Montgomery County
Montgomery County, Maryland, United States
Montgomery County platform, the Enterprise Case Management System (eICM): a CMIS for
the improvement of the integration in the delivery of social programs and services.
Direct registration
Case work
General population
Information system description
The Enterprise Integrated Case Management (eICM) system is an operational data warehouse
that shares data across more than 70 of Montgomery County's Department of Health and
Human Services (DHHS) program. The system aims at encouraging and facilitating coordinated
care for all clients and provides staff with concurrent and historical information about
each client. The system houses both county and state-administered services as they requested
or received than staff previously had access to, allowing staff to better understand their
client, and more efficiently serve them across multiple services improving their outcomes.
Initial challenge
Montgomery County's determination to integrate health and human services began in 1996 when
four different county departments were merged to form the Department of Health and Human
Services to better able to address the growing variety of needs of the county's most vulnerable
residents. Implementation of the eICM in 2017 provided the tool needed to share data across
services while supporting the County's strategic vision and several of the Department's
policies and including:- Collaborating with community partners;- Truly integrated services with
a "No Wrong Door" approach to access services;- Addressing drivers of inter-generational
poverty;- Ensuring equity in services and outcomes;- Building self-sufficiency, mitigating
risks, and improving health and well-being;- Achieving and maintaining health accreditation;-
Data-driven decision-making and advanced analytics.
Results
The eICM provides a technical solution for DHHS to fully integrate coordinated care for
its clients who are now over 100K users. A single profile of all clients which has all
demographic information – the profile is universal and aligned with the more detailed work
case workers do with the clients – that reflect case information, such as fiscal benefits,
case notes, assessments, service plans, etc. The system is interfaced with the Electronic
Health Record (eHR) system to provide controlled visibility into the services in public and
behavioral health programs. State programs operating through the department are housed in a
state-mandated system – hence the eICM has an interface to provide case workers with
information about the state system through a nightly batch update. A reporting platform for
planning and analytics – and easily downloadable queried information.
INTAKE POINT:
Direct registration
The Montgomery County platform was developed for the integration of services and programs
at the Montgomery County Department of Health and Human Services (DHHS) in Maryland,
United States. Individuals are registered on the Montgomery County platform directly when
they access any social or health service and an operator records their data. Once the data
is collected the individuals are informed of all the benefits, services, programs, and
institutions available to them.


LEVEL OF CASE MANAGEMENT:
Case work
The Enterprise Case Management System (eICM) accommodates the whole case
processing approach from screening and intake; through assessment, case
management, and case outcomes; to case closures.


POPULATION GROUP SERVED:
General population
The platform supports case management for the general population, from assessment
of needs and conditions to referrals, case dispensation and case outcome.


CMIS EXISTING AND ACTIVE?
Yes
REGISTERED OPERATORS
(All unique users):
(All unique users):

800 (200-300 social workers)