Deliverable #4 - Report of the Online Statewide FSP Classification System Website Version 1.0 Specification

Mental Health Data Alliance, LLC
2/25/2016
Report of the Online Statewide
Full-Service Partnership (FSP)
Classification System
Website Version 1.0 Specification
Deliverable #4 of MHSOAC Contract 14MHSOAC008

FSP Classification System Website Version 1.0 Design Specification
2/25/2016
Table of Contents
1.0 Purpose ...................................................................................................................................................3
2.0 Background .............................................................................................................................................3
3.0 Uses of the FSP Classification System.....................................................................................................4
4.0 Guiding Questions...................................................................................................................................7
5.0 Project Milestones ..................................................................................................................................7
6.0 Technical Specifications........................................................................................................................10
7.0 Description of Hierarchies.....................................................................................................................13
8.0 Description of Public Website...............................................................................................................21
9.0 Description of Portal Website...............................................................................................................38
10.0 Additional Suggestions........................................................................................................................66
Appendix 1 - FSP Classification System Statewide Report Mock-Up
Appendix 2 - FSP Profile Comparison Report Mock-Up
Appendix 3 - Final Statewide FSP Classification System
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1.0 Purpose
The purpose of this document is to serve as specification for an online interface through which counties
and/or providers can securely input information regarding FSP program characteristics/factors annually
and stakeholders can access this data in various ways via a publicly available website. The scope of this
document is to outline the plan for operationalizing the FSP Classification System web-based
application. This document is intended to describe and provide detailed technical information regarding
the design and functional specifications which will guide the construction of the web-based application
in the next phase of the project.
This document outlines the functional design specifications, including content and organization of the
website, for the FSP Classification System Website version 1.0, and this document is intended to be used
to solicit feedback from stakeholders, and guide the development of the FSP Classification System
Website in the next phase of the project.
Visualizations of web pages provided in this document are example prototypes for discussion purposes
only and do not reflect the actual appearance of these pages within the FSP Classification Website once
fully implemented; these example images were developed using a prototyping tool whereas the FSP
Classification System Website will be developed in a full development environment which offers much
greater flexibility in controlling and customizing the visual presentation of data elements, menus and
other webpage elements.
2.0 Background
FSPs evolved from Assembly Bills (AB) 34 and AB 2034, which provided comprehensive services for
adults who had serious mental illness and were homeless, at risk of becoming homeless, recently
released from a county jail or State prison, and others who were untreated, unstable, and at significant
risk of incarceration or homelessness without treatment. Both the pilot and statewide implementation
of AB 34 and AB 2034 focused on the Assertive Community Treatment (ACT) model, and included
provisions of a comprehensive array of services to enrollees comprising outreach, supportive housing
and other housing assistance, employment, substance abuse services, and mental and physical
healthcare. These services were aimed at reducing homelessness, incarcerations, and psychiatric
hospitalizations. The structure and goals of AB 34 and AB 2034 programs served as a foundation for the
FSP programs, which eventually became part of the Community Services and Supports (CSS) component
of the Mental Health Services Act (MHSA or The Act).
FSPs make up the largest portion of funding in the CSS component. The programs are designed to
provide comprehensive, recovery-based services to the highest-need clients in the system. The clients
served in FSPs are living with serious mental illness or a serious emotional disturbance in addition to
often having a history of homelessness, incarceration, and/or institutionalization. FSPs provide intensive
case management on a 24/7 basis, doing “whatever it takes” for the client in order to promote progress
on their road of recovery. Services may also focus on crisis response and de-escalation, medication
evaluation, establishment of benefits, and preparation for education and/or employment.
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FSPs are required to provide both mental health and non-mental health services, per the California Code
of Regulations (CCR), Title 9 § 3620. Mental health treatment includes but is not limited to alternative
and culturally specific treatments, peer support, wellness centers, supportive services to assist the client
and, when appropriate, the client's family in obtaining and maintaining employment, housing, and/or
education. The program includes personal service coordination/case management to assist the client
and, when appropriate, the client's family to access needed medical, educational, social, vocational,
rehabilitative, other community services, needs assessment, crisis intervention and stabilization
services, and family education services. Non-mental health care includes but is not limited to food,
clothing, housing, rent subsidies, housing vouchers, house payments, residence in a drug/alcohol
rehabilitation program, transitional and temporary housing, cost of health care treatment, cost of
treatment of co-occurring conditions, and respite care.
Counties have been flexible in their implementation of FSPs within the constraints of the general
guidelines established in the Act and regulations. As expected, models of service for children/youth
(ages 0-15), transition aged youth (TAY, ages 16-25), and older adults (ages 60+) have diverged from the
adult (ages 26-59) model because of different client needs and different service structures. Program
variability and county-level differences are expected, yet they complicate the process of understanding,
comparing, and communicating about different FSPs across the state. Without an established way to
classify FSPs, prior attempts at comparing FSPs, for the purpose of continual quality improvement
efforts, have been challenging.
3.0 Uses of the FSP Classification System
This MHSOAC evaluation represents another step toward continuous assessment of the MHSA and the
broader, public, community-based mental health system, while focusing on quality improvement as
guided by MHSA values and principles. The ultimate goal of this project is to increase the ability to
understand and improve upon the quality of services offered by FSPs. This shall be achieved through the
development and implementation of an FSP Classification System as a web-based application which will
facilitate the collection of classification system survey data and allow various groups (i.e., State,
counties, providers, clients, family members, and other stakeholders) to use the FSP classification
system survey data in a meaningful and useful fashion for comparative purposes. Stakeholders may
want to use the classification system information in order to categorize programs based on a specific
purpose or evaluation question. It is expected that various stakeholders would be able to use the
classification system to address their unique objectives.
The Final FSP Classification System includes program elements designed to describe FSP programs with
the goals of: capturing variations and similarities between FSP programs; enabling better
communication about FSP programs; facilitating the sharing of information between FSP programs;
assisting public communication of program offerings; assisting consumers and families in finding FSP
programs; assisting efforts to improve FSP program component availability and quality; and increasing
the ability to understand what works and for whom. Further examples of how the classification system
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might be used are demonstrated in Table 3.0.1. The FSP Classification System data would be both
collected and utilized via an online FSP Classification System website.
Table 3.0.1: Example FSP Classification Use Cases
Stakeholder Example FSP Classification System Use Cases
State The State could use the system to tell the story of California’s FSP programs, detailing
the broad diversity within the programs statewide as evidenced by the components
identified through classification system data. This knowledge would allow for further
data-driven descriptions of FSP programs with similar characteristics and could be
combined with existing FSP client outcome and service data {e.g., FSP Data Collection
and Reporting (DCR) data, Client and Services Information (CSI) data, etc.}, when
available. For example, this classification system could be used to identify the
statewide proportion of TAY programs with a specialty/focus on clients with legal or
criminal justice involvement and which may embrace a behavioral/mental health
court model or offer supported education or supported employment. Combining this
information with the CSI service data and FSP DCR outcome data, if available, analysis
could identify how many unserved or underserved TAY are reached along with the
severity of needs for incoming TAY based on past 12 month histories. The story about
reaching young adults with mental disorders at a critical developmental stage in order
to potentially redirect legal involvement toward productive activities is only one of
many stories which could be drawn from the classification system information.
County Counties could use the system to share information about achieving program success
or overcoming program barriers. For example, a county which is facing barriers to
engaging clients and maintaining housing for a program focused on chronically
homeless older adults could identify similarly focused older adult programs. Through
the classification system data, the county could also identify within those similar
programs: staff qualifications, models/philosophies embraced, field work capacities,
methods for resourcing after hours 24/7 care, similar or different barriers and other
program details. Further, the county facing barriers could use the classification
system information to contact counties with similar programs and further exchange
information regarding similar foci or barriers. The classification system facilitates
networking between organizations for the purposes of sharing information, best
practices, and outcomes.
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Table 3.0.1: Example FSP Classification Use Cases (Continued)
Stakeholder Example FSP Classification System Use Cases
Provider Providers could use the system to share information in a similar fashion as described
by counties. However, providers may want to focus on more detailed program
operation activities, such as methods to assess, measure, and analyze outcomes. For
example, a provider could determine how many other providers statewide are using
specific client assessments {e.g., Milestones of Recovery (MORS) or Adult Needs and
Strengths Assessment (ANSA)}, how their assessments are implemented and whether
their assessment data are captured and stored electronically. Further, the provider
could use the classification system to contact similar programs utilizing an assessment
of interest and exchange information on methods to implement, capture, evaluate
and present results from that assessment. The classification system could facilitate a
provider’s knowledge of how widely a particular program component is implemented
across the state while improving their ability to network with providers of similar
programs.
Advocacy
Groups and
Organizations
In a similar manner to the State’s use case, advocacy groups and organizations could
use the classification system to tell the story of how FSP programs are serving
targeted unserved or underserved populations. For example, an advocacy group
advocating for clients with language barriers could use the system to identify the
number of programs which have a focus/specialty to serve clients who speak a
language other than English or Spanish. In this way, the classification system helps
advocates to identify strengths and limitations of current FSP program offerings
specific to a population of interest.
Clients,
Consumers,
Family
Members and
Community
Members
Clients, consumers, family members, and community members could use the
classification system to gain knowledge about the similarity or diversity of FSP
programs within California. For example, a current or potential consumer may be
considering a move to a different county in order to live with family members. The
consumer could use the classification system information to identify whether
program supports within the new county match the consumer’s needs. Further, the
consumer could work with staff within their current county to reach out and network
with staff at an appropriate program in the new county in order to create a smooth
transition between counties while maintaining continuity of care during the recovery
process.
Evaluators and
Researchers
Evaluators and researchers could use the classification system to perform targeted
evaluation of program success in order to validate program models and determine
what works for whom. For example, extending an earlier example at the State level
(in which the classification system could be used to identify TAY programs with a
specialty/focus on clients with legal or criminal justice involvement which may or may
not embrace a behavioral/mental health court model or offer supported education or
supported employment), information about programs meeting these criteria could be
combined with CSI client services and FSP DCR client outcome data, if available, to
evaluate the exposure/dose of services along with the improvement in education,
employment and legal outcomes. Evaluators and researchers could use the
classification system data in order to select comparable programs meeting evaluation
criteria toward a specific evaluation question and hypothesis.
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4.0 Guiding Questions
Throughout the project, the following questions were used to guide and prioritize the collection of
information.
1. What are the most meaningful ways to classify FSP programs across the state that would be
beneficial to clients, family members, providers, the State and other stakeholders?
2. What characteristics/factors should the classification system be based upon? What data is
needed to measure those characteristics/factors?
3. What is the best method for various stakeholders throughout the state to view and utilize a
classification system to improve quality and services provided by FSPs?
5.0 Project Milestones
The final culmination of this project will be the development and implementation of an online interface
to operationalize an FSP classification system. The website will support the collection and viewing of
information for FSP programs statewide. To reach this goal, the FSP Classification System project
includes the following five (5) milestones.
1. Propose a Preliminary Statewide FSP Classification System Based on Stakeholder Input
2. Report a Final Statewide FSP Classification System Based on Public Comment
3. Develop an Online Statewide FSP Classification System Website Design Specification
4. Develop and Deploy an Online Statewide FSP Classification System Website
5. Provide Statewide FSP Classification System Website Administrator and User Training and
Technical Assistance
The Final FSP Classification System in this report represents the third milestone in the project: Develop
an Online Statewide FSP Classification System Website Design Specification.
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5.1 Introduction
This document is a continuation of the iterative development process described in the Final Statewide
FSP Classification System, which is included as Attachment A. Information regarding the background of
this project, guiding questions, project milestones, development of the Statewide FSP Classification
system, FSP Classification System Survey Questions and other information pertaining to this project can
be found in Attachment A. Attachment A is the foundational document for this document, and
information presented in the Final Statewide FSP Classification System will be referenced for
convenience where appropriate.
This document describes various aspects of the proposed Full Service Classification System Website
version 1.0 including how it will:
- Allow anyone with access to the internet the ability to search and identify FSPs via the
categories/characteristics/factors, and compare FSPs throughout the State based on those
categories/characteristics/factors.
- Support query and report capabilities. Selected classifying program characteristics shall be used
as one of multiple criteria to produce useful and meaningful reports for public consumption.
- Allow hierarchical access functionality to allow authorized staff from county and provider
programs to enter FSP program characteristics for only those programs they directly oversee or
have been authorized to alter.
- Employ an audit report that shall track dates in which program information was altered and who
made the changes to the information. This function shall be designed for use by the website
administrator.
- Address the security of the website and the ways in which it will follow the Health Insurance
Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic
and Clinical Health (HITECH) Act.
This document shall be used as the basis for describing the design and functionality of the proposed
website and seeking feedback on the design of the website from the MHSOAC and stakeholders. A
webinar was held on February 25th
at 10am to gather stakeholder comments and recommendations
to improve the functionality and usability of the proposed website. Feedback obtained from
Stakeholders and the MHSOAC shall be used to strengthen the Design Specifications of the FSP
Classification System Website prior to being approved.
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5.2 Description of Website Organization
