It’s an old saying, “You don’t go to the hardware store for a loaf of bread!” When it comes to mental health and substance abuse treatment, it seems that’s what people are doing…and that complicates the business behind treatment.
I reviewed a presentation by Laurie Alexander, a peer in the behavioral health consulting world, and Karl Wilson of Crider Health Center, and was surprised to discover that when people seek mental health or substance abuse services, the first place they go is to their primary care provider. Upon consideration, I guess it makes sense, simply because we’re all connected, body, mind and spirit. Difficulty could enter the equation when the consumer may get a prescription without qualified, licensed counseling, and in this age of mergers and acquisitions and forging of business partnerships, that problem is being resolved.
Relating this to technology is not a reach. Mental and physical health software systems may have the same goal (to document health problems and solutions), however the way they work are tremendously different. At least one software program rooted in hospital-based, physical healthcare has tried to include feature-functionality for our sector. According to the customers I have met in my work, they had a tough time developing the software and never really got that part of the product off the ground, simply because they lack experience in the different way of documenting mental health and substance abuse services. The workflows are quite different for mental and physical health treatment.
Physical health software concentrates on a limited number of types solutions for health problems. Documentation tends to include electronic results from X-Ray, lab, MRI and other machines that are created automatically from the machine’s results. Other elements are fairly predictable, using a lot of check-boxes and very little narrative. Documentation of physical healthcare has grown into a pretty simple documentation solution for that Electronic Health Record (EHR).
Mental health /substance abuse software tends to focus on assessments that are developed in an agency and may or may not be suited to a bundle of check-boxes and drop-down elements for the sake of measuring outcomes. Treatment plans that consist of a series of problems, goals and objectives, and progress notes with a lot of narrative leave mental health and substance abuse treatment professionals forever writing. For decades software developers have tried to come up with a simple (EHR) that serves these needs, and have found that an important key to successfully implementing software is to suit the customer’s workflow patterns. This has been a trial. We are finding that staff transience among agencies and other factors are leading to a more homogeneous solution, seeing the same software features in many of the mental health/ substance abuse treatment EHRs on the market
Once I went to the CEO of a software company I worked for with an idea to include physical health documentation in the mental health software. He’d spent over 25 years building software specific to our sector. He chuckled at the idea saying, “We can’t even spell what they want to track!” In other words, it wasn’t the software’s core competency and including physical health features, while possible, was not advisable simply because the company didn’t have the rich experience in physical healthcare—it was a different world to us.
It’s true that physical health and mental health oriented software can both generally handle each other’s business, and the difficulty in crossing those lines is that the manufacturers just don’t have the widespread experience in all areas of their business to readily handle both worlds…yet. That experience is being gained now.
Because ½ of all mental health and substance abuse services are performed by physical health clinics, and because the trend in mental health is to have physical health professionals on staff, software is evolving, and companies in both business sectors are coming to know the other side of the coin. Electronic Health Records (EHRs) are getting better, including more functionality that’s sensitive to workflows both in physical health and mental health/substance abuse treatment.
Read more →I have a beef with every doctor’s office I’ve ever been to except one. It’s those forms I have to fill out and papers I have to bring when I come in for an appointment. They have all the information in (or available to) their computers, yet they insist on wasting ink…and I wonder how they can read my handwriting these days anyway.
There is no point to it or reason for it. My health information could be printed out for a quick review easily enough, or just left on the screen. If the professional treating me wants to know the results of an excursion to another sort of healthcare provider, that information’s available electronically, too.
Health Information Exchange (HIE) has been around a long time, and these organizations specialize in security of our health information while sharing it among professionals treating us. Information on my address, health conditions, or prescription for a psychotropic drug is nobody’s business except professionals who treat me, and I really want that information shared securely to those folks. Since treatment is so disparate, it’s good to know that the physical health doctors, hospitals and mental health and addiction treatment facilities we use can access a medication list, or a discharge summary from other providers.
I believe our body, mind and spirit are all connected, and if I’m unconscious or incapacitated when brought in for treatment, people treating my body may need to know what’s been going on with treatment for my mind…I’d rather not be subjected to a bad drug-to-drug interaction or mis-diagnosis of a symptom. HIEs go a long way toward eliminating possible problems like these, simply by sharing personal health information among professionals.
