Discovering - Centerstone

Discovering
Possibilities
2010-2011 Annual Report for Centerstone Research Institute
150
Centerstone Research
Institute has
conducted more than
150 research studies
since 2003.
Centerstone’s mission is to prevent
and cure mental illness and addiction.
TABLE OF CONTENTS
2 From the CEO
3 From the Board Chair
Centerstone Research Institute Board of Directors
4 About CRI
5 The Year in Review – 2010-2011 Highlights
7 Research
9 CRI Leadership
10 Major Funding Sources
Major Donors
Revenues and Expenses
11 Centerstone of America Leadership
1 / 2010-2011 ANNUAL REPORT
CENTERSTONE RESEARCH INSTITUTE
We believe in the possibilities of lives changed
forever through prevention, early intervention
and research-driven treatments.
FROM THE CEO
It has been an exciting year for Centerstone Research Institute (CRI). It’s also been a year of change.
While change can sometimes be unsettling, it is important to remember that all change opens up countless
possibilities for the future. Personally, I am quite excited at all the possibilities currently before us.
In addition to securing $17.6 million in funding this past year to implement research-based practice
at Centerstone, we have continued to grow the Knowledge Network consortium, launched the Human
Performance Lab in collaboration with the Indiana University School of Informatics, and have been working
steadily to build Clinical Decision Support (CDS) tools for our multiple Centerstone organizations and for
our behavioral health industry. These efforts were made possible by the generous philanthropic support of
The Ayers Foundation, the Cal Turner Family Foundation, and the Joe C. Davis Foundation.
This year, CRI was featured by the IBM Smarter Planet series for our work in CDS and predictive modeling
of behavioral healthcare services. In addition, Behavioral Pathway Systems, a company of CRI, is now
described as the premier resource for behavioral health and human services benchmarking at national
conferences and other public gatherings.
Thanks to the leadership of Tennessee board chair Lee Ann Ingram, we have identified and facilitated a
new partnership with Massachusetts General Hospital (MGH) and Harvard University. Our academic
partners, Dr. Madhukar Trivedi (University of Texas Southwestern), Dr. Rick Shelton (University of Alabama
- Birmingham), Dr. Herbert Meltzer (Northwestern University) and Dr. Kay Connelly (Indiana University)
have been wonderfully supportive of our efforts. And our new partnership with MGH has introduced us
to expert collaborators at the Harvard Medical School including Dr. Maurizio Fava, Dr. A. Eden Evins,
Dr. Jordan Smoller and Dr. Isaac Kohane. We are incredibly excited about the potential of this partnership.
And finally, we have officially launched our Knowledge Network Data Warehouse within the Knowledge
Network and are planning a public launch in early 2012. Currently, the data warehouse contains de-identified
secure data from over 200,000 behavioral healthcare clients across the country, including diagnoses, services
and medication information, making it the richest and largest shared database
in community mental healthcare history. This in turn allows us to turn complex
data into meaningful information for the improvement of care.
We are excited to share, on the following pages, a few of our highlights from
our numerous accomplishments this past year. To all who have supported and
partnered with CRI in these efforts, we extend our heartfelt gratitude.
Thomas W. Doub, Ph.D.
Interim Chief Executive Officer
Centerstone Research Institute
2 / 2010-2011 ANNUAL REPORT
CENTERSTONE RESEARCH INSTITUTE
FROM THE BOARD CHAIR
On behalf of the Board of Directors for Centerstone Research Institute (CRI), I want to thank the staff and
leadership team at CRI and our supporters around the world who make this such a great organization.
We are continually amazed at what we have accomplished and how much is left to do to improve
healthcare delivery through the marriage of research and information technology.
In 2011, CRI made significant advances towards its mission and goals throughout the year. We have made
exciting progress in several areas of ground breaking research, we have been recognized as a thought
leader throughout the world, and we have established ourselves as a key voice in the public policy arena
for mental health and addiction issues. We have also improved internal operational processes to make
the organization more efficient and fiscally sound. CRI is a tremendous asset for the mental health and
addiction field and the communities in which we live and work.
We have also experienced challenges along the way, which provide opportunities for the organization in
2012 and beyond, yet we see a bright future for the organization and the patients around the globe that
benefit from the hard work of our team at CRI. We could not do it without
the support of the Centerstone organization, our donors, partners, vendors
and supporters worldwide. We look forward to a productive 2012!
