The Lighthouse Institute (LI) is the research division of Chestnut Health Systems, focused on substance use, mental health, primary care, and legal setting prevention, treatment, and recovery support. It is one of the largest externally funded research groups of its kind within an integrated, community-based agency.

GAIN ABS (Global Appraisal of Individual Needs Assessment Building System) is a software platform that assists in administering and analyzing GAIN assessments. It has evolved over time from a PC-based system to a cloud-based, HIPAA/HITECH compliant solution that supports clinical decision-making, data export, and program-level reporting.

Mosaic provides more extensive customization options, supporting a variety of service systems beyond behavioral health. It also offers new features like dynamic client reports, integrated referrals, case management tools, and a client portal. The software will support more flexible and efficient workflows for providers, administrators, and clients alike.

Mosaic is designed for use by various stakeholders, including case managers, service providers, justice systems, supervisors, administrators, and funders across health care, behavioral health, education, and justice systems. It is particularly useful for supporting continuity of care and collaboration between service providers.

Mosaic was developed with support from the Bureau of Indian Affairs (BIA) and has been tested by several participating Tribes. It addresses the unique challenges faced by providers in rural or remote areas, such as lack of interoperable systems and difficulty maintaining continuity of care.

Key features of Mosaic include:

• Modular Library with customizable data collection modules.
• Dynamic client-level reports.
• Support for referrals, including electronic releases of information (ROIs).
• Case and service management tools, including action plans and real-time documentation.
• Integration with other systems (e.g., health records, court case management).
• Multilingual support and flexible data export options.

Mosaic complies with HIPAA and HITECH privacy and security standards, ensuring secure data sharing between providers and agencies. It also includes features like electronic Releases of Information (ROIs) to protect client confidentiality.

Agencies using Mosaic can streamline their workflows, improve data-driven decision-making, support continuity of care, and enhance program evaluation. The platform’s flexibility allows for customized modules and reports, reducing the need for costly after-purchase customizations.

Yes, Mosaic supports integration with internal and external data systems using HL7 FHIR protocols, which allows for seamless data sharing and interoperability between systems like electronic health records (EHRs) and court case management systems.

Mosaic provides dashboards and data aggregation tools that allow supervisors and administrators to monitor client progress, evaluate program effectiveness, and make informed decisions. It also includes features for continuous quality improvement and supports outcome monitoring.

Version one of Mosaic is scheduled to be released by the end of 2025.