It’s a bonus that the HIE can share my address and phone number so I don’t have to write it down on that silly form. Still, I see that only at the VA because it’s a monstrous healthcare system that has concentrated on the Electronic Health Record (EHR) for decades, and my data is available coast to coast, only to professionals who I want to see it.
A lot of care providers simply don’t belong to the exchanges and aren’t about to turn lose of the monthly fee to pay for that sort of security and efficiency…they’d rather send a fax when sharing health information. Investing a few moments investigating could put dollars back into the professional’s pocket. InformationWeek shared that Dr Mark Sandcock’s primary care practice in South Bend, Indiana saved $1 Million in the first year of working with an HIE. So, his patients benefited, and presumably, so did his family with holiday gift giving.
Lab results can drag out treatment simply because the information takes a while to travel between healthcare organizations and get processed…outpatient addiction treatment facilities have learned that getting urine toxicology results quickly when testing for abused substances helps confront the consumer quickly, which aids treatment. The paperwork and people involved in getting the information between the healthcare facility and the lab and re-recording results in patient charts, also adds to the cost of healthcare, and that affects the price tag when we go for help. Experiences like Dr Sandcock’s give me hope that the healthcare system may actually be coming around to better serve consumers and prices may actually stabilize.
HIEs are growing, and the string of positive outcomes is impressive, from prompting better healthcare decisions because folks who treat us being able to see our medication history to quick receipt of lab data. One factor really stands out for me: soon, I won’t have to fill out those silly forms when I go to an appointment, even if I’ve never seen the professional before.
Read more →I have a dim memory that in ancient cyber-times, a number of chat rooms for Alcoholics Anonymous on-line meetings were started on America Online. It was the start of something big.
I recently read an article in Healthcare Technology about social networking in healthcare, which prompted thoughts about how our field benefits from the phenomenon.
Nowdays we have Facebook, Twitter, and who knows how many general social networks; Linkedin and other services like it cover professional networking, and specialized social networks for other purposes abound. Social media in treatment is intermixed in all this. You can Google “online self help groups” to see the extent of social network availability for people who want to mix electronic communications into their treatment plan.
Friends sharing mental health or addictions problems have ongoing peer conversations; phones light up and Facebook messages help some people get through the day. In New York, The Office of Mental Health and Office of Alcoholism and Substance Abuse Services both have presence on Facebook to keep folks abreast of news and events (search Facebook “Groups” for more information). Professionals like this because it alerts them of free trainings, many available via the Web. Evidently there is value enough in these services to keep people involved…the law of supply and demand being what it is.
How does this enter into the Electronic Health Record (EHR)? You might see references to specific social networking pop up in progress notes, and in some cases as a part of the treatment plan. Because many social networking sites are so wide-open, on-line conversation about mental health and addiction issues potentially blow the cover of folks who would rather remain anonymous. At least one area the EHR shows promise that secure therapeutic social networking of a different sort is on the way.
In order to qualify for Medicare and Medicaid funding that helps pay for technology by demonstrating its effective use, EHRs are compelled to include Patient Portals, which is not far removed from social networking that’s secure. By taking the responsibility vendors can offer technology that enables a patient community password protected technology to help people with like problems network, and that can be a significant part of healing.
Patient portals generally offer a patient access to medication lists with prescription information like expiration dates, or to their scheduled appointments. They often include a communication method to get secure messages to a provider, and other nifty features. A number of hospitals have this technology available for both patients and providers, complete with confidentiality-inspiring security. Everything’s password protected. Very few patient portals are functional in our sector, but at least one manufacturer, Netsmart Technologies, has the technology in place for mental health and addictions.
Once again, the future has arrived.
With all these outlets, the question comes to mind, how many consumers are benefiting from social networking, and what’s the real value in treatment? Another question to address another day.
Read more →In a lot of ways, the future has arrived with answers….now if we can figure out what to do with the answers; we may end up in better mental health.
I Googled “gene scans” and the first thing that came up is a company that sells such things, deCODEme. I can give them 2,000 of my hard earned dollars and they promise information to guide my life in areas from heart health to male pattern baldness (too late, check my picture).
A saliva test can tell us a lot about our susceptibility to certain diseases. I had a minor heart attack a few years ago, which may have been averted had I known earlier in life about my genetic leaning toward that problem. Evidently my father’s side of the family is where I inherited the heart disease problem from, and those relatives have remained mysterious and unknown to me. Although we know that sort of thing can “run in the family” I had no clue of a possible heart problem, so a gene scan may have helped me.
