existing
burdens on programs and would require programs to shift resources away from direct
patient care. DHCS recommends that the 80% follow-up requirement be reduced to an
attainable percentage.
Conclusion
DHCS has determined that if the Client Tool is not significantly redesigned, it will create
an added burden on treatment providers and is likely to result in information being
collected inconsistently among programs and patients. DHCS recommends that
SAMHSA consider the simplicity and ease of use of the Grantee Level Tool when
revising the Client Tool and consider using the abbreviated tool currently being used for
the O-STR projects. Lastly, DHCS requests that any subsequent divisions to either of
the reporting tools be resubmitted for further public comment.
Page 2 of 2
From:
To:
Cc:
Subject:
Date:
Fred Rottnek
King, Summer (SAMHSA/OPPI)
Fred Rottnek
Comments on proposed reporting guidelines for the SOR and TOR Grant initiatives
Friday, October 19, 2018 4:42:01 PM
Thank you for allowing us the opportunity to comment on proposed reporting guidelines.
In addition to my information below, I am very involved with the current STR and future SOR
programs through a few avenues:
1. I contract with the Missouri STR team for training, in-services, and resource development.
(30% of my time)
2. I contract with ARCA as medical director. (another 30% of my time) At ARCA, we provide onsite and telehealth addiction medicine and co-occurring disorder services to 19 agencies at 37
sites around the state. We are on-track to see over 36,000 unduplicated patients in 2018.
When I reviewed these guidelines, a few things jumped out at me.
1. The questions are incredibly relevant to the population we are serving.
2. The reporting requirements as drafted seem to turn a primary service grant (STR being 76% in
treatment and recovery support) into some type of hybrid service and research grant.
3. The reporting requirements as drafted would be so onerous to our staff and patients, that
they would functional serve as a barrier to treatment.
While I am no expert in research design, I propose a way to gather a statistically significant number
of the proposed questions which minimizing reporting data for the bulk of clients treated.
For example, could the full reporting drafted here be mandated for a fraction of patients treated?
Say 10-25% of total patients.
The patients who provide the full reporting information could be randomized for each site, by
SAMHSA (or contracted entity) or by the agency, so that the bulk of clients experience expedited
enrollment, i.e., questions related to the most salient questions.
With this approach, significant data could be collected on a minority of patients. While this would be
additional work compared to the current process, it would not be as onerous as the reporting
structure proposed.
Thank you for your consideration,
Fred Rottnek, MD, MAHCM
Professor
Director of Community Medicine, Department of Family and Community Medicine
Board-certified in Family Medicine and Addiction Medicine
Medical Director, Physician Assistant Program
Saint Louis University School of Medicine
1402 South Grand Boulevard
St. Louis, MO 63104
Campus Office: 2nd Floor O'Donnell Hall, 1320 South Grand Boulevard
(P) 314-977-8489 (F) 314-977-5268 [email protected]
STATE OF CONNECTICUT
DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES
A Healthcare Service Agency
DANNEL P. MALLOY
GOVERNOR
MIRIAM E. DELPHIN-RITTMON, PH.D.
COMMISSIONER
Agency Information Collection Activities: Proposed Collection
COMMENT REQUEST
To:
Submitted by:
[email protected]
Lauren Siembab, SOR grant Project Director
a. Whether the proposed collections of information are necessary for the proposer performance of
the functions of the agency, including whether the information shall have practical utility.
Assuming that the “agency” is the SSA, the collection of client level data via the GPRA is not necessary
since this SSA already has a mechanism for collecting client level data for SAMHSA funded treatment
projects, as we do for TEDS reporting. We are able to evaluate “connect to care” and “re-admission to
treatment” rates with this same data. However, the GPRA interviews do provide richer data from the
participant perspective, and could be measures that are of specific value for SOR beyond the generally
available treatment data the SSA usually gets. Unfortunately, SAMHSA does not allow adequately for the
cost of administering 3-4 GPRA interviews per client, particularly if these are conducted by the preferred
“neutral” third party rather than the service provider(s).
The version of the GPRA given to the SOR sites to review is markedly different from the version
currently in use for most of the CSAT projects. Although there certainly can be value in modifying the
instrument so that there are items of specific interest for a particular project, keeping the majority of the
items the same (or similar) in content and format would enhance ease of training and administration, as
well as the ability to compare results across projects. If additional components are added, it seems that
MAT-specific questions would be useful.
b. The accuracy of the agency’s estimate of the burden of the proposed collection of information.
