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Content Overview

The SOQIC Ohio form represents a significant advancement in the realm of mental health documentation, aiming to streamline processes and improve care for clients across the state. Developed through a collaboration between the Ohio Department of Mental Health (ODMH) and the Ohio Department of Alcohol and Drug Addiction Services (ODADAS), this initiative seeks to create a standardized documentation system that enhances both compliance and quality of care. The SOQIC forms encompass a wide range of essential components, from demographic information to treatment planning and progress notes. They are designed to meet various regulatory requirements, including those set by Medicare, Medicaid, and national accreditation bodies. By reducing redundancy and simplifying paperwork, the SOQIC system not only saves time for clinicians but also actively engages clients in their treatment, promoting a recovery-oriented approach. The benefits of this integrated system extend beyond mere efficiency; they foster a collaborative environment where the voices of consumers are heard and valued in the treatment process. Overall, the SOQIC Ohio form is a vital tool in enhancing the delivery of mental health services, ensuring that care is both effective and client-centered.

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Getting Started with

S O Q I C

A new standard in documentation

An Introduction to the

SOQIC Standardized

Documentation System

Solutions for Ohio’s Quality Improvement and Compliance

For more information about the Solutions for Ohio’s Quality Improvement and Compliance initiative, please contact:

Ohio Department of Mental Health Racquel Graham

Community Mental Health Program Manager 30 East Broad Street, 8th floor

Columbus, Ohio 43215-3430

(614) 728-9784

http://www.mh.state.oh.us/cmtymh/soqic/soqic.index.html

“Re-engineering clinical processes and documen- tation has become an ur- gent priority in behavioral healthcare. The require- ments of funders and regu- lators continue to evolve, and in too many cases record systems just expand to cover new requirements. Clinicians spend more time on paperwork than on pro- viding care. SOQIC attacks that problem, and even more critically, strengthens consumer participation in treatment.”
- Michael F. Hogan, Ph.D., Director, ODMH
“As ODMH and ODADAS continue to streamline the ‘red tape’ commonly ex- pected with state-funded services, Ohio citizens will reap the benefits of en- hanced mental health and addiction treatment.”
- Gary Q. Tester, Director, ODADAS

What is SOQIC?

Solutions for Ohio’s Quality Improvement and Compliance (SOQIC) is a collaborative venture between the Ohio Department of Mental Health (ODMH), the Ohio Department of Alcohol and Drug Addiction Services (ODADAS), mental health boards, providers and clients. The primary objective was to design, develop and implement at the State, Board and local provider levels a standard- ized consumer-centered, compliant and cost- effective mental health delivery system.

Individual mental health provider agencies in different regions of Ohio have traditionally established very diverse types of forms and processes to collect clinical and non-clinical information. While this opportunity to estab- lish agency-specific documentation helps to meet the individual documentation needs of each organization, it has also led to examples of redundancy, inefficiency, non-compliance, and an inability to compare useful data among agencies throughout the system.

The SOQIC standardized documentation system provides standardized, integrated clinical forms with enhanced compliance and quality for Ohio’s public mental health system. The forms cover the entire treatment process from demographic information to transfer/discharge, including assessment, treatment planning and progress notes. All are designed to accommodate the various

certification, national accreditation and Medicare/Medicaid compliance requirements, as well as all ODMH and ODADAS rules and standards.

What are the benefits of SOQIC?

There are many benefits to implementing an inte- grated documentation system. The SOQIC forms:

Provide an integrated documentation system for mental health and alcohol and drug treatment.

Promote recovery, actively engaging clients in their treatment process.

Simplify paperwork

Reduce redundancy for clients.

Prompt ensure completeness of documentation.

Provide for quick and easy record updating.

Provide checkboxes and fill-ins that simplify documentation.

Improve clinical practice

Forms are comprehensive and provide prompts.

Link diagnostic assessment and identified treatment needs to goals and objectives.

Link progress notes to specific goals and objectives.