A friend didn’t realize diabetes ran in her extended family; perhaps she could have avoided or at least delayed the need for daily injections with a lifestyle change…if she knew of her genetic inclination toward the disease. Nutrition and exercise go a long way in preventing all sorts of physical health problems, and avoiding some foods can improve our immediate mental health. I quit caffeinated coffee and I immediately felt better, less anxious. Perhaps a diet change would have helped my friend.
A genetic test can nudge us toward lifestyle changes that can help us stay physically healthier, but can the test unveil mental health needs? If it can, what changes could I make in my life to avoid mental health problems?
I find the possibility of how this information can fit into our overall health maintenance is terribly interesting, and could augment how mental health professionals treat consumers. It’s a snap to connect a scan of the gene or printed readout of results into the Electronic Health Record (EHR). In the future, this could be a reliable map to help us avoid mental health problems or lessen severity of those problems. Having the genetic clues on the professional’s computer could guide therapy and medication, helping the professional zero in on problems and treatment solutions much more quickly. That sounds like something of value in this fast-paced instant-gratification world.
I can see a future that imports the gene scan results into the EHR, which automatically reads them and posts alerts in a consumer’s record that they may be susceptible to certain conditions like schizophrenia or depression. Other treatment resources within the EHR already suggest medications for certain conditions, and educational resources are all over the Web. Gene scan technology can be brought into treatment technology with a goal of improving diagnosis methods and providing treatment guidance. It’s nice for a professional to have just the information she needs at her fingertips.
Once again, my vision jumps the gun. The National Institute of Mental Health (NIMH) says that we simply don’t yet know how to read the genetic codes and glean information about our mental health. The body of evidence is too small to provide accurate forecasting. Scientists will need to methodically compare a bundle of gene scans for multiple gene patterns in a bundle of people in order to suggest how gene scans can be valuable in forecasting likelihood of mental illness.
Considerable research is under way, so one thing is certain: The future is near.
Read more →Some days I forget that life is about reveling in the challenge and working to overcome my problems, and just sulk. I imagine many folks are like this, looking for a quick fix, not wanting to work through daily issues or even long term mental health problems.
Is the promise of brain scans such a quick fix in treating mental health problems? Rapid recovery sounds like a pretty good goal.
Thomas Insel, Director of the National Institute of Mental Health (NIMH) thinks brain scans are akin to rocket science of the 1950’s…not ready for prime time. That said, he does acquiesce that brain scans, have some very promising results. He cites the use of MEG, (magnetoencephalography) as being proven over 90% effective in diagnosing Post Traumatic Stress Disorder (PTSD)…sounds pretty effective to me.
One of the problem professionals and consumers have in mental health treatment is getting the right medications for that person. It would be simpler if everybody responded the same way to a single medication, but that’s not how it is. When NIMH researchers studied a specific MEG signal they were successful in predicting which patients would be served well by a new anti-depressent, ketamine. Since it takes a while for many of these sorts of medications to take efffect, this technology seems to be working now to shorten the time of misery.
Using brain scans to work with mental illness is, at the very least, a great example of how technology is expanding into the field. The scan can be read electronically, so the scan or results of the scan can be ported directly into the secure Electronic Health Record (EHR) of the consumer. This is a good thing in viewing the technology as an outcomes tool.
In mental health and addiction treatment, measuring tools like assessments can show improvement or decline of conditions over a period of time, and with the record at a professional’s fingertips on the computer, the consumer gets better treatment. Changes in a consumer’s condition as treatment progresses helps professionals adjust the course of treatment as it’s needed. Historically, these assessments have been a series of questions with answers and impressions scribbled on a piece of paper. The EHR has helped with legibility and being able to graph assessment results, which provides an easy-to-read format to view progress over time.
Is the brain scan such a tool? Oh, I dunno…as far as I know the scan could be a once-in-a-lifetime event, but I doubt it, simply because everything else changes and technology is still exploding in all areas of healthcare.
It is certain that emerging technologies are aimed at higher quality in diagnosing and treating mental health problems. The assessment tools in the EHR have helped professionals and consumers focus on improving specific conditions. Brain scans appear to be another tool that will be added to the mental health professionals’ toolbox that will help shorten the time to recovery. Insel appears unconvinced of widespread applicability of the tool, so more research is required…but it’s coming. I can foresee widespread use of the technology simply because the consumer wants to get better, faster.