Sincerely,
Steven E. Bryant
Chair
Centerstone Research Institute Board of Directors
CENTERSTONE RESEARCH INSTITUTE
BOARD OF DIRECTORS
Steve Bryant, Chair
Joan Sivley, Vice-Chair
Ken Shidler, Secretary
Janet Ayers
Don Buesching, PhD
David E. Lawler, DDS
Trish Lindler
Tom Mahler
Gil Palmer
Nedda Pollack
Deborah Taylor Tate
Thomas W. Doub, PhD
Interim Chief Executive Officer
3 / 2010-2011 ANNUAL REPORT
CENTERSTONE RESEARCH INSTITUTE
ABOUT CENTERSTONE RESEARCH INSTITUTE
Centerstone Research Institute (CRI) is a unique not-for-profit organization dedicated to improving
mental healthcare through research, information technology and clinical informatics. CRI conducts
service and clinical studies and partners with leading research institutions to advance knowledge of
mental health and addiction disorders and discover innovative treatments.
CRI works to enhance patient care by reducing the number of years it takes innovative developments
to become standard clinical practice. We do this by leveraging technology to help healthcare
providers have faster access to the latest treatments and practices and leveraging our program evaluation
and implementation expertise to transform programs. Two award-winning CRI services include:
•
CRI’s Analytics platform helps healthcare providers use the data they collect to reduce costs,
improve their operations and enhance patient care. It helps behavioral health providers become more efficient and effective, improving clinical productivity, patient access to services, and clinical quality.
• CRI’s Program Evaluation team works to translate research into practice and policy in behavioral health through innovative evaluation. Our evaluators are skilled at providing utilization focused
information to direct care staff that helps strengthen implementation of research-based best practices,
resulting in improved outcomes among our behavioral health clients and family members. Evaluation
enrolled 2, 239 clients in program evaluations last year and measured outcomes among 4,365 clients,
including the successful completion of one Department of Education Evaluation and three SAMHSA
Program Evaluations.
The organization maintains an Institutional Review Board and manages the Knowledge Network, a
national technology-based, partner-driven alliance to facilitate the translation of research to practice.
CRI also offers Behavioral Pathway Systems, a best practices benchmarking service.
Centerstone Research Institute has received over $75 million in
federal and private grants since 2003 and conducted more than
150 research studies.
The Knowledge Network Data Warehouse is the largest mental
health database of its kind in the country. This secure database
contains information such as diagnoses and demographics for
over 200,000 de-identified patients across the U.S. It includes
over 11 million service records and almost 2 million prescriptions.
INSTITUTIONAL REVIEW BOARD
David Ayer, PhD, Chair
Jan van Eys, MD, PhD
Sid Levy, PhD
Sally Violin, MBA
April Bragg, PhD
Frank Stevens, PhD
Sarah Suiter, PhD
Jon Wolfe
4 / 2010-2011 ANNUAL REPORT
CENTERSTONE RESEARCH INSTITUTE
THE YEAR IN REVIEW – 2010-2011 HIGHLIGHTS
Secured $17.62M in funding this year through federal and private grant awards to implement
multiple research-based programs throughout Centerstone.
Submitted $1.2M grant to Agency for Healthcare Research and Quality (AHRQ) to support
implementation of clinical decision support.
Secured a $1M grant from The Joe C. Davis Foundation to support the development of a national
data repository and dashboard for behavioral healthcare.
Launched the Human Performance/Factors Lab in collaboration with Indiana University School
of Informatics. The New Human Factors Lab provided three rounds of usability testing and
recommendations for improvement to Centerstone research studies which measured completion
times, error rates and usability with 29 therapists completing a simulated intake across two states.
Completed development and launch of multiple analytic tools to increase data analysis and
improve financial and operational management.
Continued behavioral healthcare advocacy with Members of Congress, as well as continued
federal policy leadership in the Behavioral Health Information Technology Coalition.
Hosted two site visits by Members of Congress staff.
CRI Board Vice Chair Joan Sivley provided moving testimony to Congress about the tremendous
need for expanded Health IT funding in behavioral healthcare.
CRI staff co-authored over 20 different publications, scientific posters and presentations, ranging
from outcomes research to suicide prevention, and presented at conferences such as the American
Evaluation Association and the Institute of Electrical and Electronics Engineers.
Hosted two national summits for the Knowledge Network. Presenting speakers included:
Dr. David Meltzer, Health Economics researcher at University of Chicago; Kathryn Power,
Director of CMHS; and Charles Curie, former SAMHSA administrator and member of the New
Freedom Commission appointed by President G.W. Bush.
Former FCC Commissioner and board member, Deborah Taylor Tate, and former CRI CEO,
Dr. Dennis Morrison, presented at the annual national conference of the National Council of
Community Behavioral Healthcare on cyber bullying.
Behavioral Pathway Systems (BPS) implemented new mental health benchmarking initiative in
collaboration with Association for Behavioral Health in Michigan.