Are compliant with all regulations and accreditation standards:

ODMH and ODADAS

Medicare/Medicaid

JCAHO, COA, CARF

Save time

Reduce redundant assessment processes.

Promote same day or concurrent documentation.

However, the benefits of the SOQIC documentation system are best expressed by clinicians, consumers and family members who have experienced the forms:

Enhances clinical care

“I think healthcare providers didn’t go into healthcare to document what they’re doing. They went into healthcare to take care of people. So, anything that can allow all of us providers, be it physicians, be it nurses, be it therapists, be it community support specialists, to be able to do our job better and provide

What are the benefits of SOQIC?

service for our patients and clients is just – is a tremendous advantage,” said Hilton J. Rodriguez, M.D., Medical Director, Eastway Behavioral Healthcare.

Provides a client-centered Recovery/Resiliency focus

“Client participation is probably the most important aspect of treatment because I don’t think the treatment works without the client’s input, knowing where they are and where they need to go,” said Sherry Gibson, Board Chair of the Ohio Federation for Children’s Mental Health. “And what I see in the SOQIC forms, there’s an appearance of that interaction, and that extracting of the client’s perspective on what their needs are and what their goals and objectives should be.”

“I believe the SOQIC forms will be beneficial to the consumer because the forms themselves solicit the opinions and the wants, the desires, the needs of the client, which then can be taken into consideration as the clinician develops their recommendations and their plans for treatment. Because the plan is developed, not just by the clinician, but by the clinician with the consumer,” said Dan Carpenetti, MED, LPCC, Clinical Director, Cambridge Office of Thompkins Child and Adolescent Services.

Enhances measurement and duplication of positive outcomes

“Clients will have better outcomes because they are calling the steps. They’re investing in their own treatment. [SOQIC forms]will also help to keep clinicians focused on working together for a specific outcome,” said Gibson.

Enhances accessibility to services

“One of the side benefits of SOQIC is that each agency or each provider won’t have to reinvent the wheel every time, and come up with their own documenta- tion or their own intake process and intake forms and some of the program development pieces. Since there would be a uniformity of practice to some degree and a uniformity of documentation, it will offer providers opportunities to provide more care as opposed to spending time developing the forms and practices around administrative issues,” said Jonas Thom, Director, Ohio Coordinating Center for Assertive Community Treatment.

What are the benefits of SOQIC?

Enhances cost efficiency

“And it’s also been a real tool for us when we’re hiring staff who don’t have a background or are new to the field, new to working in community mental health,” said Stephan Young, CEO, Forensic and Mental Health Services, Inc. “The tools really are assets in training staff so you can walk them through. This is what needs to be done clinically and the forms support that. So, it just reinforces the learning. So, we found it makes it a lot easier to train staff.”

Meets certification and national accreditation compliance guidelines

“…if we put all of these forms in place, we will have met all of the regulations we need to meet CARF and ODMH and ODADAS, and all of the regulation agencies….the way it is now, we just run around saying, ‘have we done it, have

we done it?’ And that way we’ll know, if we put these forms in place, that we’ll have met those,” said Linda Miller, Director of Severe Mentally Disabled Services and Nursing Supervisor, The Center for Individual and Family Ser- vices.

Reduces use of multiple forms/processes statewide

“Frequently, administrators don’t understand that one more little piece of paper just creates much more stress. I mean, there are straws that do break camels’ backs,” said Veronica Groff, President and CEO, The Center for Individual and Family Services. “And so it’s our philosophy here not to do that and I think SOQIC is going to help us do that.”

Provides more objective reviews/audits

“We had a Medicaid audit last summer where the auditors came in and could see the old forms versus the SOQIC forms, and had indicated that they saw a lot of improvement in terms of what was being documented and the compli- ance with Medicaid issues,” said Gail Carmon, Associate Director, Alternative Paths, Inc.