Overall, the estimate of burden is for GPRA interviews time is correct for the current version in use.
However, the proposed version is longer and more confusing and will likely take longer to administer.
What is not taken into account in the “burden estimate” is the amount of time expended trying to locate
the individuals to conduct the follow-up interview(s), which in some cases is substantial.
c. Ways to enhance the quality, utility and clarity of the information to be collected.
1. Stick to one version of GPRA for the long-haul
2. Reduce the number of questions and pages SUBSTANTIALLY.
3. Remove the requirement for the 6 month follow-up or provide adequate funding for tracking and
administration.
d. Ways to minimize the burden of the collection of information on respondents, including
through the use of automated collection techniques or other forms of information technology.
Consider separate “frameworks”/formats for States to use for reporting treatment, prevention, recovery
support, training and TA, and naloxone purchases; minimal detail beyond #’s served.
From:
To:
Subject:
Date:
Noble Shaver
King, Summer (SAMHSA/OPPI)
Reporting requirements for SOR
Thursday, October 18, 2018 1:47:00 PM
The GPRA for STR is a long tool, it adds a 3 month reporting time ( not required with STR), so if the
benchmark is 80% compliance in reporting like STR, this will add a layer of time for something that for us
that is already very labor intensive in tracking , locating and administering. I fear we might lose potential
consumer's wanting treatment because of the lengthy requirements to receive services. The
Medication First model works well because it eliminates red tape and puts the consumer in
front of a physician quickly. I fear if we start to add new requirements now the ability to act
quickly and efficiently could fade. I believe that the collaboration taking place in Missouri
between providers, Department of Behavioral Health, and Missouri Institute for Mental Health
requiring the GPRA is a duplication of data collection.
Thank you for your time
Noble Shaver Jr., MA, LPC, CRADC, NCC
Chief Clinical Officer Substance Use Disorders, Housing, & Outreach Services 573-888-5925 ext.
1501
Kennett, MO. 63857
[email protected]
Person-Centered Recovery & Wellness
FCC is an equal opportunity provider and employer
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From:
To:
Cc:
Subject:
Date:
Attachments:
Moody-Geissler, Stephanie
King, Summer (SAMHSA/OPPI); Bankhead, Jamal (SAMHSA)
Gazioch, Ute
60-Day FRN for State Opioid Response Grant (Short Title: SOR) Data Collection Tool
Monday, December 3, 2018 12:16:47 PM
Attachment A - SOR TOR Client Instrument_EDITS.docx
Dear Summer King,
Thank you for the opportunity to comment on the on the State Opioid Response Grant (Short Title:
SOR) Data Collection Tool. Please find attached comments and edits I would like to put forth for the
tool.
Please feel free to contact me if you have any questions concerning this document, edits, or
comments.
Thank you,
Stephanie Moody-Geissler
Stephanie M. Moody-Geissler, MPH
Lead Epidemiologist
Overdose Prevention
Office of Substance Abuse and Mental Health
Florida Department of Children and Families
1317 Winewood Blvd., Bldg. 6, Room 272
Tallahassee, FL 32399
Office: (850) 717-4329
[email protected]
From:
To:
Subject:
Date:
Attachments:
Kyle Mead
King, Summer (SAMHSA/OPPI)
Re: URGENT - Please respond (SOR) Program Data Collection and Performance Measurement—NEW
Thursday, October 25, 2018 1:16:36 PM
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I would like to reiterate what so many of my colleagues have already stated. The
implementation of an electronic health record should have made data collection and sharing
much easier and it has internally. However, external sharing is incredibly complicated already
and as a small non-profit the time spent on staff dedicated to redundant data entry into
multiple electronic systems is becoming overwhelming.
The human factor of errors as a result of repetitively entering the same information into
multiple systems is neither efficient nor effective. We are already burdened with fixing this
errors that are inevitable with redundancies such as we already experience.
There simply must be a better way than adding this to our already stretched resources. We
already gather so much of this information and have to enter it into at least 2 systems and often
as many as 4 systems dependent upon the payer and referent. Integration with the state CIMOR
system here in Missouri would be more logical than passing this burden down to the providers
who should be using their resources to provide consumer care.