The FSP Classification System is divided into two primary sections:
1. Public Website – This section of the website allows stakeholders to browse, search, compare
and generate reports on data collected through the FSP Classification System and allows anyone
with access to the internet the ability to search and identify FSPs via the categories,
components, and elements established during prior phases of this contract (as defined in
Appendix 3).
2. Portal Website – This section of the website allows authenticated County and Provider users to
securely submit and modify FSP Classification data.
5.3 Organization of the Design Specification Document
This design specification for the FSP Classification includes a description of the application features
required to operationalize the online system, including all high priority items which can be done within
the scope of the current project. Additional suggestions for what could possibly be done with additional
funds and time, as well as a prioritized set of requirements are included in the Additional Suggestions
section of this document.
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6.0 Technical Specifications
6.1 Application Hosting Environment
The FSP Classification System will be built as a native cloud-based application that leverages the web
server environment (Azure Web Apps) and database environment (SQL Azure) available through the
Microsoft Azure platform. Microsoft Azure (Azure) is Microsoft's application platform for the public
cloud. Azure abstracts hardware resources through virtualization. Each application that is deployed to
Azure runs on one or more virtual machines (VMs). These deployed applications behave as though they
were on a dedicated computer, although they might share physical resources such as disk space,
network I/O, or CPU cores with other VMs on the same physical host. Two key benefits of an abstraction
layer above the physical hardware are portability and scalability. Virtualizing a service allows it to be
moved to any number of physical hosts in the data center.
6.2 Development Framework
The FSP Classification System will be built using ASP.NET/C#. The ASP.NET platform is a unified Web
development model that includes the services necessary to build enterprise-class Web applications.
ASP.NET is part of the Microsoft .NET Framework. Applications can be coded in any language compatible
with the common language runtime (CLR), including C#. The C# language enables the development of
ASP.NET applications that benefit from the common language runtime, type safety, inheritance, and
other features of the Microsoft development platform.
6.3 Security
The FSP Classification System will not contain any client-level information and therefore will not contain
any individually identifiable protected health information (PHI). However, the website will be created
following the design principles of secure webpages including administrative, technical and physical
safeguards such that the website could be enhanced to allow for the support of PHI in the future in the
Portal Website area of the FSP Classification System.
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6.4 Web Server Environment
The FSP Classification System website will be hosted in the Microsoft Azure platform as an Azure Web
App. Azure Web Apps are an easy-to-manage, scalable, highly secure, and highly available solution for
the operation of websites that enable developers to create web and mobile apps for any platform and
any device. App Service is an integrated solution designed to streamline repeated coding functions,
integrate with enterprise and SaaS systems, and automate business processes while meeting security,
reliability, and scalability needs. As shown in Figure 6.4.1, the FSP Classification System website will
consist of a web application running inside an Azure Web App Service utilizing Internet Information
Services (IIS) web server role which provides a secure, easy-to-manage, modular and extensible platform
for reliably hosting websites, services, and applications. IIS is a unified web platform that integrates IIS,
ASP.NET, FTP services, and Windows Communication Foundation (WCF).
Figure 6.4.1 – Web Server Environment Diagram
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6.5 Database Platform
The FSP Classification System will utilize Microsoft SQL Azure. Microsoft SQL Server is a relational
database management system with the primary function of storing and retrieving data as requested by
other software applications which may run either on the same computer or on another computer across
a network (including the Internet). SQL Azure is the version of Microsoft SQL Server provided by
Microsoft as a service through the Azure platform. SQL Azure delivers predictable performance,
scalability with no downtime, business continuity and data protection—all with near-zero
administration. As shown in Figure 6.5.1, the FSP Classification System data will reside in a relational SQL
database hosted in the Microsoft Azure Cloud
Figure 6.5.1 – Database Platform Diagram
6.6 Portability Considerations
Although the first year of website hosting will be provided by MHDATA in the Microsoft Azure cloud, a
best effort will be made to avoid utilizing native-cloud functionality which cannot be easily ported to a
self-hosted environment in the future if desired by the MHSOAC.
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7.0 Description of Hierarchies
In the Public Website, there are no hierarchies controlling access to functionality. The Public Website is
accessible to any user with internet connectivity to view all of the information and reports that are
published via the Public Website.
In the Portal Website, there are three types of hierarchies which work together to control access
functionality to allow authorized staff from county and provider programs to enter FSP program
characteristics for only those FSP programs they directly oversee or have been authorized to alter. These
are the FSP Profile, User Role and Organizational hierarchies which together control access to data and
functionality.
7.1 Full-Service Partnership (FSP) Profiles
The FSP Classification System intends to gather program classification information via an annual survey
of FSP programs; however, FSP programs within a county can be defined in multiple ways. For data
reporting purposes, FSP programs are defined at the discretion of each county. FSP client outcome data
is maintained in the FSP Data Collection and Reporting (DCR) System hosted by the Department of
Health Care Services (DHCS) where each county has one or more FSP programs defined at their
discretion. For example, within the DCR, some counties define FSP programs based solely on the age
group served (children/families, TAY, adult, or older adult), regardless of the number of legal entity
providers or specialized foci of included sub-programs. Other counties define FSP programs based on a
specialized focus of the program, which could span across multiple age groups. Still, other counties
define an FSP program for each legal entity provider due to differences in their service offering
capabilities. One challenge of this project, and of describing FSP programs in general, is identifying the
definition of an FSP program.
Based on stakeholder input, it was determined that the FSP programs currently defined within the FSP
DCR system did not support the goals of this project, since the DCR-defined FSP programs were, for
many counties, broadly encompassing of a variety of sub-programs requiring further classification. To
this end, the proposed Preliminary FSP Classification System allows users the flexibility to create one or
more ‘FSP Profiles’ for each of their DCR-defined FSP programs. Thus, one or more FSP Profiles may be
assigned to the same FSP DCR Program, and one survey shall be completed for each FSP Profile defined
within the system. The flexibility to create one or more FSP Profiles within each DCR-defined FSP
program reduces the burden for larger counties by allowing a number of FSP programs operated by
multiple providers that share common characteristics to provide one set of answers for the survey.
Counties are encouraged to define an FSP Profile for each legal entity provider1
, but an FSP Profile may
be associated with one or more legal entity providers who perform similar services, as determined at
the discretion of the county.
1
A legal entity provider is an established corporation, partnership, association or individual who has the capacity
to enter into contracts or agreements to provide services and be held accountable for those services in its own
right. See further definition at https://simple.wikipedia.org/wiki/Legal_entity.
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The flexibility of this classification system allows users to define the number of surveys to be completed
within a county by creating FSP Profiles. For the fiscal year selected, one survey will be completed for
each FSP Profile defined here. An FSP Profile represents one or more FSP programs which perform
similar services for FSP clients. An FSP Profile may be associated with one or more Providers as shown in
Figure 7.1.1. (Note: A Provider is a legal entity which provides FSP services and can be either county-
operated or operated by a contracted provider.) However, an FSP Profile must be assigned to only one
of the FSP DCR Programs defined within the FSP DCR maintained by the DHCS.
Figure 7.1.1 – Diagram of FSP Profiles
In the example above, the Sample County has two FSP Profiles defined (named FSP Profile 1 and FSP
Profile 2). Both FSP Profiles are associated with the same FSP DCR Adult Program. FSP Profile 1 is
associated with 3 providers operating similar FSPs: Provider A, Provider B and Provider C. These
providers may be either county-operated or operated by a contractor. FSP Profile 2 is associated with a
single provider, Provider A.
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7.2 Organizational Hierarchy for the Portal Website
The organizational hierarchy describes the relationship between organizations represented within the
Statewide FSP Classification System which include the State, counties and providers. As shown in Figure
7.2.1 and Figure 7.2.2, the State has the greatest level of authorization. The State is able to authorize
county representatives to make changes to county programs for their county only. Counties are able to
authorize provider representatives for only those programs they directly oversee or have been
authorized to alter. The organizational hierarchy controls allow for the limitation of read/write or
change access to only those counties/programs they directly oversee or have been authorized to alter.
The organizational hierarchy applies only to the Portal Website portion of the FSP Classification System.
For the Public Website, all users can see all FSP Profile information submitted statewide.
Figure 7.2.1 – Organizational Hierarchy Diagram
State
Counties
Providers
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Figure 7.2.2 – Organizational Hierarchy Use Case Diagram
The organizational hierarchy levels are further defined below.
Table 7.2.3 - Organizational Hierarchy Diagram Description
ACCESS Organization Description
Portal Website State The State agency, specifically the Mental Health Services
Oversight and Accountability Commission (MHSOAC), responsible
for the oversight of the implementation Assembly Bill (AB) 34 and
AB 2034 programs and the broader Community Services and
Supports (CSS) component of the Mental Health Services Act
(MHSA or The Act). This organization has authority to access and
administer all data within the system.
Portal Website County One of the 59 County Mental Health Plans. This organization has
authority to access and administer data for only the county(s) to
which they are authorized.
Portal Website Provider A member of a county or contracted legal entity provider that is
responsible for overseeing one or more FSP programs defined at
one or more counties.
Public Website Everyone All users accessing the Online FSP Classification System.
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Data Pre-Population
In order to make the process of adding data to the system as easy as possible for system users and
ensure that data elements are valid and appropriate, the FSP Classification System will be pre-populated
with the County Names, FSP DCR Provider Names, and CSI Providers.
County Names
The names of the County/City/Mental Health Plans (hereafter “Counties”) as defined in the CSI Data
Dictionary Element H-01.1 will be pre-populated within the database and available for selection in drop
down menus for user selection.
FSP DCR Provider Names
The list of existing FSP DCR Provider Names from the FSP DCR system will be pre-populated within the
database and the system will only allow existing FSP DCR Provider Names to be assigned to the
appropriate county.
7.3 User Role for the Public Website
For the Public Website, all users are able to access all information and functionality
1. Public User – These unauthenticated public users of the website, which could be anyone with
access to the internet, have the ability to search and identify FSPs via the
categories/characteristics/factors, and compare FSPs throughout the State based on those
categories/characteristics/factors.
7.4 User Role Hierarchy for the Portal Website
For the Portal Website, there are two hierarchy roles which include the Authenticated User and the
Authenticated System Administrator. These roles control the level of functionality a user has access to.
The abbreviations for these roles for the purpose of this document are listed below.
1. Authenticated User – These users, affiliated with county and/or program providers, have the
ability to complete the FSP Classification System Survey for only those FSP Profiles they directly
oversee or have been authorized to alter.
2. Authenticated Administrator – These users, affiliated with the county, have all capabilities of an
Authenticated User with the additional abilities to define FSP Profiles and add new
Authenticated Users/Administrators for only those FSP Profiles for their county.
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7.5 Effective Permissions
For the Public Website, all users are Public Users and do not require a user account to access the
website.
For the Portal Website, the effective permissions of a user are a combination of the Organizational
Hierarchy and the User Role Hierarchy; public users will not have access to the Portal Website. The
Organizational Hierarchy determines the scope of user access and determines the scope of authorized
access. The User Role Hierarchy determines the level of permission such as the ability to view and
modify FSP Profiles visible through the defined Organizational Hierarchy as an Authenticated User or
perform additional administrative tasks (such as Manage User Accounts) as an Authenticated
Administrator.
 List of Effective Permissions by User Role and Organization Hierarchies
- Provider – Provider users are able to view and modify existing FSP Profiles to which they have
been authorized and are not able to perform any administrator functions.
- County – County users are able to view, modify and create FSP Profiles for the entire county.
County Authenticated Administrators can additionally approve users and assign permission to
Provider users.
- State – State users are able to view, modify and create FSP Profiles for the entire State. State
Administrators can additionally approve users, create new FSP Profiles, and assign permission to
County and Provider users.
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As shown in Figure 7.5.1, an example of the effective permissions of a State, County, Provider and Public
user are shown to highlight the ability of Public users to view data, Providers having the additional
ability to modify data, and County and State users having the ability to add new FSP Profiles.
Figure 7.5.1 – Effective Permissions Use Case Example Diagram
7.6 Website and Database Administrator
The Website and Database Administrator is the role of the person(s) responsible for overseeing the FSP
Classification System websites and related databases. Website and Database Administrators have full
permission to the computing environment, source code and data.
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7.7 Program Categories, Components and Elements Hierarchy
The FSP Classification System classifies FSP Profiles based on their program elements. Within each
category, the classification system identifies groups of program elements organized into program
components as described below. Figure 7.7.1 displays the hierarchy between the program categories,
components and elements.
 List of Category, Component and Element Hierarchy
- Category - This is the highest level which groups all components and elements into the five
identified categories of Assets, Targets, Inflow, Activities and Goals.
- Component - This level groups together similar program elements. This level will help
organize similarly worded questions within the final classification system survey. It is
intended that elements within the same component could be grouped together into
question blocks.
- Element - This is the most detailed level used to describe programs within the classification
system. Within the classification system, programs can identify if elements exist in the
program and to what degree the element exists, along with other relevant characteristics
about the element.
Figure 7.7.1 – Program Categories, Components and Elements Hierarchy
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8.0 Description of Public Website
This section of the website allows stakeholders to browse, search, compare and generate reports on
data collected through the FSP Classification System. The Public Website is intended to be used by any
user in order to access FSP Profile information which was previously submitted by users via the Portal
Website. The Portal Website is described in Section 9.0 of this document.
Note: All Mock-Up Images are for the purposes of visualizing functionality and do not reflect the look and
feel of the FSP Classification System once implemented.
8.1 Public Website Map
The Public Website consists of two menu elements and 11 subpages. As shown in Figure 8.1.1, the menu
elements will be accessible from all webpages in the Public Website. These menus allow for the
navigation of the Public Website. Each of these menu elements and subpages are further defined in this
section.
Figure 8.1.1 – Public Website
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8.2 Public Website Use Case
In the following use case in Figure 8.2.1, we follow a public user accessing the Public Website portion of
the FSP Classification System Website. The Public user could be any member of the public including
consumers, family members, provider/county/State staff, or any other interested party wishing to know
more about the various FSP Programs provided in California.
 Steps of the Public Website Use Case
1. The Public user accesses the FSP Classification Website