Provides a reduced compliance risk environment

“The forms allow you to be compliant,” said Ferens. “And in this day and age, yes, clinical care is the utmost, most important thing, but you can’t provide clinical care if you’re not in compliance. The forms allow you to do that.”

How can we access the forms?

SOQIC forms are available in both electronic and paper formats.

Electronic Forms

The electronic forms, or e-forms, are designed to download, complete and save on the user’s desktop or in the user’s system. The forms were developed in Pure-Edge Forms Designer software and are provided to agencies at no cost along with a Pure-Edge reader, which enables the use of the forms.

Features of the e-forms include expandable text fields, auto-fill some fields, check boxes, drop-down boxes, and others that enable easy navigation through the forms. Initial feedback from the pilot agencies indicates that clinicians like the forms and their ease of use very much.

While these forms do not come with a database, ODMH is working with Pure- Edge to make the forms available with a XML (Extensible Markup Language) data model component that will enable organizations to, with XML parser tools, extract the data from the forms and import it to their database. Some software vendors are incorporating the SOQIC forms in the systems that providers currently use.

Paper Forms

The paper forms and manual are currently available on the SOQIC Web site at http://www.mh.state.oh.us/initiatives/soqic/soqic.home.html and are also available on CD-Rom by request. The paper forms are designed to be down- loaded, printed and completed by hand.

What forms are available?

Twenty-two forms covering the full range of the treatment process are avail- able. Five additional forms for drug and alcohol treatment are also available. All are designed to accommodate the various certification, national accreditation and Medicare/Medicaid compliance requirements, as well as all ODMH and ODADAS rules and standards.

The SOQIC forms include:

Demographic Information

Health History Questionnaire

Crisis Intervention Assessment and Plan

Adult Diagnosis Assessment

Adult Diagnosis Assessment Update

Child/Adolescent Diagnostic Assessment

Child/Adolescent Diagnostic Assessment Update

Mental Status Exam

Lethality Assessment

Initial Psychiatric Evaluation

Individualized Service Plan

Individualized Service Plan Revision/Review

Psychiatric/Pharmacological Management Plan

Medical Somatic/Psychiatric Progress Note

Medical Somatic/Nursing Progress Note Long

Medical Somatic/Nursing Progress Note Short

Individual Progress Note

Community Psychiatric Supportive Treatment Progress Note Long

Community Psychiatric Supportive Treatment Progress Note Short

Group Progress Note

Partial Hospital Progress Note

Transfer/Discharge Summary

The ODADAS forms include:

AoD Activity Education Note

AoD Adult LOC Criteria

AoD Adult Recommendations

AoD Youth LOC Criteria

AoD Youth Recommendations

Should we adopt SOQIC?

As you begin to consider implementing the SOQIC forms in your organization, it is useful to ask the questions below. To successfully implement an innovative practice, there are three phases to consider:

Initiation phase: Learning, evaluating

Decision: Go/No go

Implementation: Developing plans for moving forward

Initiation phase

Do we understand what SOQIC is and what the benefits are?

What are the Pros/Cons of adopting SOQIC?

Why should we institute this new documentation system in our organization? What advantages do we see in implementing SOQIC?

What risks can we anticipate in adopting or not adopting SOQIC?

What is our organization’s capacity to manage or absorb risk?

What is our organization’s risk-taking propensity? Do we like being leaders? Do we like to be on the cutting edge?

Who in our organization could be a leader and advocate for SOQIC? Who is always willing to try something new or thinking about how to improve things?

What barriers do we see? How can we mitigate those barriers?

What resources can we commit?

What about the IT systems? Can we support this change? Is our software vendor implementing the SOQIC documents in the system?

Where can we seek advice/support?

Who can we talk with about their experiences and lessons learned?

Decision Phase

Who in our organization should be involved in the decision process?

Why should we implement SOQIC? Why not?

Should we adopt SOQIC?

What are the advantages to our organization in implementing SOQIC? Can we articulate them to others?

How will we communicate the decision to adopt? How do we present it?