Kyle Mead
Vice President of Behavioral Health Services
Heartland Center for Behavioral Change
816 421-6670 ext. 1296
[email protected]
From: shauntay McCollough
Sent: Tuesday, October 23, 2018 11:05:21 AM
To: 'Bock, Nora'; 'Gardine, Cheryl'; 'Menzies, Suneal'; 'Johnson, Clif'; 'Cori Putz'; 'Geoff Moeller';
[email protected]; 'NCADA - St. Louis - Nichole Dawsey'; 'NCADA St Louis - Jenny
Armbruster'; 'New Beginnings - Freda Theus'; 'Cheung, Chi'; 'New Horizons - Laura Porting'; 'New
Horizons - Shanna Behrens'; 'New Horizons - Stacy Doggett'; 'North Central MO - DeAnna Savage';
'Irvine, Lori'; 'North Central MO - Tammy Floyd'; 'Francis, Lisa'; 'Mieseler, Vicky'; 'Ozarks Medical
Center - Curtis Cook'; 'Ozarks Medical Center - Joy Anderson'; 'Pathways - Amy Blake'; 'Pathways Becky Camden'; 'Pathways - Elisabeth Brockman-Knight'; 'Pathways - Gloria Miller'; 'Pathways - Julia
Bozarth'; 'Yach, Kristen'; 'Pathways - Linda Grgurich'; 'Pathways - Mel Fetter'; 'Pathways - Shannon
Crowley-Einsphar'; 'Pathways - Todd Martensen'; 'Foster, Tonie'; 'Greening, Andrew'; 'PFH - Andrew
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Meyer'; 'PFH - Marilyn Nolan'; 'PFH - Nancy Atwater'; 'PFH - Rhonda Ferguson'; 'PFH - Una Bennett ';
'Phoenix - Laura Cameron'; 'Phoenix - Rhiannon Ross'; 'Phoenix - Teresa Goslin'; 'Phoenix Health
Programs - Tracy McIntyre'; 'Places for People - Diane Maguire'; 'Places for People - Nicole Stewart';
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'ReDiscover - Marsha Page'; 'Busiek, Gary'; 'Beck, Kimberly'; 'SAMHSA Regional Administrator Region
VII - Kimberly Nelson'; 'Angela Toman, CRPS'; 'Brenda Felkerson'; 'Cathy Schroer BS'; 'Dan Adams MBA';
'Jason W. Gilliam MBA MHA AICP'; 'Storey, Janice'; 'Swope Health - Kortney Carr'; 'Swope Health Mark Miller'; 'Holm, Christy'; 'Tri-County - JoAnn Werner'; 'Tri-County - Talina Nelson'; 'Tri-County Tom Petrizzo'; 'Truman Medical Center - Barbara Warner'; 'Zaiger, Bethany'; 'Truman Medical Center Jodi Gusman'; 'Truman Medical Center - Mark VanMeter'; 'Truman Medical Center - Sharon Freese';
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Ibrahim'; 'BASIC - Kirby Anderson-El'; 'Johnson, Lola'; 'BASIC - Michael Batchman'; 'BASIC - Robin
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- Craig Miner'; 'Bridgeway - Jack Barnett'; 'Morrison, Mike'; 'Burch, Mitzi'; 'Burell - CJ Davis'; 'Burrell Cristin Martinez'; 'Burrell Center - Adam Andreassen'; 'Burrell Center - Austin Burdine'; 'Burrell Center Bethany Silliman'; 'Burrell Center - Brent Sugg'; 'Burrell Center - Christopher Orr'; 'Burrell Center Denise Mills'; 'Burrell Center - Gina Burroughs'; 'Burrell Center - Hunter Houston'; 'Burrell Center Lauren Pratt'; 'Burrell Center - Leslie Corbiere'; 'Gass, Mathew'; 'Burrell Center - Megan Steen'; 'Burrell
Center - Sally Gibson'; 'Burrell Center - Shae Hitchock'; 'Burrell Center - Stephanie March-Hopkins';
'Burrell Center - Stephen Koch'; 'Burrell Center - Wes Starlin'; 'Camp, Timothy'; 'CCC - Brenda
Robertson'; 'CCC - Lonnie Lusk'; 'Ridenour, Brad'; 'Clark CMHC - Debbie Schoon'; 'Beatie, Laura'; 'Clark
Mental Health - Christy Henley'; 'CMHC - Jenny Wright'; 'Anderson, Carl'; 'CMHS - Jenny Duncan';