2. The user is unfamiliar with how to use the FSP Classification Website so the user utilizes the
Public Left Menu to access the Help and Resources Page and are able to access instructions
contained within the User Manual.
3. The Public User selects the Browse FSP Profiles link from the Public Left Menu and is directed to
the Browse FSP Profiles Form.
4. From the Browse FSP Profiles Form, the Public User is able to view all FSP Profiles for all
counties. The user clicks on one of the FSP Profiles and is able to view the FSP Classification
Survey responses for that FSP Profile in the View FSP Profile Report page.
5. Using the Public Left Menu to navigate to the Statewide and County Reports Form, the user is
then able to generate a Statewide report for the most recent fiscal year in which the survey was
completed.
Figure 8.2.1 – Public Website Use Case
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8.3 Public Left Menu
The Public Left Menu is visible from all webpages within the Public Website pages of the FSP
Classification System Website, as shown in Figure 8.3.1. These menu items allow for the navigation
within the Public Website. Clicking on any of these links will allow users to navigate through the FSP
Classification System Website application. Each of these links is further defined in this section. The
available menu items can be extended to support additional links to functionality or pages.
Figure 8.3.1 – Public Left Menu Mock-Up
Submission Portal for FSP Staff Link
From within the Public Left menu, the Submission Portal for FSP Staff link directs users to the Sign-In
Form for the Portal Website, which is limited in access to authorized users only. Please see the Portal
Website for additional information on the design of the data submission portal and workflow.
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8.4 Public Welcome Form
The Public Welcome form is the default webpage seen when users first access the FSP Classification
System website. As shown in Figure 8.4.1, pages within the Public Website contain the Public Left Menu.
The purpose of this page is to provide static elements such as text, hyperlinks, images, or other content
which provide information regarding the FSP Classification System and highlight other relevant content
regarding FSPs or other community-based mental health topics. The exact content of this page will be
determined in the next phase of this project.
In this example, static text is presented alongside artwork submitted by FSP clients.
Figure 8.4.1 – Welcome (Public) Mock-Up
Note: The sample content provided in this screenshot is for discussion purposes only and does not reflect
actual content that will be visible on the FSP Classification System website.
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8.5 Browse FSP Profiles Form
Selecting the Browse FSP Profiles link from the Public Left Menu allows users to view individual survey
responses. Users are able to browse through the available FSP Profiles by County, FSP Profile Name, and
Fiscal Year of the survey, as shown in Figure 8.5.1. Users can click on an FSP Profile name to view the FSP
Profile for the most recent year that the survey was completed or expand the tree view and select a
fiscal year to view the FSP Profile for that fiscal year. After selecting a profile to view, the user will be
directed to the View FSP Profile Report page for the selected FSP Profile.
Figure 8.5.1 – Browse FSP Profiles Form Mock-Up
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8.6 View FSP Profile Report
After selecting an FSP Profile to view from the Browse FSP Profiles Form, the user is able to view all data
contained within the FSP Profile, as shown in Figure 8.6.1. The top section of the report details the
profile definition including the fiscal year of the survey, Profile Name, the FSP DCR Program Name and
the provider(s) assigned in the FSP Profile. The report lists each Category, Component, and Element
reported for the FSP Profile. By default, only elements reported for the FSP Profile are shown. By clicking
the Show All Elements checkbox, the list will be expanded to show all possible elements. An “X”
indicates that the element was reported for the selected FSP Profile.
Figure 8.6.1 – View FSP Profile Screen Mock-Up
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8.7 Statewide and County Reports Form
Selecting FSP Classification System Reports link allows users to generate summary reports at either a
Statewide- or County-level by Fiscal Year. Statewide-level reports provide aggregated data for all FSP
Profiles across the state of California. County-level reports provide aggregated data for each county.
These summary reports allow users to analyze FSP Profile elements distribution and compare groups of
programs across counties and the State.
As shown in Figure 8.7.1, after selecting the reporting criteria, the user is able to generate the report
using the Generate Report button. These reports dynamically aggregate data for the selected reporting
group by FSP Classification System element and generate an exportable report. As shown in 8.7.2, data
for each data element is aggregated and presented visually in a report. For a more detailed prototype,
please see Appendix 1.
The FSP Classification System results are representative of a sampling of FSP program elements which
were identified through stakeholder input as differentiating, impactful, collectable with minimal burden,
reliable, and had a low risk of unintended consequences or misuse. These results are not intended to
fully capture all county and provider monitoring, quality improvement, or quality assurance efforts.
Results are intended to provide stakeholders (such as State, county, provider, advocacy groups and
organizations, clients, consumers, family members, community members, evaluators and researchers)
with more detailed information regarding the FSP Program elements implemented in FSP programs
across the State of California.
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Figure 8.7.1 – FSP Classification System Reports Form Mock-Up
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Figure 8.7.2 – Example Element Aggregation Mock-Up
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8.8 Basic FSP Search Form
Users are able to access the Basic FSP Search form by clicking on the Basic FSP Search button from the
Public Left Menu. Selecting Basic FSP Search allows users to search through FSP Profiles using
Keywords(s), Fiscal Year of survey, Age Group(s) served, and by the presence of a selected FSP Survey
Element, as shown in Figure 8.8.1. For more information on FSP Survey Elements, see the Program
Categories, Components, and Elements Hierarchy section of this document. The Category and
Component fields serve to filter the Element field. If a Category or Component is selected as search
criteria but no element is selected, users will receive a pop-up message indicating that an Element must
be selected if a Category or Component is selected. Only FSP Profiles with all matching search criteria
will be returned when the resulting Search Results Form is displayed.
Figure 8.8.1 – Basic Search Form Mock-Up
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8.9 Search Results Form
The Basic Search Results form returns the results of the search conducted in the Basic FSP Search form
or Advanced FSP Search form. As shown in Figure 8.9.1, the matching results are returned by County,
FSP Profile name, and Fiscal Year. In this example, the County branch will be expanded by default but
the user may click on the selected FSP Profile to expand the list of available FSP Classification System
surveys by Fiscal Year. If a user does not expand the tree view and instead clicks on a FSP Profile (ex.
Apple County/Child FSP Program), the most recent survey for the FSP Program will be displayed.
Figure 8.9.1 – Basic Search Results Form Mock-Up
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8.10 Advanced FSP Search Form
The Advanced FSP Search form, available by selecting the Advanced FSP Search link from the Public Left
Menu, allows users to conduct an advanced search for FSP Profiles that share multiple common FSP
Profile elements. Users can search for a combination of elements. The Keywords(s) textbox, Category
dropdown menu and Component dropdown menu allow for the filtering of visible elements in the
Available Elements list.
As shown in Figure 8.10.1, a user used the FSP Classification System Filter Criteria for Available Elements
to filter the list of Available Elements to only those elements which contained the keywords “Staff
Qualifications” in either the Category, Component or Element name. From the remaining filtered list of
Available Elements, the user selected three of the elements and selected the Add Criteria button which
populated the selected entries into the Selected Elements section. By selecting multiple criteria, only
FSP Profiles with all matching criteria will be shown. For instance, if an advanced search is conducted for
FSP Profiles which reported having both psychiatrists and psychiatric nurses on staff, only FSP Profiles
that reported having both would be returned by the search results.
Figure 8.10.1 – Advanced FSP Search Form Mock-Up
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8.11 Compare FSP Profiles Form
The Compare FSP Profiles form, available by selecting the Compare FSP Profiles button from the Public
Left Menu, allows users to generate a report which directly compares the elements of two FSP Profiles.
Users must select two FSP Profiles to compare. As shown in Figure 8.11.1, users must select the Fiscal
Year, County, and FSP Profile for comparison. The FSP Classification System will present a side by side
comparison of FSP Profile elements. After selecting the Compare button, users will be presented with
the comparison report. A mock-up of the FSP Profile Comparison report is included in Appendix 2.
Figure 8.11.1 – Compare FSP Profiles Form Mock-Up
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8.12 FSP Profile Comparison Report
The FSP Profile Comparison report provides the side-by-side comparison of two different FSP Profiles
which were selected on the Compare FSP Profiles Form. As shown in Figure 8.12.1, the top section of the
report details the profile definition including the fiscal year of the surveys being compared, Profile
Name, the FSP DCR Program Name to which the FSP Profile belongs, and the providers included in the
FSP Profile. The report lists each Category, Component, and Element reported for each FSP Profile. A
full-length example of the FSP Profile Comparison Report is included in Appendix 2.
Figure 8.12.1 – FSP Profile Comparison Report Mock-
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8.13 Help and Resources Page
The Help and Resources Page provides static content related to the publicly available sections of the FSP
Classification System website including links to documentation (such as the user manual, training videos,
troubleshooting guides and other relevant documentation), external links to other resources, and
information for contacting support for issues with the usage of the FSP Classification System website, as
shown in Figure 8.13.1. The content shown below is for demonstration purposes only; the technical
support, documentation, and external link information will be identified and/or created in the next
phase of the project.
Figure 8.13.1 – Help and Resources Page Mock-Up
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8.14 Frequently Asked Questions Page
The Frequently Asked Questions page will contain static content which will be developed as users have
questions regarding the system use and questions are encountered during and after the
operationalization of the website, as shown in Figure 8.14.1. The webpage will be updated by website
support staff on an ongoing basis; the layout and organization of this page will be customized based on
the content identified for inclusion in the Frequently Asked Questions (FAQ) section of this website. The
questions and answers provided in this figure are for demonstration purposes only and do not reflect
the exact content of the FSP Classification System FAQ page.
Figure 8.14.1 – Frequently Asked Questions Page Mock-Up
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8.15 Submission Portal for FSP Staff Link
The Submission Portal for FSP Staff link provides the ability for staff who will be submitting FSP Profile
information to the FSP Classification System to access the Sign-In Form for the Portal Website, which is
limited in access to authorized users only, as shown in Figure 8.15.1.
Figure 8.15.1 – Public Left Menu Mock-Up
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9.0 Description of Portal Website
The Portal Website is the section of the FSP Classification System website which allows authenticated
users to log in, perform administrative tasks related to workflow tasks of the FSP Classification System,
and manage FSP Profile information.
Note: All Mock-Up Images are for the purposes of visualizing functionality and do not reflect the look and
feel of the FSP Classification System once implemented.
9.1 Portal Website Map
The Portal Website consists of two menu elements and 18 subpages. In Figure 9.1.1, the menu elements
will be accessible from all webpages in the Portal Website. These menus allow for the navigation of the
Portal Website. Each of these menu elements and subpages are further defined in this section.
Figure 9.1.1 – Portal Website Map
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9.2 Portal Website Use Cases
The Portal Website is designed to be used by a variety of users from Provider, County and State
organizations with Authenticated User and Authenticated Administrator roles. The following use cases
highlight the interaction of these user types with the Portal Website.
Provider User Registration Use Case
The following use case describes how a new Provider user would obtain a user account to be able to use
the FSP Classification System Portal Website.
1. The Provider user visits the Public Website.
2. The Provider user uses the Public Left Menu to select the Submission Portal for FSP Staff Link.
3. The user selects to Register Function from the Sign In Form.
4. The user completes the requested information on the Register Form and submits the request
for access to the Portal Website.
5. An email is generated and sent to all Authenticated Administrators with permission to the
county for which the Provider user has requested access to.
6. An Authenticated Administrator receives the email or identifies an outstanding user account
request via the Portal Notifications Function.
7. The Authenticated Administrator logs into the Portal Website (if not already logged in) and from
the Portal Welcome Form navigates to the Approve User Accounts Form.
8. Using the Approve Function for the Provider user’s account, the Authenticated Administrator is
directed to the Manage a User Account Form to assign permissions to the account.
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Figure 9.2.1 – Provider User Registration Use Case
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Manage FSP Profiles and Surveys Use Case
The FSP Classification System is designed to accommodate a variety of users including State, County and
Provider users which have varying roles within the system. The Manage FSP Profiles and Surveys Use
Case details how a Provider user is able to access the Manage FSP Profile Surveys Form and Survey Form
to which they have access. County users are able to perform these functions also and additionally can
access the Manage FSP Profiles Form and Add New FSP Profile Form allowing the County users to add
new FSP Profiles. As a result, Provider users are not able to add new FSP Profiles but may complete
surveys for FSP Profiles to which they have been given access.
Figure 9.2.2 – Manage FSP Profiles and Surveys Use Case
9.3 Audit Logging
A record of interactions with system data will be logged for the purposes of audit tracking. Any
modification that arises as a result of the interaction of the user with the Portal Website forms will log
the user who made the modification, the date and time of the interaction and in cases of FSP Profile
information and User records, a copy of the original data will be maintained so that changes can be
traced. All tracking will be done for inspection purposes only and a rollback will only be possible through
manual intervention by the FSP Classification System database administrators.
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9.4 Portal Left Menu
The Portal Left Menu is visible from all webpages within the Portal Website pages of the FSP
Classification System Website. These menu items allow for the navigation within the Portal Website.
Clicking on any of these links will allow users to navigate through the FSP Classification System Website
application. Each of these links are further defined in this section. The available menu items can be
extended to support additional links to functionality or pages. As shown in Figures 9.4.1, 9.4.2 and 9.4.3,
only links to which the user has access to will be displayed.
As shown in Figure 9.4.1, Authenticated Provider users will only be able to view links to forms which
they are authorized to access, which include the Portal Help and Resources, Manage FSP Surveys and
Frequently Asked Questions (FAQ) links.
Figure 9.4.1 – Portal Left Menu for Authenticated Provider User Mock-Up
As shown in Figure 9.4.2, Authenticated County users will be able to view all links that Authenticated
Provider users can with additional access to the Manage FSP Profiles link.
Figure 9.4.2 – Portal Left Menu for Authenticated County User Mock-Up
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As shown in Figure 9.4.3, County and State Authenticated Administrators will be able to view all links
that Authenticated County users can with additional access to Manage User Accounts and Approve User
Accounts links.
Figure 9.4.3 – Portal Left Menu for Authenticated Administrator Mock-Up
9.5 Portal Top Menu
The Portal Top Menu is visible from all webpages within the Portal Website pages of the FSP
Classification System Website after a user has successfully logged in. It consists of a link to the My
Account Form and a Sign Out function, as shown in Figure 9.5.1.
Figure 9.5.1 – Portal Top Menu
Sign Out Function
The Sign Out button allows users to log off of the FSP Classification System Portal Website. After signing
out, the user is directed to the Public Website.
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9.6 Sign-In Form
When a user selects the Submission Portal for FSP Staff link from the Public Website, the user is directed
to the Sign-In form. This form allows the user to utilize the functionality of Sign-In, Cancel, ‘Forgot your
password’, and Register, as shown in Figure 9.6.1.
Figure 9.6.1 – Sign-in Form Mock-Up
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Sign-In Function
If the user has an account, the user is able to enter their email address and password and use the sign-in
button to continue to access the available functionality within the Portal Website. If the credentials are