BPS established new mental health and substance abuse benchmarking initiatives in collaboration
with the Florida Association for Alcohol and Drug Abuse, Florida Council for Community Mental
Health, and the Florida Department of Children and Families.
(continued)
5 / 2010-2011 ANNUAL REPORT
CENTERSTONE RESEARCH INSTITUTE
THE YEAR IN REVIEW – 2010-2011 HIGHLIGHTS (continued)
BPS received a grant through W.K. Kellogg Foundation for a new national Benchmarking Initiative on
Civic Engagement in cooperation with the Alliance for Children and Families.
BPS developed a new National Benchmarking Survey on Recovery Practices.
BPS implemented a new national survey on Health Care Reform Readiness.
BPS established a collaborative relationship with Open Minds (Monica Oss).
Developed our first smart phone and tablet application – an app that permits rapid entry of
behavioral self-monitoring, which summarizes entries and displays trends.
Completed the development of a mobile app for entering form data (e.g., National Outcomes
Measurements System/NOMS) using iPad, which ties into a web-based reporting framework for near
real-time program reporting to include progress on outcome achievement.
Implemented an electronic data exchange with the Davidson County Jail in Nashville, Tennessee. This
data exchange identifies Centerstone clients from a list of those incarcerated to ensure awareness for
the treatment team and medication regimes and ensures treatment(s) are not compromised.
Implemented ePrescribing in Tennessee for prescribers and integrated with Centerstone’s EHR.
Implemented EMS records imaging system in Tennessee and migrated all images from the
previous imaging system, seamlessly integrated EMS into the EHR for better presentation of
archived records.
Modified a clinical productivity management system in Indiana to drive a shift in activity mix by
providers so that the organization would be more viable after recent MRO changes. This resulted
in Centerstone of Indiana ranking 5th out of 25 mental health centers in successfully managing this
transition to a new funding system.
To raise new questions, new possibilities,
to regard old problems from a new angle,
requires creative imagination and
marks real advance in science.
– Albert Einstein
6 / 2010-2011 ANNUAL REPORT
CENTERSTONE RESEARCH INSTITUTE
The Centerstone Research Institute
is dedicated to improving behavioral healthcare
through the integration of research and
information technology.
USING RESEARCH TO HELP CLIENTS
Clinical Research
R**** is a 49-year old woman who for the last ten years had endured constant auditory
hallucinations of a derogatory nature, visual hallucinations of bodily decay, and paranoid
delusions, such that she was unable to concentrate or function, despite treatment with virtually
every antipsychotic drug available. Hospitalizations and suicide attempts occurred annually. She
was referred by the Clarksville Centerstone clinic to Dr. Meltzer for participation in a controlled
study to determine if a very high dose of risperidone, given for up to six months, would prove
effective in this type of refractory patients. Her baseline severity of psychosis and cognitive
impairment was the worst of all 150 patients in the study.
Very minor improvement occurred during the first five months after being randomly selected to
receive high dose risperidone. Then, quite suddenly, the voices, visual hallucinations, and
delusions stopped – completely. Subsequent assessment of her cognitive function showed she
had returned to a normal level of performance.
Now, over 18 months later, she has been able to enjoy all the things she and her companion
had enjoyed before schizophrenia took away her capacity for and enjoyment of normal activities.
Her fear of the symptoms returning has diminished. Her companion works in the music
industry and has been inspired to write a song celebrating the elimination of her psychosis.
Brain imaging studies showed improvement in specific brain areas which may be the basis for her
striking improvement.
The results of the full study are currently being analyzed.
A follow up study, using the most recently approved
antipsychotic drug, lurasidone, is already underway at the
Madison clinic of Centerstone.
7 / 2010-2011 ANNUAL REPORT
CENTERSTONE RESEARCH INSTITUTE
USING RESEARCH TO HELP CLIENTS (continued)
Services Research
BE Well (Building Exceptional Wellness) is a program in Indiana made possible by a federal grant
secured by CRI. Launched in January 2011, BE Well provides primary healthcare, screening and
assessments, care management, prevention and wellness support services, and infrastructure to adults in
Monroe County, Indiana who have been diagnosed with a serious mental illness. Participants are assisted
in tracking their progress in order to improve their health status. Currently, thanks to the hard work of
Centerstone’s BE Well staff, CRI evaluators report that BE Well is resulting in positive outcomes for
more than 50 patients, including positive health indicators such as reduced fasting blood sugar levels and
average weight loss of 11.97 pounds per person.