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McCambridge - Angela Allphin'; 'COMTREA - Agnes Jos'; 'COMTREA - Andrea Cuneio'; 'COMTREA Jonathan Cochran'; 'COMTREA - Rachael Bersdale'; 'Susan Curfman'; 'Crider - Carrie Rigdon'; 'Crider Laura Heebner'; 'Crider - Nancy Gongaware'; 'Crider - Victoria Walker'; 'Family Guidance - Elizabeth
Sprung'; 'Family Guidance - Kristina Hannon'; 'Family Guidance - Rachel Evans'; 'Family Guidance Raven Hutchison'; 'Family Guidance - Rebekah Quillin'; 'Family Guidance - Robin Reynozo'; 'Family Self
Help - Alison Malinowski Sunday'; 'Family Self Help - Gwen Ewing'; 'FCC - Ashley Singleton'; 'FCC Kelley Wilbanks'; 'FCC - Melissa Weatherwax'; 'FCC - Randy Ray'; 'FCC - Shawn Sando'; 'First Call - Susan
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'Doherty, Steve'; 'Hannibal Council dba Turning Point - Jennifer Wilson'; 'Hannibal Council dba Turning
Point - Kettisha Hodges'; Carolyn Ross; Kyle Mead; 'Hinton, Tineen'; 'Hopewell Center - Barbara
Tucker'; 'Butler, Dwayne'; 'Hopewell Center - Lynette Jones'; 'Franklin, Wil'; 'Higginbotham, Jennifer';
'Independence Center - Jocelyn Hertich'; 'Independence Center - Paul Schoenig'; 'Karl, Barbara';
'Lafayette House - Teddy Brown'; 'Mark Twain'; 'McMahon, Cory'; 'Midwest Assessment - Catie Platt';
'Mineral Area CPRC - Karen Ferrell'; 'Mineral Area CPRC - Vicky Winick'; 'Terry Trafton'; 'Beck,
Kimberly'; 'Busiek, Gary'; 'eydie caughron'; 'CMHC - Jerry Morris'; 'CMHC - Kate Hogsett'; 'CMHC - Nate
Gulliford'; 'CMHC - Terri Morris'; 'Lafayette House - Deb Allman'; 'Lafayette House - Teddy Brown';
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Point - John Pruett'; 'Turning Point - Virginia Frese'; 'Westend Clinic - Pamela Byes'; 'Miller, Oval';
'Carter, Hardy'; 'CMHC - Cindy Brannan'; 'CMHC - Jerry Morris'; 'Swinfard, Tim'; 'Comprehensive Jenny Miller'; 'Pigg, Margo'; 'Family Guidance - Garry Hammond'; 'Jackson, Derek'; 'Brown, Joshua';
'FCC - Ken Tombley'; 'FCC - Misty Brazel'; 'FCC - Noble Shaver'; 'Parrigon, Mary'; 'Gibson Center - John
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Timothy'; 'Preferred - Pam Leyhe'; 'Brawner, Paula'; 'Queen of Peace - Clara Stevenson'; 'Tri-County
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Cc: 'Brent McGinty'; ''Emily Conde''; 'Rembecki, Mark'; 'Cook, Natalie'; 'Turner, Rhonda'; 'Rudder,
Timothy'; 'Smyser, Melissa'; 'Blume, Susan'
Subject: RE: URGENT - Please respond (SOR) Program Data Collection and Performance Measurement
—NEW
I hope and pray that this is not something that will be implemented here in Missouri. Our facility along
with others are doing a greater job than just a year ago with the tools that we have now and adding
additional data request will only cause the loss of consumer participation along with loss of billing due
to a non reimbursable additional questionnaire. I understand the need for the data but, this seems to
be more about numbers and data instead of the actual service to the consumer. Thank you for your
time and I hope the response’s from myself and others will make a direct impact on the decisions
being made.
Shauntay McCollough B.S.
Chief Executive Officer
New Beginnings C-STAR Inc.