Read more →Average wait time from calling a mental health treatment organization for help and actually engaging in treatment with a professional can take a month. A lot of consumers cancel their appointment or just don’t show up.
From what I’ve seen, physical health has that beat.
David Lloyd of MTM Consulting shared this statistic recently in a talk on the web focused on improving quality; I found that an amazing amount of time to wait for help…Who would wait that long? According to Lloyd’s research, not many folks, and I agree, it’s a long time to wait for health, and I know a lot goes on in my mind in a month.
Regardless of whether the consumers who end up not consuming mental health services are classified as No-Shows or cancellations, or somehow justified as exempt from statistics, the fact is that a bundle of folks aren’t getting help. A key to getting the folks who are now not showing up for appointments is simple business logic. If we serve them quicker, with high quality service, for a reasonable price, they’re more likely to make their appointments. Plus, under these conditions, people improve and tell their friends how great the results of treatment at this particular facility were.
Maintaining quality treatment and delivering it quickly boils down once again to streamlining systems, and the best way I’ve found to assure streamlining happens is to tailor the Electronic Health Record (EHR) to guide clinicians through the treatment and documentation processes. If a professional has clear signposts along the way, the policies and procedures placed to improve quality and timeliness of treatment are more likely to be adhered to. Here are a few things that can be done with the EHR to increase the value of treatment in the long haul that are statistically proven to reduce no-shows and help consumers get better.
• Cut time spent on paperwork and redundant entry of consumer data…who likes to answer the same question six times? An effective EHR can save all data that’s entered one time, like the patient’s name, address, reason for coming, medications, etc, and automatically add it to any form that’s shown in a professional’s workflow where it’s needed; tune up the EHR to do this • Decrease the time a consumer spends waiting for help… Lloyd’s statistics show a lot of professionals are very busy with a lot of peripheral activities like catching up on treatment documentation when there are No-Shows; take scheduling out of the professional’s control, schedule people to come in NOW…or at least within ten days and No-Shows dwindle. • Help the professional! Start Collaborative Documentation now: Involve the consumer in writing assessments, treatment plans and progress notes during the session, with the consumer…it improves focus on treatment goals and objectives and gets the paperwork done on time, reducing a facility’s risk of falling out of compliance with state, and federal governments, helps adhere to accreditation rules, and avoids billing audit problems
I know. That’s all well and good, but who has time to do this?
There will never be enough time to do these three simple things. Facilities will need to hire EHR professionals, spending money they don’t have. The money will come as No-Shows dwindle. There are tons of statistics out there that show how great a tool the EHR can be, and the solutions above are proven to work nationwide, in a ton of studies over many years (I cite them a lot).
Now is a good time to start improving treatment using the EHR to help.
Read more →A bundle of concerns erupt when an agency providing mental health or addiction services implements an Electronic Health Record (EHR). Since the only reason these agencies are in business is to improve the consumer’s well being, a question arises: How can the EHR help improve the quality of consumer care?
When I work in mental health and addictions treatment facilities, I see just how tough it is for professionals to envision the EHR as a tool to improve consumer focus on recovery. Expanding the vision of professionals, consumers and even the software implementers to view the EHR as a tool to improve treatment is a team effort, and getting the team cranked up can be a trial.
If the up-front analysis of how people get their work done and such is solid, a professional implementer should get at least some of the software up and running effectively and quickly, and the benefits to improving consumer care should be evident within weeks of use. Professionals and consumers begin focusing more directly on treatment goals and objectives, which are the reasons folks enter treatment anyway.
All too often staff is overwhelmed by the ever-increasing documentation that’s required in treatment, so they view the software implementation as a burden, an expansion of bureaucracy. The complaint is that with all the required documentation, there’s no time to treat the patient. The EHR solution is to document with the patient during the session. Assessments with a lot of check boxes and radio buttons are easy…just walk through the questions one at a time and review the resulting score with the consumer. Treatment Plans can be more daunting because the fast way to write a goal or objective of treatment is to pick it from a drop down box on the screen, and that can lead to cookie-cutter documentation. Progress Notes generate the same concern.