not valid, the user will receive an error informing them of the type of error (such as an incorrect
username or password). Upon ten (10) unsuccessful, sequential login attempts, the user account will be
locked for 30 minutes.
Forms-Based Authentication
Upon successfully signing in to the Portal Website, a user session will be established using forms-based
application authentication and stored in the ASP.NET Session State.
Cancel Function
If the user selects the Cancel button, the user will be returned to the Public Website.
Forgot Your Password Function
If the user selects the ‘Forgot your password?’ link, the user will be directed to the Password Reset
Request form.
Register Function
If the user selects the Register button, the user will be directed to the Register Form.
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9.7 Password Reset Request Form
If the user selects the “Forgot your password” link from the Sign-In Form, the user will be able to
request a password reset. An email will be sent from the FSP Classification System to their email
address. As shown in Figure 9.7.1, the user is able to enter their email address and can utilize the Reset
Password Function. If the user enters an email address that does not match any users in the system, the
user will be notified that the email address entered is not valid.
Figure 9.7.1 – Password Reset Form Mock-Up
Reset Password Function
The FSP Classification System will employ an emailer daemon which will be responsible for sending
emails generated from within the application. By utilizing the Reset Password button, an email will be
generated by the Reset Password function will include a one-time link for the user, allowing only the
recipient to access the Password Reset Form.
Cancel Function
Utilizing the Cancel Function will direct the user back to the Sign-In form.
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9.8 Password Reset Form
The Password Reset Form is accessed by the user following a link received in their email after utilizing
the Reset Password Function of the Password Reset Request Form. As shown in Figure 9.8.1, the form
allows users to enter a new password, re-enter the password for verification purposes and access the
Submit Function and Cancel Function.
Note: The password can also be reset by an Authenticated Administrator using the Manage User
Accounts Form.
Figure 9.8.1 – Password Reset Form Mock-Up
Submit Function
By utilizing the Submit Function, the FSP Classification system will confirm that the password meets
complexity requirements and that the passwords match. If the passwords match, the password will be
updated in the database and the user will be redirected to the Sign-In Form.
Cancel Function
By utilizing the Cancel Function, the user will be directed back to the Public Website.
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9.9 Register Form
Selecting the Register button on the Sign-in Form directs the user to the Register form. The Register
Form allows a new user who does not presently have an account to request access to the FSP
Classification System. As shown in Figure 9.9.1, the text on this page informs the user that only staff
members of the State, County or Providers who are authorized to administer FSP Profiles are approved
to use the FSP Classification System Portal Website. It clarifies that those members of the public or other
stakeholders who are not directly involved in the submission and administration of the FSP Profile
information do not require an account to access the FSP Classification System Public Website.
Users must enter their First Name, Last Name, Email Address, Phone Number, Password, Re-entered
Password, County, Organization Name, Organization Type, and any additional notes of information that
may assist the county or State representative in approving the request.
Figure 9.9.1 – Register Form Mock-Up
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Submit Function
By utilizing the Submit Function, the FSP Classification System will validate that all required fields are
completed, all fields adhere to validation rules, and that the Email Address is not already in use. If all
fields are valid, the FSP Classification System will send an email to the registrant informing them that
their account has been submitted and is pending approval. An email will also be generated and sent to
the County and/or State administrators.
Cancel Function
Utilizing the Cancel Function will direct the user back to the Sign-In form.
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9.10 Portal Welcome Form
After logging into the Portal Website, users are directed to the Portal Welcome Form. This page consists
of the Portal Left Menu, Portal Top Menu, the Notifications Function, and a Welcome Page as shown in
Figure 9.10.1. The welcome page will contain static content including text and hyperlinks which provide
relevant information and resources regarding the use of the FSP Classification System as determined in
the next phase of the project.
Figure 9.10.1 – Portal Welcome Form Mock-Up
Portal Notifications Function
The system will track notifications for users. These will appear at the top of the Portal Welcome Form.
These will include messages such as “You have two new user account requests pending. Click here to
view them.” The messages will be hyperlinks which, when clicked on, direct the user to the appropriate
form within the FSP Classification System to respond to the request. In this example, the user would be
redirected to the Approve User Accounts screen. The Portal Notifications Function will be able to handle
a variety of message types and links to appropriate forms. The Portal Notification Function and email
notifications work in tandem to inform users of Portal Website workflow events.
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9.11 Portal Help and Resources
The Portal Help and Resources Page provides static content related to the Portal Website sections of the
FSP Classification System website including links to documentation (such as the user manual, training
videos, troubleshooting guides and other relevant documentation), external links to other resources,
and information for contacting support for issues with the usage of the FSP Classification System
website, as shown in Figure 9.11.1. The content shown below is for demonstration purposes only; the
technical support, documentation, and external link information will be identified and/or created in the
next phase of project.
Figure 9.11.1 – Portal Help and Resources
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9.12 My Account Form
The My Account Form allows users to view and modify some of their personal account information
including their First Name, Last Name, Email Address, Phone Number, Password, and Organization
Name. Users are not able to modify their County, Organization Type, or Authorized FSP Profiles. As
shown in Figure 9.12.1, users are able to update the modifiable fields related to their personal account.
Figure 9.12.1 – My Account Form Mock-Up
Save Function
By utilizing the Save Function, the FSP Classification System will validate that fields are completed and
that all fields adhere to validation rules. If there are any validation errors, such as an invalid email
address, missing name field, or a password that is mismatching or does not meet complexity
requirements, a warning will be displayed. If the updated information meets all validation requirements,
the changes to the record will be saved.
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9.13 Manage FSP Profiles Form
The Manage FSP Profiles Form allows users to select from the existing list of available FSP Profiles that
the user is authorized to access. For example, as shown in Figure 9.13.1, a Provider user may see the FSP
Profiles which they are authorized to access and may have access to FSP Profiles in more than one
county. A County user will have access to all FSP Profiles for the county to which they have permission. A
State user will have access to all FSP Profiles for all counties.
The Add New FSP Profile button will only be visible to County and State users. Provider users are not
authorized to add new FSP Profiles for a county and as a result the button will not be displayed.
Figure 9.13.1 – Manage FSP Profiles Form
Select FSP Profile Function
From the list of FSP Profiles, users can select an FSP Profile to view or modify. To select an FSP Profile,
the user will click on any of the visible FSP Profiles (e.g. Apple County/Child FSP Program in Figure
9.13.1) and then they will be directed to the Add or Modify an FSP Profile Form to allow for the
modification of that existing FSP Profile.
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9.14 Add New FSP Profile
The Add New FSP Profile Form allows County and State users to add an FSP Profile. This multipart form
provides instructions and the ability to add FSP Profiles to the FSP Classification System.
Add New FSP Profile Instructions Form
The Add New FSP Profile Instructions Form provides instructions for adding FSP Profiles to the FSP
Classification System, as shown in Figure 9.14.1. The user is given the option to select “Do not show this
message again” to skip this step in the future. The user is able to click “OK” to continue to the next
screen of this form.
Figure 9.14.1 – Add New FSP Profile Instructions Form Mock-Up
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Add or Modify an FSP Profile Form
As shown in Figure 9.14.2, the user is able to select the County to which the profile will belong, enter an
FSP Profile Name, select the FSP DCR Program Name to which the FSP Profile belongs, and define the
FSP Profile’s provider(s).
The FSP DCR Program Name will ideally be pre-populated with values for each county, allowing the
selection of only FSP DCR programs which exist in the statewide data collection system for each county.
Figure 9.14.2 – Add or Modify an FSP Profile Form Mock-Up
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Add Providers Sub-Form
After selecting the Add Providers button, the Add Providers form becomes available and allows for the
selection of the providers which provide services for the selected FSP Profile, as shown in Figure 9.14.3.
Ideally, this list would be pre-populated with data obtained from the statewide data collection system or
the provider file to ensure that only valid providers are available in the list of selectable providers.
The user is able to select from the list of All Providers that provide services to the county. This list can be
filtered using the Filter by Provider Name tool. Users can enter either a Provider Number or part of a
Provider Name and the list on the left side of the form will be filtered to only providers matching the
entered criteria. Users can select one or more providers from the left side of the screen and select the
Add >> button. As a provider is selected, the selected provider no longer appears on the left side of the
screen and is populated to the right side. Providers can be removed by selecting a provider on the right
side and utilizing the << Remove button move it back to the left. After the desired providers have been
selected, users can select the OK button. By utilizing the OK button, the providers will be populated in
the Add or Modify FSP Profile Form as shown in Figure 9.14.4.
Figure 9.14.3 – Add Providers Sub-form Mock-Up
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Figure 9.14.4 – Add/Modify an FSP Profile Form w/ Selected Providers Populated Mock-Up
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9.15 Manage FSP Profile Surveys Form
The Manage FSP Profile Surveys form allows users to add or modify FSP Profile Surveys. As shown in
Figure 9.15.1, the existing FSP Profile Surveys are shown in a collapsible tree view by County, FSP Profile
name, and Fiscal Year. The County and FSP Profiles branches will be expanded by default but the Fiscal
Year will be unexpanded by default (as shown for Child FSP Program in this Figure 9.15.1). An
“Expand/Collapse All” button could be added to this tree view.
By clicking on a Fiscal Year for a selected FSP Profile of a specified County, the user will be directed to
the Survey Form and the FSP Profile Survey will be opened for viewing and modification.
Figure 9.15.1 – Manage FSP Profile Surveys Form Mock-Up
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Add New Survey Function
The Add FSP Profile Sub-Form allows users to add a new FSP Profile Survey for an existing FSP Profile for
a Fiscal Year, as shown in Figure 9.15.1. Users may create only one FSP Profile Survey per fiscal year. If a
user attempts to create a survey for a Fiscal Year for which a survey already exists, the user will be
notified with an error message. The FSP Classification System will add the new survey and direct the
user to the Survey Form for the newly created survey.
Figure 9.15.1 – Add New FSP Profile Survey Sub-Form Mock-Up
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9.16 Survey Form
The Survey Form is arrived at by selecting a survey from the Manage FSP Profile Surveys Form and
allows Provider, County and State users to add or modify a FSP Classification System survey. The survey
is organized by Category, Component, Element and Element Details. For further details of these
elements, please see the Program Categories, Components and Elements Hierarchy section of this
document.
Using the available menu, users can navigate to a particular Category/Component or use the Next and
Previous buttons to navigate through the survey. Each Component will have a form for data entry and
modification, as shown in Figure 9.16.1. It will consist of a single question (as defined in Appendix 3) and
a number of Elements which are identified as either being present, not present or not applicable for the
Component. In this way, data for all Elements within a Component can be collected on a single screen.
Figure 9.16.1 – Survey Form Mock-Up
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Element Details
For every Element, additional Element Details can be defined within the survey. These Element Details
can be used to ask more specific questions about an Element that is present. Element Details are follow-
up questions and are only asked or displayed if the FSP Profile indicates the presence of that element; if
the element is not identified as present, a skip pattern will not ask for the user to complete Element
Details questions. As shown in Figure 9.16.2, follow-up questions are asked regarding elements that
were identified as present in the Survey Form.
Figure 9.16.2 – Element Details Mock-up
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9.17 Manage User Accounts Form
Accessible by using the Manage User Accounts from the Portal Left Menu, the Manage User Accounts
allows Authenticated Administrators the ability select from a list of users which they are authorized to
manage and to modify those accounts using the Manage User Account Form as shown in Figure 9.17.1.
Figure 9.17.1 – Manage User Accounts Form Mock-Up
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9.18 Manage A User Account Form
Accessible by selecting a user account from the Manage User Accounts Form, the Manage User Account
form allows users with the Authenticated Administrator role to modify user accounts which they are
authorized to manage. A County Authenticated Administrator will have the ability to manage all user
accounts associated with their assigned county. A State Authenticated Administrator will have the ability
to manage all users assigned to all counties.
As shown in Figure 9.18.1, Authenticated Administrators can modify any of the user account fields (such
as First Name, Last Name, Email Address, and Phone Number), assign permissions (including the User
Role and Organization), add or remove authorized FSP Profiles which the user has access to for Provider
users, and control whether the user account is active or locked.
Figure 9.18.1 – Manage A User Account Form Mock-Up
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2/25/2016
9.19 Approve User Accounts Form
The Approve User Account Form allows Authenticated Administrators to approve user accounts for
users who have requested access using the Register Form for counties for which they are an Authorized
Administrator. As shown in Figure 9.19.1, the user is able to see the pending requests and may select to
approve or select to deny the request.
Approve Function
If the Authenticated Administrator approves the request, they will be directed to the Manage User
Account Form to allow the administrator to configure the permissions of the user.
Deny Function
If the Authenticated Administrator denies the request, an email will be sent to the user informing them
that their account was not approved.
Figure 9.19.1 – Approve User Account Mock-Up
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2/25/2016
9.20 Audit Reports
A record of interactions with system data will be logged for the purposes of audit tracking. Any
modification that arises as a result of the interaction of the user with the Portal Website forms will log
the user who made the modification and the date and time of the interaction.
The FSP Classification System contains an audit table that shall track dates in which program information
was altered and who made the changes to the information. The audit table will be stored in the
database which will support querying via SQL Server to investigate changes made and the ability to
export the table to Excel for analysis. A series of pre-designed queries for audit reports will be made
available to the website administrator. These Audit Reports will not be available through the FSP
Classification System Website to ensure the security of usernames within the system. They will be saved
as stored procedures in the Microsoft SQL database and accessed via the SQL Server Management
Studio by a Website and Database Administrator.
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2/25/2016
10.0 Additional Suggestions
This section describes options for various application features, and a prioritized set of requirements.
10.1 Multi-Phase Implementation
In order to minimize the amount of effort required by county and provider staff, the number of
questions of the FSP Classification System survey could be reduced to allow for less data elements to be
collected during the first fiscal year. This could be done within the current project scope.
10.2 Expansion of the FSP Element Details to Collect Additional Information
Additional Elements and Element Details could be collected. This would require additional rounds of
stakeholder feedback and would be beyond the scope of the current project. A project scope would
need to be defined prior to providing an estimate of effort.
10.3 Interactive Map of California
An interactive map could be made to represent Counties and Providers across the State of California.
This would require additional rounds of stakeholder feedback and would be beyond the scope of the
current project. A project scope would need to be defined prior to providing an estimate of effort.
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2/25/2016
Appendix 1 - FSP Classification System Statewide Report Mock-Up
Page 67