How will we address the people in our organization who don’t see the benefits of adopting standardized documentation?

What sort of time frames can we commit to?

Where does this change fit with other issues going on in our agency?

Implementation Phase

Who should be involved in developing the implementation plan?

How will we communicate the implementation plan?

What resources are we committing?

How will we evaluate the benefit to our agency? To staff? To our clients?

How will we provide support to staff?

Who is our internal expert/champion for adoption of standardized documen- tation?

Form Specifications

Fact Name Details
What is SOQIC? SOQIC stands for Solutions for Ohio’s Quality Improvement and Compliance, a collaborative initiative aimed at improving mental health and addiction services in Ohio.
Governing Laws SOQIC operates under the regulations set by the Ohio Department of Mental Health (ODMH) and the Ohio Department of Alcohol and Drug Addiction Services (ODADAS).
Standardization Purpose The goal is to create a standardized, consumer-centered documentation system that enhances compliance and quality across Ohio’s public mental health system.
Integrated Documentation SOQIC provides an integrated documentation system that simplifies the paperwork involved in mental health and addiction treatment.
Client Engagement The forms are designed to promote client recovery by actively engaging them in their treatment process.
Efficiency Improvement By reducing redundancy and simplifying documentation, SOQIC allows clinicians to focus more on patient care rather than paperwork.
Compliance Assurance The SOQIC forms are compliant with all relevant regulations, including those from Medicare/Medicaid and various accreditation bodies.
Benefits to Providers Providers benefit from a unified documentation system that reduces the time spent on administrative tasks, allowing for more direct patient care.
Outcome Measurement SOQIC enhances the ability to measure treatment outcomes, ensuring that clients are actively involved in their recovery journey.

Soqic Ohio: Usage Guidelines

Filling out the SOQIC Ohio form is a straightforward process that requires attention to detail. This form is essential for ensuring compliance with standardized documentation practices in mental health and addiction services in Ohio. Once the form is completed, it will be submitted to the appropriate agency or organization for processing. Below are the steps to guide you through filling out the form correctly.

  1. Begin by carefully reading the instructions provided with the SOQIC form to understand its purpose and requirements.
  2. Gather all necessary information, including personal details such as name, address, and contact information.
  3. Complete the demographic section of the form. This may include information about the individual receiving services, such as date of birth and insurance details.
  4. Proceed to fill out the assessment section. Provide accurate and detailed responses to all questions, ensuring that you address any specific needs or concerns.
  5. In the treatment planning section, outline the goals and objectives for the individual’s care. Be sure to include input from the individual if applicable.
  6. Document progress notes as required, linking them to the specific goals and objectives previously established.
  7. Review the completed form to ensure that all sections are filled out completely and accurately. Double-check for any missing information.
  8. Sign and date the form where indicated, confirming that the information provided is correct to the best of your knowledge.
  9. Submit the completed SOQIC form to the designated agency or organization as instructed.

Your Questions, Answered

What is SOQIC?

Solutions for Ohio’s Quality Improvement and Compliance (SOQIC) is a collaborative initiative involving the Ohio Department of Mental Health (ODMH), the Ohio Department of Alcohol and Drug Addiction Services (ODADAS), mental health boards, providers, and clients. Its primary goal is to create a standardized, consumer-centered, and cost-effective mental health delivery system across Ohio. By implementing SOQIC, diverse forms and processes used by individual mental health provider agencies are streamlined, reducing redundancy and improving compliance and efficiency in documentation.

What are the benefits of using SOQIC?

SOQIC offers numerous advantages, including an integrated documentation system that simplifies the paperwork involved in mental health and addiction treatment. It actively engages clients in their treatment process, enhances clinical practice, and promotes recovery. The forms are designed to ensure completeness, reduce redundancy, and allow for quick updates. Compliance with various regulations and accreditation standards is another key benefit, ensuring that providers meet necessary guidelines while focusing on patient care.

How does SOQIC improve client participation?