Collaborative documentation with the patient is the answer, not just because you get paid for the time spent documenting the service. The consumer truly participates in her own treatment when discussing what happened in a session; how it relates to one of her reasons for being in treatment, and what she should be concentrating on in recovery before the next session. Mutual creation of the documents is what draws the patient’s attention to reaching their own treatment goals.
Using the EHR to improve treatment is not a new story. I stumbled onto an article comparing the effectiveness of a simple checklist used in treatment on the computer with a checklist on paper. It’s a short story, and to make it even shorter, a “to-do” list on the computer works darn well. The study says that both mood disorder screenings and treatment documentation improved using the computer maintained task list. The article from Dale Cannon and S Allen of the University of Utah, was ancient, from the year 2000.
A successful EHR depends on a successful implementation and “after-care”, to include continuously gaining buy-in from professionals using the system and making it grow to suit needs better. As these folks embrace central scheduling and treatment documentation with the EHR, the implementation, the effectiveness of the software, and possible improvements in treating patients are likely to increase.
Read more →Hospitals are a center point for the Electronic Health Record (EHR) and a key to the National Health Record’s sharing of health data among treatment teams. Less than 12% of them have effectively implemented software.
I was mortified to discover this. So shocked and disbelieving, in fact, that I needed corroboration of the original story run in Health Affairs, and found the Robert Wood Johnson Foundation reference that’s linked above.
A hospital has huge Information Technology (IT) resources, and can share data among ancillary specialty clinics, like your psychiatrist, your cardiologist, or your pulmonary specialist. The doctors are associated with the hospitals, and when a patient is released to a doctor’s care, the idea is that the doctor has availability to the electronic records in the hospital, as long as the patient signs a release of information and knows about it. This saves a ton of aggravation in filling out the same information many times, and delivers more accurate treatment data to these members of a consumer’s treatment team.
The combined information is suddenly available in a secure environment, so when the patient moves, or needs to share that health data with somebody not in that hospital’s network, it’s available with a release of information via another component of the National Health Record, the Regional Health Information Organization (RHIO), or other similar health data organization. The RHIOs are all connected into the National Health Record, or will be soon, so our health information is secure behind firewalls and other technological wizardry. The idea is that nobody gets that information without a patient’s say-so, and that when the patient says it’s OK, the data is instantly in the doctor’s hands.
Here’s a scenario. • Joe has a heart problem and a pulmonary problem • Joe also has terrible anxiety that gives him breathing difficulty • Joe goes to the emergency room, and the docs determine the current problem is a panic attack, and Joe’s medicated and released, with instructions to follow up with the psychiatrist’s Mental Health Clinic; the clinic is part of the hospital’s network because the psychiatrist is affiliated with the hospital • Joe goes to the Mental Health Clinic, and the notes, the medication order and the discharge summary from the hospital are available on line, so the psychiatrist knows the details • Later, Joe goes to his cardiologist, who is also affiliated with the hospital and can consult the record of the emergency room visit in the EHR • Ditto with the pulmonologist
Access to that record and the ability to treat the patient as a team, making sure all bases are covered so Joe not only doesn’t die, and also has the highest quality life possible, isn’t possible in 88% of the hospital service areas across the nation.
With only 12% of the hospitals effectively implemented, the National Health Record, which was mandated to be operational in a few years by then-president Bush, is essentially nowhere.
I’ve reported on the value of Rapid Cycle Implementation in getting an EHR up and running as quickly as possible. This method of solving the highest-priority problems that the software can address with target groups of professionals, then rolling out those features to all users, is nothing new…and it’s effective. Soon enough, the organization has a functional EHR and is fine-tuning it, making those features that are already rolled out better. I wonder how many of the 88% of the hospitals without effective EHRs are incorporating Rapid Cycle Implementation into their software rollout.
There are many reasons software implementations fail. It could be that the CEO isn’t promoting it with the staff effectively. It could be that the team doing the implementation is more interested in keeping good statistics on how much money’s been spent on manpower than actually getting a feature rolled out. Resources (usually people) could be in such short supply that the project is sabotaged.
In these failings are the keys to successful implementations. Setbacks are unavoidable, but I’d call this failure.
12%. Sheesh.
Read more →A friend insisted that I come to Baltimore to visit during an upcoming American Telemedicine Association conference. The conference is for pediatricians. I’m all about mental health and substance abuse technology. So why am I going?
