Development, Usability Testing, and Effectiveness Evaluation of the Wraparou

DESCRIPTION provided by applicant The purpose of this Phase II Small Business Technology Transfer STTR project is to complete development and evaluate usability and effectiveness of the Wraparound Team Monitoring System Wrap TMS a web based electronic behavioral health information system EBHIS for the most widely implemented care coordination model in childrenandapos s behavioral health the wraparound process The wraparound process is the only defined research based individualized care coordination process for these children and youth and their families Wraparound is now implemented for over youths annually in nearly sites in the U S However despite increased emphasis in health care on use of health information technology to improve efficiency service quality and accountability to date no flexible locally configurable EBHIS has been developed for wraparound Moreover though wraparound is now considered andquot evidence based andquot implementation in the real world often fails to conform to standards of fidelity and or use objective data to guide management supervision and clinical decision making Availability of such a system will support efficiency implementation quality and fidelity and outcomes for youths enrolled in wraparound In our Phase I STTR project we successfully specified developed programmed and established the feasibility utility reliability and commercialization
potential of Wrap TMS Wrap TMS now features functionality for data entry management and basic reporting for the full array of data and information elements needed to manage an integrated care coordination initiative for youths with serious emotional and behavioral disorder SEBD In light of our success in Phase I subsequent partnerships with federal agencies and inquiries of interest from several states and over provider and managed care organizations in this Phase II STTR we will Complete revisions based on Phase I feedback and expand the information management and reporting capacities of Wrap TMS including andquot Drag and Dropandquot reporting program level aggregate reports clinical alerts and treatment recommendations from functional assessments and costs and service tracking Develop and test support technologies for Wrap TMS dissemination including Wrap TMS Userandapos s Manual quality assurance and support desk models web based Wrap TMS training curriculum interoperability frameworking infrastructure and touch screen apps for tablets and smart phones Continue iterative learnability and usability testing via lab based testing and bug tracking of the system and its online userandapos s manual as well as live tests with real world end users and Conduct a randomized controlled effectiveness study comparing n wraparound facilitators who use Wrap TMS serving n families to non user staff serving families on practitioner implementation and youth family outcomes

PUBLIC HEALTH RELEVANCE This project will complete development and evaluate usability and effectiveness of the Wraparound Team Monitoring System Wrap TMS a web based electronic behavioral health information system EBHIS for the most widespead care coordination model in childrenandapos s behavioral health the wraparound process Wrap TMS will provide an important health information technology HIT resource to hundreds of wraparound sites nationally and reinforce efficiency effective teamwork model fidelity decision making use of evidence based practices and positive outcomes The rigorous randomized control study will provide important information for the childrenandapos s mental health field about the effects of EBHIS on implementation and outcomes The project will serve as an important part of the effort to bridge the andquot research to practiceandquot gap in childrenandapos s behavioral health be a critical component of the federal emphasis on better coordination of care for complex populations and facilitate needed research on care coordination for youths with serious emotional and behavioral disorders