FSP CLASSIFICATION
STATEWIDE REPORT EXAMPLE
Summary at the Component Level
MHData.org
Note: All Mock-Up Images are for the purposes of visualizing functionality and do not reflect the
look and feel of the FSP Classification System once implemented.
Page 68

FSP Profile Information: Service Providers & Area
Provider Type(s): In FY-2015/2016, 64% of FSPs
were county-operated, 25% were operated by a
contracted provider, and 11% were operated by
both the county and a contracted provider.
Service Area: In FY-2015/2016, 72% of FSPs served
the entire county and 28% served a subsection of
the county.
Service Area Type(s): In FY-2015/2016, 35% of FSPs Statewide/in Example County provided services to
populations living in urban areas, 38% provided services to populations living in suburban areas, and 27% provided
services to populations living in rural areas.
1
“The U.S. Census Bureau defines an urban area as being 50,000 or
more people, and rural as encompassing all population, housing, and territory not included within an urban area.”
2
1
A single FSP may provide services in multiple area types.
2
http://www.hrsa.gov/ruralhealth/policy/definition_of_rural.html
County-
Operated
64%
Contracte
d Provider
25%
Both
11%
Entire
County
72%
Subsectio
n of
County
28%
35%
38%
27%
0%
10%
20%
30%
40%
Urban Suburban Rural
Page 69