According to the US Human Resources Service Administration (HRSA), New York has enacted legislation for Medicaid to pay for telemedicine solutions in Mental Health. It only makes sense for me to learn a little more about the solution.
At least one program, Project Teach, currently includes telephone interviews for psychopharmacologic concerns. The program is an example of how the state’s Office of Mental Health is making good on the promise in the 2010 statewide plan to extend technology in mental health. Presumably, if New York is using telemedicine as a technological strategy to decrease the “burden of illness”, other states must be on the same beam, and evidence I’ve seen shows New York is not in the lead in paying for expanding the technology.
An earlier research foray into telemedicine in mental health yielded a little knowledge on its use, and the first thing that usually comes up is that it’s a solution for “rural and underserved communities”. This friend I mentioned earlier said “what about the woman who lives in Queens, has a job there, and has to take a bus and two subway trains to get to her therapist in Manhattan?” Telemedicine seems a great way for her to work with her current therapist without having to take a lot of time off work.
The elements of telemedicine for mental health are pretty simple, really: Mental health services using live, interactive videoconferencing doesn’t require tremendously expensive equipment. Some finesse is involved, like good lighting and camera angles to help with the feel of a professional environment, however, the technical requirements are available to most people. At the beginning of the year I bought a Netbook computer for $400, and there’s a camera for videoconferencing. This seems like a pretty low-cost solution for rural use and for the woman who lives in Queens.
As long as there is a two-way video and voice communication between professional and consumer, a number of sessions, like visits to review medication effectiveness can easily be remote events and are worth paying for…and that’s good for business in your local Community Mental Health Center.
So, there is value to telemedicine in mental health. I can’t help but feel there’s more we can do with the technology, medication review can’t be the only service worth paying for. What about an individual therapy session? What about the use of social networks like Facebook for a sort of group therapy? Or actual group therapy with people connected via a teleconferencing service. If the value exists, then it’s worth paying for. It’s easy for a business man to see the value of how this technology can lower costs and increase productivity. Are insurance companies and Medicaid coming to realize the value of telemedicine in general practice of improving our mental health?
That’s why I’m going to the conference, and I’ll keep you posted.
Read more →When the business of treatment gets better with the use of the Electronic Health Record (EHR), consumers get better.
These days, ePrescribing sends a prescription directly from the prescriber to our pharmacies. Mistakes made in simple medication prescriptions have been more commonplace in the past than we would like to admit, and ePrescribing is sending legible prescriptions to pharmacists which can only help reduce mistakes. Another benefit of ePrescribing is the incredible storehouse of data that is building nationwide and can be used in studies to improve professionals’ treatment of consumers.
Due to recent studies of suicide and suicide prevention, we know more about it than we ever have. A recent post from Thomas Insel, Director of the National Institute of Mental Health, quotes statistics gathered from a study of data (mostly gathered and analyzed by computers). Out of 100,000 deaths, 11 are suicide related. Out of 100 people you see walking down the street, one of them has been serious enough about suicide to have a plan. Knowing the depth of the problem is the first step in digging our way out of it.
Medications like Cozapine and Lithium have been proven effective in suicide prevention for specific target groups. Statistics that lead to conclusions of their effectiveness are naturally gathered in the EHR and analyzed on computers. As ePrescribing becomes more widespread, studies like this will become easier to perform, and results will be delivered to the medical community faster.
My peers on Mental Help Net talk about therapies like dialectical behavior therapy and cognitive behavior therapy. Studies show these therapies are effective in significantly reducing repeat attempts at suicide. Because of the data gathered from the studies, psychotherapy like this is increasing in usage.
If you are a consumer and worried about your name being associated as a subject in a study, please, don’t worry. For many years, “de-identified data” has been the source of studies like this…Once again, a little magic provided by the computers of those providing the data from their EHR. Consumers’ personal information never makes it out of the original databases used for the studies.
As new medications are developed and delivered through ePrescribing, more data will become available on the suicide prevention and the effectiveness of these drugs…faster. If mental health professionals know about a consumer’s suicidal thoughts and ideation, medications can be further prescribed, and evidence of their effectiveness (or ineffectiveness) will climb.
New assessments, usually delivered on the computer, deliver scores indicating the likelihood somebody will entertain suicide. These assessments lead to use of new psychotherapy methods in treatment to prevent suicide.
Once again, the EHR does its part.
Read more →