1027 S. Vandeventer, Floor 3
St. Louis, MO 63110
PH: (314) 367-8989 Ext. 254
FX: (314) 367-2188
EM: [email protected]
CN: (314) 757-0106
Mathew 20:16
-----Original Message----From: Bock, Nora [mailto:[email protected]]
Sent: Thursday, October 18, 2018 1:04 PM
To: Gardine, Cheryl; Menzies, Suneal; Johnson, Clif; Cori Putz ([email protected]); Geoff Moeller;
[email protected]; NCADA - St. Louis - Nichole Dawsey; NCADA St Louis - Jenny
Armbruster; New Beginnings - Freda Theus; McCollough, Shauntay; Cheung, Chi; New Horizons - Laura
Porting; New Horizons - Shanna Behrens; New Horizons - Stacy Doggett; North Central MO - DeAnna
Savage; Irvine, Lori; North Central MO - Tammy Floyd; Francis, Lisa; Mieseler, Vicky; Ozarks Medical
Center - Curtis Cook; Ozarks Medical Center - Joy Anderson; Pathways - Amy Blake; Pathways - Becky
Camden; Pathways - Elisabeth Brockman-Knight; Pathways - Gloria Miller; Pathways - Julia Bozarth;
Yach, Kristen; Pathways - Linda Grgurich; Pathways - Mel Fetter; Pathways - Shannon CrowleyEinsphar; Pathways - Todd Martensen; Foster, Tonie; Greening, Andrew; PFH - Andrew Schwend;
Hutton, Ann; Putz, Cori; PFH - Darlene Harrell; PFH - Jason Hinckley; PFH - Lorinda Meyer; PFH Marilyn Nolan; PFH - Nancy Atwater; PFH - Rhonda Ferguson; PFH - Una Bennett ; Phoenix - Laura
Cameron; Phoenix - Rhiannon Ross; Phoenix - Teresa Goslin; Phoenix Health Programs - Tracy
McIntyre; Places for People - Diane Maguire; Places for People - Nicole Stewart; Bayliff, Scott; Places
for People - Tiffany Lacy Clark; Spruell, Sharon; Flory, Alan; ReDiscover - Elizabeth Deason; ReDiscover Jennifer Craig; ReDiscover - John Dean; ReDiscover - Lauren Moyer; ReDiscover - Marsha Page; Busiek,
Gary; Beck, Kimberly; SAMHSA Regional Administrator Region VII - Kimberly Nelson; Angela Toman,
CRPS; Brenda Felkerson; Cathy Schroer BS; Dan Adams MBA; Jason W. Gilliam MBA MHA AICP; Storey,
Janice; Swope Health - Kortney Carr; Swope Health - Mark Miller; Holm, Christy; Tri-County - JoAnn
Werner; Tri-County - Talina Nelson; Tri-County - Tom Petrizzo; Truman Medical Center - Barbara
Warner; Zaiger, Bethany; Truman Medical Center - Jodi Gusman; Truman Medical Center - Mark
VanMeter; Truman Medical Center - Sharon Freese; Turning Point - Catie Franklin; Turning Point Heather Higgins; Allyson Ashley; Fred Rottnek; Menzies, Percy; Arthur Center - Kristin Fishback; Arthur
Center - Rachel Ward; BASIC - Keturah Ibrahim; BASIC - Kirby Anderson-El; Johnson, Lola; BASIC Michael Batchman; BASIC - Robin Smith; Singleton, Yulonda; BHR Worldwide - Angela Tate; BHR
Worldwide - Bart Andrews; BJC - Karen Miller; Bootheel Counseling - David Terrell; Kassinger, Micaela;
Brandon, Teresa; Bridgeway - Craig Miner; Bridgeway - Jack Barnett; Morrison, Mike; Burch, Mitzi;
Burell - CJ Davis; Burrell - Cristin Martinez; Burrell Center - Adam Andreassen; Burrell Center - Austin
Burdine; Burrell Center - Bethany Silliman; Burrell Center - Brent Sugg; Burrell Center - Christopher
Orr; Burrell Center - Denise Mills; Burrell Center - Gina Burroughs; Burrell Center - Hunter Houston;
Burrell Center - Lauren Pratt; Burrell Center - Leslie Corbiere; Gass, Mathew; Burrell Center - Megan