FSP Profile Information: Clients Served
Targeted Slots: In FY-2015/2016, there were 25,000 combined targeted slots available for Example
County/Statewide. This includes the total number of slots for all FSPs Statewide/within the county.
Slots are the number of FSP clients who could be served on any one day. In other words,
this is the capacity of the FSP. FSPs often target serving a specific number of clients at
one time, but not all slots may be filled at a given time due to inflow and outflow of
clients for the program. Therefore, the number of targeted slots is the maximum number
of clients an FSP could serve on a given day
Targeted Age Range: In FY-2015/2016, FSPs Statewide/within the county targeted ages 0-100.
FSP Age Group (s): In FY-2015/2016, 60% of FSPs provided services to children (0-15) and their families, 40%
provided services to transition age youth (TAY, 16-25), 40% provided services to Adults (26-59), and 25% provided
services to Older Adults (60+).
3
3
A single FSP may provide services to multiple age groups.
60%
30%
50%
40%
0%
20%
40%
60%
80%
Children and Families TAY Adults Older Adults
Page 70

FSP Profile Information: Funding
MHSA-Funded Budget: In FY-2015/2016, 60% of the total MHSA-funded operating budget for FSPs
statewide/for this county was allocated for Non-Mental Health Services & Supports, not including housing, and
including but not limited to: food, clothing, cost of health care treatment, or the cost of treatment of co-occurring
conditions, such as substance abuse, and respite care. In FY-2015/2016, 30% of the total MHSA-funded operating
budget for FSPs statewide/for this county was allocated for Housing, which includes but is not limited to: rent
subsidies, housing vouchers, house payments, residence in a drug/alcohol rehabilitation program, and transitional
and temporary housing. 50% was allocated for Outreach or Engagement, for the purpose of identifying unserved
individuals who meet the criteria for the FSP
4
.
Non-MHSA Funding: Excluding MHSA funding, in FY-2015/2016, FSPs statewide/in Example County utilized
funding from the following funding sources.
4
Totals across categories are not expected to total 100%. Allocations for Housing and Outreach/Engagement were
optional.
60%
30%
50%
0%
20%
40%
60%
80%
Non-Mental Health Services & Supports Housing Outreach or Engagement
0%
10%
20%
30%
40%
50%
60%
70%
Donations from non-profits, private
citizens, or other donations
60%
Grants from public or private institutions 30%
Medi-Cal 50%
Medi-Care 40%
Private Health Insurance 10%
Veteran Affairs 20%
General Funds, other than Full Service
Partnership
30%
HUD 20%
Unknown 10%
Other 5%
Page 71