Client participation is central to the SOQIC process. The forms are designed to solicit clients' opinions, needs, and goals, allowing them to actively contribute to their treatment plans. This collaborative approach fosters a sense of ownership over their recovery journey, making treatment more effective. Clinicians work alongside clients to develop tailored plans, ensuring that the treatment aligns with the clients' perspectives and aspirations.

Are SOQIC forms compliant with regulations?

Yes, SOQIC forms are compliant with all relevant regulations and accreditation standards, including those set by ODMH, ODADAS, Medicare/Medicaid, and various accrediting bodies such as JCAHO, COA, and CARF. This compliance ensures that providers can meet the necessary guidelines while delivering quality care to clients.

How does SOQIC enhance the quality of care?

By reducing the time clinicians spend on paperwork, SOQIC allows them to focus more on providing care. The standardized forms improve clinical practice by linking diagnostic assessments directly to treatment goals and progress notes. This connection ensures that treatment is not only comprehensive but also targeted towards achieving positive outcomes for clients.

Who can I contact for more information about SOQIC?

For further information about the SOQIC initiative, you can reach out to Racquel Graham, the Community Mental Health Program Manager at the Ohio Department of Mental Health. She can be contacted at 30 East Broad Street, 8th floor, Columbus, Ohio 43215-3430, or by phone at (614) 728-9784. More details are also available on the Ohio Department of Mental Health's website.

Common mistakes

  1. Not reading the instructions carefully. Many people skip over the guidelines, leading to incomplete or incorrect submissions.

  2. Failing to provide accurate demographic information. Missing or incorrect details can delay processing and affect service delivery.

  3. Using outdated forms. Always ensure you have the latest version of the SOQIC form to avoid compliance issues.

  4. Neglecting to sign and date the form. An unsigned form is considered invalid and will not be processed.

  5. Overlooking required fields. Leaving mandatory sections blank can result in rejection of the application.

  6. Providing inconsistent information. Ensure that all details match across different sections to avoid confusion.

  7. Not keeping a copy of the submitted form. Always retain a copy for your records in case follow-up is needed.

  8. Submitting the form to the wrong address. Double-check the submission details to ensure it goes to the correct department.

  9. Ignoring deadlines. Late submissions can lead to missed opportunities for services or support.

Documents used along the form

The SOQIC Ohio form is part of a standardized documentation system aimed at improving mental health services in Ohio. Alongside this form, several other documents are commonly used to ensure comprehensive care and compliance with regulations. Below is a list of these forms, each serving a unique purpose in the documentation process.

  • Assessment Form: This document collects initial information about a client’s mental health status, including history and presenting issues. It helps clinicians understand the client's needs and develop a treatment plan.
  • Treatment Plan: This outlines the goals and objectives for a client's treatment. It includes specific interventions and timelines, ensuring that both the clinician and client are aligned on the path forward.
  • Progress Notes: These are used to document each session with a client. They provide updates on the client's progress toward their treatment goals and any changes in their condition.
  • Discharge Summary: This document is completed when a client is ready to leave treatment. It summarizes the client's progress, outcomes, and any recommendations for ongoing care.
  • Informed Consent Form: This form ensures that clients understand their rights and the nature of the treatment they will receive. It is crucial for establishing a trusting therapeutic relationship.

These documents work together to create a cohesive and efficient system that enhances client care and meets regulatory requirements. By utilizing these forms, mental health providers can streamline their processes and focus more on delivering quality care.