Steen; Burrell Center - Sally Gibson; Burrell Center - Shae Hitchock; Burrell Center - Stephanie MarchHopkins; Burrell Center - Stephen Koch; Burrell Center - Wes Starlin; Camp, Timothy; CCC - Brenda
Robertson; CCC - Lonnie Lusk; Ridenour, Brad; Clark CMHC - Debbie Schoon; Beatie, Laura; Clark
Mental Health - Christy Henley; CMHC - Jenny Wright; Anderson, Carl; CMHS - Jenny Duncan; CMHS Julie Pratt; CMHS - Tara Yardley; CommCARE - Erica Immenschuh; Compass Health / McCambridge Angela Allphin; COMTREA - Agnes Jos; COMTREA - Andrea Cuneio; COMTREA - Jonathan Cochran;
COMTREA - Rachael Bersdale; Susan Curfman; Crider - Carrie Rigdon; Crider - Laura Heebner; Crider Nancy Gongaware; Crider - Victoria Walker; Family Guidance - Elizabeth Sprung; Family Guidance Kristina Hannon; Family Guidance - Rachel Evans; Family Guidance - Raven Hutchison; Family Guidance
- Rebekah Quillin; Family Guidance - Robin Reynozo; Family Self Help - Alison Malinowski Sunday;
Family Self Help - Gwen Ewing; FCC - Ashley Singleton; FCC - Kelley Wilbanks; FCC - Melissa
Weatherwax; FCC - Randy Ray; FCC - Shawn Sando; First Call - Susan Whitmore; Freeman Health Melissa Moore; Freeman Health - Spencer Ellis; Feaman, Kimberly; Doherty, Steve; Hannibal Council
dba Turning Point - Jennifer Wilson; Hannibal Council dba Turning Point - Kettisha Hodges; Heartland
Center - Carolyn Ross; Heartland Center - Kyle Mead; Hinton, Tineen; Hopewell Center - Barbara
Tucker; Butler, Dwayne; Hopewell Center - Lynette Jones; Franklin, Wil; Higginbotham, Jennifer;
Independence Center - Jocelyn Hertich; Independence Center - Paul Schoenig; Karl, Barbara; Lafayette
House - Teddy Brown; Mark Twain; McMahon, Cory; Midwest Assessment - Catie Platt; Mineral Area
CPRC - Karen Ferrell; Mineral Area CPRC - Vicky Winick; Terry Trafton ([email protected]);
Beck, Kimberly; Busiek, Gary; eydie caughron; CMHC - Jerry Morris; CMHC - Kate Hogsett; CMHC - Nate
Gulliford; CMHC - Terri Morris; Lafayette House - Deb Allman; Lafayette House - Teddy Brown; Moore,
Jonathan; Salvation Army - TSA Midland Contracts; Turning Point - Gary Stoner; Turning Point - John
Pruett; Turning Point - Virginia Frese; Westend Clinic - Pamela Byes; Miller, Oval; Carter, Hardy; CMHC
- Cindy Brannan ([email protected]); CMHC - Jerry Morris ([email protected]);
Swinfard, Tim; Comprehensive - Jenny Miller ([email protected]); Pigg, Margo; Family Guidance Garry Hammond ([email protected]); Jackson, Derek; Brown, Joshua; FCC - Ken Tombley
([email protected]); FCC - Misty Brazel ([email protected]); 'FCC - Noble Shaver'; Parrigon,
Mary; Gibson Center - John Gary ([email protected]); Payden, Vernon; Gibson Recovery - Ryan
Essex ([email protected]); Gibson Recovery - Sherry Eakers ([email protected]);
McCollough, Shauntay; Camp, Timothy; Preferred - Pam Leyhe ([email protected]); Brawner, Paula;
Queen of Peace - Clara Stevenson; Tri-County MHS - Jan Pool ([email protected]); Truman
Medical - Douglas Burgess ([email protected]); Carter, Wardell
Cc: 'Brent McGinty'; 'Emily Conde' ([email protected]); Rembecki, Mark; Cook, Natalie; Turner,
Rhonda; Rudder, Timothy; Smyser, Melissa; Blume, Susan
Subject: RE: URGENT - Please respond (SOR) Program Data Collection and Performance Measurement
—NEW
Thanks, Cheryl.
Everyone: Again, please respond formally via the process outlined in the e-mail – SAMHSA needs to
hear from you!