FY 2015/2016
Component Element Percent
County‐Operated 54%
Contracted Provider 46%
Urban 35%
Suburban 53%
Rural 12%
Entire County 65%
Subsection of County 35%
Targeted Slots: 20,450
Children (0‐15) and Families 20%
Transition Age Youth (TAY, 16‐25) 20%
Adults (26‐59) 50%
Older Adults (60+) 10%
Targeted Age Range: 55+
Non‐Mental Health Services & Supports (except housing): 52%
Housing (optional): 25%
Outreach or Engagement (optional): 5%
Donations from non‐profits, private citizens, or other donations Grants from
public or private institutions
11%
Medi‐Cal 8%
Medi‐Care 13%
Private Health Insurance 66%
Veteran Affairs 70%
General Funds, other than Full Service Partnership 66%
HUD 8%
Unknown 92%
Other 27%
Direct Staff Ratio: 1:6.8
Non‐Direct Staff Ratio: 1:5.7
PSC Caseload: 1:15
Daily 12%
Weekly 29%
Several Times per Month 26%
Once per Month 67%
Less than Monthly 35%
No Expectation for Team Meetings 51%
Statewide FSP Classification System Report
Non‐MHSA Funding:
Team Meeting Frequency:
FSP Age Group(s):
MHSA‐Funded Budget:
Profile Information
Provider Type(s):
Service Area Type(s):
Service Area:
Page 72

Clinical Psychologist, Doctoral Level Psychologist 12%
Psychiatrist 17%
Psychiatric or Mental Health Nurse Practitioner 91%
Licensed Psychiatric Nurse 61%
Psychiatric Technicians 71%
Mental Health or Behavioral Health Counselor/Therapist 32%
Mental Health or Behavioral Health Social Worker 30%
Certified Alcohol and Drug or Substance Abuse Counselor/Therapist
44%
Licensed Occupational Therapist 50%
Physical Health or Primary Care Physician (non‐Psychiatric) 14%
Physical Health Nurse Practitioner 59%
Licensed Physical Health Nurse 54%
Certified Nursing Assistant 72%
Clinical Case Manager or Service Coordinator 57%
Transition Coordinator 51%
Life Skills Coach 100%
Social Rehabilitation Specialist 52%
Employment/Education Specialist 27%
Resource and/or Benefits Acquisition Specialist 79%
Support Group or Activity Leader/Coordinator 65%
Recovery Support Specialist 96%
Housing Specialist 73%
Billing Specialist 15%
Probation or Legal Involvement Specialist 7%
Lawyer or Legal Counsel 45%
Outreach Specialist (Pre‐Enrollment) 8%
Community Liaison or Specialist 18%
Cultural Specialist 79%
Language Capacity to Serve Non‐English Speaking Clients 14%
Language Capacity to Serve Non‐English & Non‐Spanish Speaking Clients
43%
Parent Advocate 13%
Family Facilitator or Family Support Partner 95%
Peer Specialist or Advocate 7%
Client Leadership Role (Opportunities) 58%
Staff with Lived Experience 28%
Pre‐Enrollment Outreach Activities 33%
Case Management 83%
Accompanied Linkage to Other Services, Supports or Resources 46%
Counseling or Therapy 26%
Medication Services 31%
Health Care Treatment Services 23%
Crisis Response or Crisis Intervention 56%
Life Skills/Coaching 82%
Housing Search 84%
Independent Living Skills 2%
On the Job or In‐Class Support 26%
Recreational Activities 30%
Transportation Support or Services 77%
Phone support by persons known to the client 72%
Phone support by persons not known to the client 20%
Direct contact support by persons known to the client 51%
Direct contact support by persons not known to the client 44%
Resourcing 24/7 Care
Staff Qualifications & RolesFSP Assets
Field‐Based Work Capacity
Page 73