Project FREE (Project For Recovery, Encouragement and Empowerment) is a concluded grant in
Tennessee that was made possible by funding secured by CRI. Project FREE has now transitioned to a
new program, Team Recovery, thanks to an additional federal grant award. Project FREE served adults
residing in seven rural Middle Tennessee counties who were substance-involved, substance-dependent,
or had a substance abuse disorder or a co-occurring disorder of substance abuse and mental health, and
were involved with community justice systems. The target area included counties designated as and/or
bordering the “Appalachia High Intensity Drug Trafficking Area” as defined by the U.S. Office of
National Drug Control Policy. In 2006 alone, 3,516 local arrests were specifically related to drug,
narcotic, DUI, or “drunkenness” offenses. Thanks to the hard work of Centerstone staff, in 2011,
CRI Evaluators reported that Project FREE served over 200 people and reduced substance use 70%
at 6-month and discharge follow-up, reduced days incarcerated by 70% and reduced mental health
symptomatology by 50% in clients with co-occurring substance abuse and mental health disorders.
8 / 2010-2011 ANNUAL REPORT
CENTERSTONE RESEARCH INSTITUTE
CENTERSTONE RESEARCH INSTITUTE LEADERSHIP
Tom Doub, PhD, Interim Chief Executive Officer
David Ayer, PhD, Director of Clinical Research
Kathryn Bowen, PhD, Director of Program Evaluation
April Bragg, PhD, Research Communications Manager
Wayne Easterwood, Chief Information Officer
Russell Galyon, Director of Analytics
Jan Goodson, Director of Grant Writing
Prasad Kodali, Director of Enterprise Applications
Paul Lefkovitz, PhD, President, Behavioral Pathways Systems
Howard McClung, Director of Technology
Paul Robbins, Director of Clinical Applications Development
Eric Stein, Director of IS Projects, Indiana
Frank Stevens, PhD, Vice President for Clinical Informatics
Scott Valentine, RHIA, Director of Health Information Management
Christina VanRegenmorter, Communications and Policy Coordinator
9 / 2010-2011 ANNUAL REPORT
CENTERSTONE RESEARCH INSTITUTE
MAJOR FUNDING SOURCES
Substance Abuse and Mental Health Services Administration (SAMHSA)
National Institutes of Health (NIH)
Agency for Healthcare Research and Quality (AHRQ)
Vanderbilt University
Northwestern University
MAJOR DONORS
Joe C. Davis Foundation
The Ayers Foundation
Jim and Janet Ayers
Cal Turner Family Foundation
REVENUES
Government
27.5%
Philanthropy
12%
Non-Governmental
60.5%
Total $2,646,124
EXPENSES
Administrative
14%
BPS
12%
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Research and
Evaluation
74%
Total $2,604,650
10 / 2010-2011 ANNUAL REPORT
CENTERSTONE RESEARCH INSTITUTE
CENTERSTONE OF AMERICA LEADERSHIP
Centerstone of America exists to provide oversight and support for all companies of Centerstone.
Executive Cabinet
David Guth, Chief Executive Officer
Debbie Cagle, Chief Executive Officer of Advantage Behavioral Health
Tom Doub, PhD, Interim Chief Executive Officer of Centerstone Research Institute
Linda Garceau, MBA, MA, Chief Executive Officer of Centerstone Foundation
Barry Hale, Chief Administrative Officer
Mike Jones, Executive Director of Not Alone
Karen Keene, Security Officer, Tennessee
Suzanne Koesel, LCSW, Chief Executive Officer of Centerstone of Indiana
Bob Vero, EdD, Chief Executive Officer of Centerstone of Tennessee
Gwen Watts, Administrative Chief of Staff
Bob Williams, PhD, Chief Strategy Officer and CEO Emeritus
_______________
Michael Butler, CPA, Corporate Controller and Treasury Officer
Lynn Chappin, Director of Human Resources
Sherry Harrison, MSSW, Corporate Compliance Officer
Sarah Hirsch, MBA, Director of Contract Management and Managed Care
Christy Hooper, PHR, Vice President for Human Resources
Rona Krueger, MSW, Executive Vice President for Quality Improvement
Joe Moore, Finance Officer for Affiliates
Brad Nunn, PhD, Executive Vice President for Measurement and Performance Improvement
Ramona Rhodes, Vice President for Marketing and Public Relations
Natalie Stone, Director of Web Communications
Mark Uebel, Director of Business Solutions for SolutionsEAP
The potential of the average person is like a huge ocean
unsailed, a new continent unexplored, a world of
possibilities waiting to be released and channeled toward
some great good.
– Brian Tracy
Author and Coach
11 / 2010-2011 ANNUAL REPORT
CENTERSTONE RESEARCH INSTITUTE
Learn more about
Centerstone Research Institute
www.centerstoneresearch.org
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