From: cheryl gardine
Sent: Thursday, October 18, 2018 1:02 PM
To: Menzies, Suneal ; Johnson, Clif ;
Bock, Nora ; Cori Putz ([email protected]) ; Geoff
Moeller ; [email protected]; NCADA - St. Louis - Nichole
Dawsey ; NCADA St Louis - Jenny Armbruster ;
New Beginnings - Freda Theus ; McCollough, Shauntay
; Cheung, Chi ; New Horizons Laura Porting ; New Horizons - Shanna Behrens ; New Horizons - Stacy Doggett ; North Central
MO - DeAnna Savage ; Irvine, Lori ; North Central MO Tammy Floyd ; Francis, Lisa ; Mieseler, Vicky
; Ozarks Medical Center - Curtis Cook
; Ozarks Medical Center - Joy Anderson
; Pathways - Amy Blake ;
Pathways - Becky Camden ; Pathways - Elisabeth Brockman-Knight
; Pathways - Gloria Miller ; Pathways - Julia
Bozarth ; Yach, Kristen ; Pathways - Linda
Grgurich ; Pathways - Mel Fetter ; Pathways Shannon Crowley-Einsphar ; Pathways - Todd Martensen
; Foster, Tonie ; Greening, Andrew
; PFH - Andrew Schwend ; Hutton, Ann
; Putz, Cori ; PFH - Darlene Harrell ; PFH Jason Hinckley ; PFH - Lorinda Meyer ; PFH - Marilyn Nolan
; PFH - Nancy Atwater ; PFH - Rhonda Ferguson
; PFH - Una Bennett ; Phoenix - Laura Cameron
; Phoenix - Rhiannon Ross
; Phoenix - Teresa Goslin
; Phoenix Health Programs - Tracy McIntyre
; Places for People - Diane Maguire
; Places for People - Nicole Stewart
; Bayliff, Scott ; Places for People Tiffany Lacy Clark ; Spruell, Sharon ; Flory, Alan
; ReDiscover - Elizabeth Deason ;
ReDiscover - Jennifer Craig ; ReDiscover - John Dean
; ReDiscover - Lauren Moyer ; ReDiscover Marsha Page ; Busiek, Gary ; Beck,
Kimberly ; SAMHSA Regional Administrator Region VII Kimberly Nelson ; Angela Toman, CRPS ;
Brenda Felkerson ; Cathy Schroer BS ; Dan Adams
MBA ; Jason W. Gilliam MBA MHA AICP ; Storey, Janice
; Swope Health - Kortney Carr ; Swope Health
- Mark Miller ; Holm, Christy ; Tri-County JoAnn Werner ; Tri-County - Talina Nelson ;
Tri-County - Tom Petrizzo ; Truman Medical Center - Barbara Warner
; Zaiger, Bethany ; Truman Medical
Center - Jodi Gusman ; Truman Medical Center - Mark VanMeter
; Truman Medical Center - Sharon Freese
; Turning Point - Catie Franklin ; Turning
Point - Heather Higgins ; Allyson Ashley ;
Fred Rottnek ; Menzies, Percy ;
Arthur Center - Kristin Fishback ; Arthur Center - Rachel Ward
; BASIC - Keturah Ibrahim ; BASIC - Kirby AndersonEl ; Johnson, Lola ; BASIC - Michael Batchman
; BASIC - Robin Smith ; Singleton, Yulonda
; BHR Worldwide - Angela Tate ; BHR Worldwide
- Bart Andrews ; BJC - Karen Miller ; Bootheel
Counseling - David Terrell ; Kassinger, Micaela
; Brandon, Teresa ; Bridgeway Craig Miner ; Bridgeway - Jack Barnett ;
Morrison, Mike ; Burch, Mitzi ;
Burell - CJ Davis ; Burrell - Cristin Martinez
; Burrell Center - Adam Andreassen
; Burrell Center - Austin Burdine
; Burrell Center - Bethany Silliman
; Burrell Center - Brent Sugg ;
Burrell Center - Christopher Orr ; Burrell Center - Denise Mills
; Burrell Center - Gina Burroughs
; Burrell Center - Hunter Houston
; Burrell Center - Lauren Pratt
; Burrell Center - Leslie Corbiere
; Gass, Mathew ; Burrell
Center - Megan Steen ; Burrell Center - Sally Gibson
; Burrell Center - Shae Hitchock
; Burrell Center - Stephanie March-Hopkins ; Burrell Center - Stephen Koch ;
Burrell Center - Wes Starlin ; Camp, Timothy
; CCC - Brenda Robertson ; CCC - Lonnie
Lusk ; Ridenour, Brad ; Clark CMHC - Debbie
Schoon ; Beatie, Laura ; Clark
Mental Health - Christy Henley ; CMHC - Jenny Wright
; Anderson, Carl ; CMHS - Jenny Duncan
