Unifying Health Information Services: KM Methodologies

and Tools at WorkRich Morey, Public Health Advisor, SAMHSA Office of Communications

Joseph A. Busch, Founder and Principal, Taxonomy Strategies

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Agenda

• SAMHSA Overview• KM Project• Taxonomy• Reporting• Future

What Does SAMHSA Do?

• Substance Abuse and Mental Health Services Administration– Part of the US Dept of Health and Human Services (HHS)– Supports State & local efforts to improve quality & availability

of SA & MH treatment & prevention services• More Specifically:

– Federal Grants to States and Community Orgs– Drug and alcohol treatment & mental health services referral– Statistics on Drug Abuse & Mental Health

What Does SAMHSA Do?

• SAMHSA’s Health Information Network– Call center, publications & information– Customer “Touch Points”*

• Customer requests (600K+ Inquiries)• Customer orders (10.7M shipped)• Customer on the Web (8M+ Web visits)• Customer community (40K email subs)• Customers at conferences (100+ exhibits)

– How do we make sense of all this rich data?

*stats are from the SAMHSA Health Information Network Annual Report 2008

What Does SAMHSA Do?

• SAMHSA’s Health Information Network

– Mission: To connect people working in substance abuse and mental health fields and the general public to the latest information on prevention and treatment

– Vision: Share data to develop a more proactive, interactive knowledge management system

SAMHSA KM Project Goals

• Merge two legacy Web sites• Customer-centric focus

– Tie related content together– Increase findability

• Capture & Track data (KM)– Analyze and add intelligence

• Continuous evaluation & improvement• Inform resource & budget decisions

• Build for future growth & flexibility

SAMHSA KM Project phases

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Content Analysis

Metric Analysis

User Analysis

Personas

Taxonomy

KM System Requirements Criteria (Use

Cases / Wireframes)

Web Site Design HTML

Prototype Web Site (Pre-

Production)Web Site

ProductionEnd User Testing & Validation

PersonasA User Centric Development Principle

TOM IVERSTeacher, Chicago Public Schools

MARTA GOMEZHomemaker, Miami, Florida

ERIC WONGStudent, University of North Carolina, Chapel Hill

APRIL ZUCKERMANSupervisor, Adult Services, Keystone Community MentalHealth Center, Long Island, New York

DR. LAURENCE DENENBERGClinical Professor, University of Michigan MedicalSchool, Ann Arbor

MARIA LOPEZAssistant Director, Division of Addiction Services, Trenton,New Jersey

SHERYL JESSUPCase Worker, New Horizons for Women, Los Angeles

SAMHSA Knowledge Management Project

SAMHSA Taxonomy

• Consists of eight facets.• Intentionally high-level; especially Substances.• Designed to create compelling groups or “buckets” of

similar content; but not point to individual pieces of content.

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Research & Professional Topics

Intervention & Treatment Topics

Audience Conditions & Disorders

Population Group Geography & Location

SubstancesContent Types

SAMHSA Taxonomy content filters

• Non-subject filters used to describe the content.• Facets used to express what type of content this is

and who it is intended for.

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AudienceContent Types

Research & Professional Topics

Intervention & Treatment Topics

Conditions & Disorders

Population Group Geography & Location

Substances

SAMHSA Taxonomy subject facets

• Subject facets that describe what the content is about.

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Facet Description

Professional & Research Topics

Topics related to professions & disciplines. Use for studies or information about research methodologies, funding, career trends, and education.

Substances Names of controlled substance or family of substances.

Conditions & Disorders Names of disorders, conditions & families of disorders & conditions.

Intervention & Treatment Topics Topics related to intervention or treatment.

Population GroupDemographic or population groups that a study is about or a group that is described in a treatment or intervention process.

Geography & LocationSpecific places or geographic regions that programs, studies & other content about.

SAMHSA taxonomy

Research & Professional

Intervention & TreatmentAudience Conditions &

DisordersPopulation

GroupAgoraphobia Alzheimer's Disease Anger ManagementAnorexiaAnxiety & StressADHDAutismBipolarBorderline Personality

DisorderBulimiaClaustrophobiaConduct Disorder…

Geography & Location

Clinicians Community

Organizations Educators Law EnforcementLegal Community Legislators Physicians Prevention Program

Planners Psychiatrists Psychologists Public Health

Professionals ResearchersTeachers

AdolescentsAfrican-AmericanChildrenChildren of Addicted

ParentsCollege StudentsCriminal Justice

System / Incarcerated

Elderly GLBTHomelessImmigrantsLow Income &

PovertyVeteransWomen…

AssessmentDetectionDiversionE-TherapyFamily Treatment

ApproachGroup TherapyIn-Home ProgramsInterventionManaged CareOut of HomeOutpatient TreatmentPreventionResidential ProgramsScreening & AssessingSeclusion & Restraint

AdvisoriesAid / KitAnnual ReportBrochuresCase ProfileCost Recovery ItemData / TableDirectoryFact SheetField ManualGeneric Web PageGuidelines / ManualsHome PageIndexesJournal ArticleMonthly ReviewWebcasts

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaii ...

Administration & Policy

AssessmentAuditsCase ManagementEducation & Career

DevelopmentExternal Relationships

CommunitiesLaw EnforcementNon-profitsFaith-based Orgs Schools

Employment Opportunities

Ethics And ValuesFunding

Grant WritingHealth LawsResearch &

MethodologyPlanningProcess ImprovementWorkplace Trends

Staff TurnoverWorkplace Safety

Substances

AlcoholTobacco Smokeless Tobacco Cigarettes CigarsIllicit drugs Alcohol combination

Amphetamines Methamphetamine Dextroamphetamine Club Drugs Ectasy GHB Ketamine LSD RohypnolCocaineHeroinMarijuana…

Content Types

Taxonomy

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Taxonomy Facets used for top level

navigation

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Drill-down on taxonomy Substances

facet

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Drill-down on All Substances

Contextual filters

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Drill-down on Alcohol

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Product Page

Driven by KM System

Taxonomy Terms

Reporting

• Intelligent analysis of data for our products– Ongoing program decisions (e.g., Dashboards)– Managing to trends, understanding resource

allocations, knowing the user, etc.– Assessment and evaluation of individual products,

product types, subject matter areas• Support to meet program goals

– Marketing, targeting populations– More detailed and faster ad hoc metrics and

measures

Future

• New system launch 4th quarter 2010• Open Data Standards (open gov)• Sharing Taxonomy• Public KnowledgeBase• Data to inform Government Performance reporting

(GPRA)• Mashups

– Google Maps– Other data sources (data from data.gov, etc.)

• Customer rating system pilot• Cell phones, text messages, exploiting RSS

Contact Info

Richard Morey, 240-276-2131, rich.morey@samhsa.hhs.gov

Joseph Busch, 415-377-7912, jbusch@taxonomystrategies.com