Similar forms

The SOQIC Ohio form shares similarities with several other documentation forms used in the mental health and substance abuse fields. Below are four documents that have comparable purposes or structures:

  • Intake Assessment Form: Like the SOQIC form, the intake assessment form collects essential demographic and clinical information from clients. Both documents aim to streamline the initial assessment process and ensure that all necessary information is gathered for effective treatment planning.
  • Treatment Plan Template: The treatment plan template is designed to outline the goals and objectives for client care. Similar to the SOQIC form, it emphasizes a client-centered approach, encouraging active participation from clients in their treatment journey.
  • Progress Notes Form: Progress notes are used to document ongoing client interactions and treatment updates. Both the SOQIC form and progress notes are structured to link specific interventions to established goals, promoting accountability and continuity of care.
  • Discharge Summary Form: The discharge summary form provides a comprehensive overview of a client's treatment upon completion. Like the SOQIC form, it includes key information that facilitates a smooth transition for clients, ensuring that follow-up care is adequately planned and communicated.

Dos and Don'ts

When filling out the SOQIC Ohio form, it is important to follow specific guidelines to ensure accuracy and compliance. Here’s a list of things you should and shouldn’t do:

  • Do read all instructions carefully before starting.
  • Do use clear and legible handwriting if filling out the form by hand.
  • Do provide complete information for each section of the form.
  • Do double-check your entries for accuracy before submission.
  • Do keep a copy of the completed form for your records.
  • Don't leave any required fields blank.
  • Don't use abbreviations or shorthand unless specified.
  • Don't submit the form without reviewing it for errors.
  • Don't hesitate to ask for assistance if you have questions about the form.

Misconceptions

Understanding the SOQIC Ohio form can be challenging, and several misconceptions often arise. Here are six common misunderstandings about this standardized documentation system:

  • SOQIC is just another form. Many people think SOQIC is merely a new form to fill out. In reality, it represents a comprehensive system designed to streamline documentation across mental health services in Ohio, enhancing both compliance and quality.
  • SOQIC eliminates the need for clinician input. Some believe that the SOQIC system reduces the role of clinicians in the documentation process. On the contrary, it emphasizes client and clinician collaboration, ensuring that treatment plans reflect the needs and goals of the clients.
  • All agencies must use the same exact forms. A common myth is that SOQIC mandates identical forms for every agency. While it provides standardized templates, agencies can adapt these forms to suit their specific needs while maintaining compliance.
  • SOQIC is only for mental health providers. Many assume that SOQIC applies solely to mental health services. However, it also integrates alcohol and drug treatment documentation, making it a versatile tool for various providers.
  • SOQIC complicates the documentation process. Some fear that implementing SOQIC will add complexity. In fact, the system is designed to simplify paperwork, reduce redundancy, and improve the overall efficiency of documentation.
  • SOQIC is a temporary solution. There is a misconception that SOQIC is a short-term initiative. In reality, it aims to establish a long-lasting framework for quality improvement and compliance in Ohio’s mental health and addiction services.

By addressing these misconceptions, stakeholders can better understand the true purpose and benefits of the SOQIC Ohio form, ultimately leading to improved mental health services across the state.

Key takeaways

When filling out and utilizing the SOQIC Ohio form, it is essential to understand its purpose and benefits. Here are some key takeaways to consider:

  • Standardization: The SOQIC form provides a standardized documentation system, which helps streamline the process across various mental health and addiction treatment providers in Ohio.
  • Client Engagement: The forms are designed to actively involve clients in their treatment process, promoting recovery and ensuring their perspectives are incorporated into care plans.
  • Efficiency: By simplifying paperwork and reducing redundancy, the SOQIC system allows clinicians to focus more on providing care rather than getting bogged down in documentation.
  • Compliance: The SOQIC forms meet all necessary regulations and accreditation standards, including those from ODMH, ODADAS, Medicare, and Medicaid, ensuring that providers remain compliant.
  • Comprehensive Documentation: The forms cover the entire treatment process, from initial assessment to discharge, making it easier to track progress and link treatment goals to specific objectives.
  • Improved Outcomes: By enhancing measurement and tracking of treatment outcomes, the SOQIC system supports better client results and fosters collaboration among clinicians.

Utilizing the SOQIC Ohio form effectively can lead to improved care for clients and a more efficient process for providers. Understanding these key aspects will help ensure that the documentation serves its intended purpose in the mental health system.