; CMHS - Julie Pratt ; CMHS - Tara Yardley
; CommCARE - Erica Immenschuh ;
Compass Health / McCambridge - Angela Allphin ; COMTREA - Agnes Jos
; COMTREA - Andrea Cuneio ; COMTREA - Jonathan
Cochran ; COMTREA - Rachael Bersdale ; Susan
Curfman ; Crider - Carrie Rigdon ; Crider - Laura
Heebner ; Crider - Nancy Gongaware ;
Crider - Victoria Walker ; Family Guidance - Elizabeth Sprung
; Family Guidance - Kristina Hannon ; Family
Guidance - Rachel Evans ; Family Guidance - Raven Hutchison
; Family Guidance - Rebekah Quillin ; Family
Guidance - Robin Reynozo ; Family Self Help - Alison Malinowski Sunday
; Family Self Help - Gwen Ewing ; FCC Ashley Singleton ; FCC - Kelley Wilbanks ; FCC - Melissa
Weatherwax ; FCC - Randy Ray ; FCC - Shawn Sando
; First Call - Susan Whitmore ; Freeman Health Melissa Moore ; Freeman Health - Spencer Ellis
; Feaman, Kimberly ; Doherty, Steve
; Hannibal Council dba Turning Point - Jennifer Wilson
; Hannibal Council dba Turning Point - Kettisha Hodges
; Heartland Center - Carolyn Ross ; Heartland
Center - Kyle Mead ; Hinton, Tineen ; Hopewell
Center - Barbara Tucker ; Butler, Dwayne ;
Hopewell Center - Lynette Jones ; Franklin, Wil
; Higginbotham, Jennifer ;
Independence Center - Jocelyn Hertich ; Independence Center Paul Schoenig ; Karl, Barbara ;
Lafayette House - Teddy Brown ; Mark Twain ;
McMahon, Cory ; Midwest Assessment - Catie Platt
; Mineral Area CPRC - Karen Ferrell ;
Mineral Area CPRC - Vicky Winick ; Terry Trafton
([email protected]) ; Beck, Kimberly
; Busiek, Gary ; eydie
caughron ; CMHC - Jerry Morris ;
CMHC - Kate Hogsett ; CMHC - Nate Gulliford
; CMHC - Terri Morris ; Lafayette House Deb Allman ; Lafayette House - Teddy Brown
; Moore, Jonathan ;
Salvation Army - TSA Midland Contracts ; Turning
Point - Gary Stoner ; Turning Point - John Pruett
; Turning Point - Virginia Frese ; Westend
Clinic - Pamela Byes ; Miller, Oval ; Carter, Hardy
; CMHC - Cindy Brannan ([email protected])
; CMHC - Jerry Morris ([email protected])
; Swinfard, Tim ; Comprehensive - Jenny
Miller ([email protected]) ; Pigg, Margo ; Family
Guidance - Garry Hammond ([email protected]) ; Jackson, Derek
; Brown, Joshua ; FCC - Ken Tombley
([email protected]) ; FCC - Misty Brazel ([email protected])
; 'FCC - Noble Shaver' ; Parrigon, Mary
; Gibson Center - John Gary ([email protected])
; Payden, Vernon ; Gibson Recovery Ryan Essex ([email protected]) ; Gibson Recovery - Sherry
Eakers ([email protected]) ; McCollough, Shauntay
; Camp, Timothy ; Preferred Pam Leyhe ([email protected]) ; Brawner, Paula ; Queen of
Peace - Clara Stevenson ; Tri-County MHS - Jan Pool ([email protected])
; Truman Medical - Douglas Burgess ([email protected])
; Carter, Wardell
Cc: 'Brent McGinty' ; 'Emily Conde' ([email protected])
; Rembecki, Mark ; Cook, Natalie
; Turner, Rhonda ; Rudder, Timothy
; Smyser, Melissa ; Blume, Susan
Subject: RE: URGENT - Please respond (SOR) Program Data Collection and Performance Measurement
—NEW
I agree with the others that this would create a lot of extra time.
From: Suneal Menzies
>
Sent: Thursday, October 18, 2018 12:53 PM
To: Clif Johnson CRAADC >; Bock, Nora
>; Cori Putz
([email protected]) >; Geoff
Moeller >;
[email protected]; NCADA - St. Louis Nichole Dawsey >; NCADA St Louis - Jenny
Armbruster >; New Beginnings Freda Theus >; McCollough, Shauntay
>; Cheung, Chi
>; New Horizons - Laura Porting
>; New Horizons - Shanna
Behrens >; New Horizons
- Stacy Doggett >; North
Central MO - DeAnna Savage >; Irvine, Lori