Warmline 55%
Hotline 36%
The FSP had distinct stages or phases which helped define the intensity of
services for the client
54%
The FSP had systematically adjusted or titrated services in accordance with
client needs using a protocol or measurement tool
94%
The FSP had non‐systematically adjusted or titrated services in accordance to
client needs
100%
The FSP provided a uniform intensity of services throughout 17%
Services which were best suited for the client were chosen by the provider
64%
The client was given options to modify the FSP format or services
36%
Clients were required to participate in a certain set of activities (beyond weekly
contact)
22%
The client chose the types of services best suited for themselves
96%
The FSP provided direct services and supports for family members
92%
Housing First 70%
Assertive Community Treatment (ACT) 33%
Cognitive Behavioral Therapy (CBT) 36%
Wraparound 51%
Drug‐Court or Behavioral/Mental Health Court 8%
Seeking Safety 38%
Recovery Model 46%
Wellness and Recovery Action Plan (WRAP) 76%
Whole Health Action Model (WHAM) 8%
Trauma Informed Care 24%
Strengths‐based treatment 27%
Client‐centered Recovery 62%
Harm Reduction 3%
Thinking for a Change 85%
Intensive Case Management 2%
Dialectic Behavioral Therapy 27%
Supported Employment 7%
Supported Education 42%
Family Psychoeducation 72%
Illness Management and Recovery 25%
Functional Family Therapy 30%
Critical Time Intervention 85%
Motivational Interviewing 99%
Dual Disorder/Diagnosis Treatment 64%
Multi‐Disciplinary Family Therapy 60%
Multisystemic Therapy 79%
A‐4 FSP Formats
Standardized Models
Embraced
Page 74

Veteran 62%
Lesbian, Gay, Bisexual, Transgender or Questioning (LGBTQ) 11%
Refugee 5%
Undocumented Immigrant 97%
First or Second Generation Immigrant 82%
Gang Involved 75%
Clients with Legal or Criminal Justice Involvement 89%
Homeless 15%
Chronically Homeless 15%
Clients who are both Non‐English and Non‐Spanish Speaking 43%
Long‐term Inpatient Care Transitioning 65%
Clients with Special Medical Needs 69%
Clients with Physical or Mobility Impairment 84%
Clients with Co‐occurring or Co‐morbid Disorders 32%
This FSP used a scoring system to determine if FSP clients were eligible for
enrollment
65%
This FSP used a case review process within a team to determine FSP client
eligibility
9%
Potential clients were first identified by referral to the FSP 49%
Potential clients were first located through our FSP's outreach process
37%
Potential clients were tracked and re‐contacted 37%
FSP staff first met with potential clients in the field/community 39%
FSP staff first met with potential clients in the office 60%
FSP staff actively went into the community to identify and perform outreach to
potential clients
95%
The FSP was at full client capacity and could not enroll any new eligible clients
in the fiscal year
68%
The FSP was not at full client capacity but there were not enough program
resources to enroll new eligible clients in the fiscal year
85%
This FSP had to maintain a waiting list for eligible clients 94%
There was difficulty finding eligible clients 4%
There was difficulty engaging eligible clients 72%
There was difficulty with language barriers 12%
There was difficulty finding appropriate housing 80%
There was difficulty locating funding to assist clients' housing needs
70%
There was difficulty with clients maintaining housing 34%
There were insufficient staffing levels 32%
FSP Targets & Inflow Specialty or Focus
Referrals, Outreach &
Enrollment
Enrollment Barriers &
Challenges
Page 75

To Purchase Permanent Housing for Clients 26%
To Purchase Temporary Housing Leased to Clients While in Program
40%
To Pay for Short‐term Housing 98%
To Subsidize Rent or Moving Costs 69%
To Make a Loan to a Client 24%
To Purchase Home Appliances 75%
To Purchase Home Décor or Furnishings 54%
To Improve Home Organization or Cleanliness 43%
To Pay for Transportation Options or Car Repair 43%
To Pay Home Utility Bills 84%
To Purchase Cell Phones (for Clients) 74%
To Purchase Food 16%
To Purchase Clothing 24%
To Pay for Medical Expenses 93%
To Pay for Dental Expenses 77%
To Pay for Optical Expenses 30%
To Purchase Hygiene‐Related Items 59%
To Address Pest or Other Abatement Issues 84%
To Pay Client Employment Wages 18%
To Pay Education Tuition/Costs 74%
To Pay for Respite Care 83%
To Pay for Child Care 64%
To Pay for Recreation or Hobby Costs 8%
To Pay for Gym Memberships or Fitness Supplies 62%
To Provide Behavioral Modification Rewards 9%
To Pay for Language Services 15%
To Pay for Obtaining Public Records 78%
To Provide Strength‐based Services when not Covered by Other Sources
88%
To Provide Services within the Wraparound when not Covered by Other
Sources
90%
To Pay for Services Provided by another Entity/Agency 41%
Competitive Employment Preparation 10%
Competitive Employment 62%
Supported Employment 10%
Vocational Skill Development 56%
Education Preparation 75%
Supported Education 94%
Volunteer within the Program 78%
Volunteer within the Community 57%
Peer Leadership within the Program 90%
Peer Leadership within the Community 64%
Time Management and Daily Structure Planning 26%
Religious or Faith‐based Activities 28%
Community Integration Activities 64%
Exercise, Health or Wellness Activities 45%
Hobbies, Personal Interests or Recreational Activities 64%
FSP Client‐Directed Activities
Promoting Meaningful Use of
Time
Usage of MHSA Flex Funds
Page 76

A graduation ceremony or celebration, when desired 63%
A step‐down program or a lower level of care with some of the same program
staff
28%
A step‐down program or a lower level of care within the same agency, but with
different staff
21%
Linkage or referral to a step‐down program or lower level of care at another
agency
44%
Linkage, referral, or transfer to a non‐FSP program of the same level of care
98%
There was a wellness center available to clients after discharge
81%
This FSP discharges clients who are hospitalized after a certain length of time
(e.g., 90 Days)
21%
This FSP discharges clients who are incarcerated after a certain length of time
(e.g., 90 Days)
29%
This FSP attempts to locate and re‐engage clients after loss of contact before
discharging
45%
Graduation and Discharge
Options
Page 77

24‐item Behavior and Symptom Identification Scale (BASIS‐24) 2%
40 Developmental Assets for Adolescents 51%
Adult Needs and Strengths Assessment (ANSA) 54%
AUDIT‐C 13%
Behavioral Health Assessment 89%
Brief Psychiatric Rating Scale (BPRS) 12%
Brief Symptoms Inventory (BSI) 12%
Calgary Depression Scale for Schizophrenia 35%
Child and Adolescent Needs and Strengths (CANS) 31%
Child Behavior Checklist (CBCL) 98%
Child Depression Inventory (CDI) 57%
Client Satisfaction Questionnaire (CSQ) 81%
Clinical Global Impression‐Schizophrenia (CGI‐SCH) Scale 76%
Columbia Suicide Severity Rating Scale (C‐SSRS) 32%
CRAFFT Screening Test 83%
Family Advocacy and Support Tool (FAST) 70%
Generalized Anxiety Disorder Scale 2‐items (GAD2) 54%
Generalized Anxiety Disorder Scale 7‐items (GAD7) 83%
Geriatric Depression Scale (GDS) 36%
Global Appraisal of Individual Needs (GAIN) 78%
Global Assessment of Functioning (GAF) 37%
Herth Hope Index 53%
LOCUS/CA‐LOCUS 49%
Milestones of Recovery (MORS) 54%
Partners for Change Outcome Management System (PCOMS) 30%
Patient Health Questionnaire (PHQ‐2 & PHQ‐9) 16%
A Recovery Assessment Scale 53%
Recovery Checklist 65%
Regulatory Mode Questionnaire (RMQ) 2%
Schizophrenia Quality of Life Scale (SQLS) 32%
Screening, Brief Intervention, and Referral to Treatment (SBIRT) 28%
Spielberger State Trait Anxiety Inventory (STAI) 1%
Strengths Assessment 26%
Structured Clinical Interview for DSM (SCID) 94%
Structured Interview for Prodromal Syndromes (SIPS) 100%
The Assessment of Children’s Emotional Skills (ACES) 10%
Trauma Symptom Checklist for Children (TSCC) 75%
UNCOPE 97%
WHO Disability Assessment Schedule (WHO‐DAS) 31%
Wraparound Fidelity Index (WFI) 28%
FSP Outcomes & Assessments Client Assessments
Page 78

Deliverable #4 - Report of the Online Statewide FSP Classification System Website Version 1.0 Specification

Deliverable #4 - Report of the Online Statewide FSP Classification System Website Version 1.0 Specification

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