The Time In Between: Are you Maximizing the Gap Between Client Sessions?

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Depending on the needs and the modality of treatment for each client, we can spend significant time with our clients as providers. These session frequencies can range from weekly, biweekly, to even monthly. During these sessions, providers will spend an average of approximately 50 minutes engaging with the client. But are these 50 minutes a month enough to accomplish the goals set out in a client’s treatment plan?

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Embracing Engagement As A New Standard Of Care

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By Jodi Fadrigon, Implementation Manager at Remarkable Health

If we want to improve the lives of people with mental illness and their families, we must shift to a culture that embraces engagement as a new standard of care.  How do we as providers better serve people with mental health conditions who are not engaged in care?  We need to better understand the process of engagement and explore how the quality of relationships and interactions affect outcomes for people with mental illness.  We must also have an understanding of the factors that contribute to effective engagement in mental health care.

What is engagement? 

Engagement is the strengths-based process through which individuals with mental health conditions form a healing connection with people that support their recovery and wellness within the context of family, culture and community.

Engagement is built and sustained on the foundation of hope, mutual trust, respect, effective communication, and overall rapport and recognition of the strengths and resources people experiencing mental illness bring to their own recovery.

Contributing Factors

Encouraging a client’s willingness and commitment to engage in treatment can be very challenging.  It is common for a client to disengage if he/she senses treatment is not working, he/she lacks trust in the process, or he/she has difficulty accessing treatment for reasons such as transportation.  Given each client’s situation will be unique based on their social determinants, it is important to look at solutions to improve engagement that target any and all presumed roadblocks for the individual.

How Can We as Providers Help

As providers it is our job to find effective and creative ways to build and maintain relationships in order to improve client engagement.  Some ways we can do that are as follows:

  • Meet the client where they are at. Listen, observe, and ask the right questions at the right time.  Do your best to speak the language of your client, listen without judgement and be mindful of when to confront.
  • Instill Trust. As providers we do not always know how/what our client is feeling when beginning treatment. It is important to use our training, empathy and compassion to build trust with our client.
  • Include them in all decisions. A sure way to effectively achieve buy-in, is to include the people who will be impacted in the decision. This would be no different for a client/therapist relationship.
  • Establish concrete goals. A client can often feel discouraged when he/she does not have clear and concrete goals to measure progress. It is also important to meaningfully include the client in the development of these goals.
  • Identify barriers and create solutions. It is important to be sensitive through the process with your client – remain curious and non-judgmental and always attempt to be a part of the process. This will keep you mindful of any barriers – cultural, attitude-based, or environmental – that will present themselves.

In conclusion, promoting a culture of engagement will require change in how we, as a society and providers, view mental illness and the individuals who live with mental illness.  Providing a safe connection to care for behavioral health clients is essential for improving client treatment and increasing client engagement, ultimately building excitement for the client to participate in and follow through with services.

About Remarkable Health

For over 25 years, Remarkable Health has pioneered innovation through technology for behavioral health and DD providers. Our integrated suite of outcomes management, EHR and mobile technology arms providers with the tools they need to improve client outcomes by spending less time on documentation and inefficient workarounds and more time delivering value-based care and engagement. To learn more about the CT|One EHR and the CT|One Mobile app, contact us at (480) 550-8077 or visit our website at www.RemarkableHealth.com.

Top 3 Features Within EHR Mobile Apps That Improve Documentation Efficiency for Community Behavioral Health Providers

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Community Behavioral Health providers can often face numerous challenges related to the documentation of services.  Providers often support large caseloads while needing to maintain productivity, meet documentation requirements and maintain exceptional client care.  With the increase in demand for providers to become more efficient, we look to technology for assistance in meeting these needs. After interviewing providers and partnering with them to develop the Remarkable Health EHR application, there were 3 features that stood out as critical to create efficiencies for staff delivering services and documenting care. These features include the ability to assist providers with efficiency and accuracy when documenting, ensuring documentation is signed and up-to-date, and creating and scheduling follow-up appointments.

Feature #1: Tagging Increases Efficiency and Accuracy When Documenting Care

Writing progress notes can be a time-consuming task. While some providers may write their notes directly after services are provided, there are many instances where notes are not written until several days after the contact with the client, which increases the chances of inaccuracies and/or missing facts.  With its simplistic look and feel, Remarkable Health’s EHR mobile application allows providers to enter notes with speed and accuracy, while maintaining the clinical workflow. While decreasing the time it takes to enter clinical notes is a positive step, accuracy and efficiency is the number one goal of the app. To increase the likelihood of clinically sound notes, we added a “tagging” feature to the EHR mobile application. The tagging feature allows the user to select a category in the assessment section of the progress note, which in turn, creates the beginning of a clinically appropriate progress note.  During the session with the client, the provider can continue to quickly select key words to develop their assessment. For example, if the client had a flat affect, the provider is simply tagging “flat affect” and the application will provide the following language “The client presents with a flat affect as evidenced by…” allowing the provider to add additional context to create a unified language with a client specific feel.

Feature #2: Simplified Signature Capabilities Makes it Easy to Keep Documentation Up-to-Date

Remarkable Health’s EHR mobile application allows a provider to review the client’s consent form(s) regardless of the location or internet connection. The provider can then discuss the consent form(s) with the client and upon client agreement to the content(s), he or she will confirm the agreement for one or multiple forms.  Once confirmed, the client will only need to enter their signature once, which will populate on all accepted forms.  Immediately after the form(s) has been successfully reviewed and signed by the client, the updated version will seamlessly sync back to their clinical record.

Features #3: Ad Hoc Scheduling Improves the Client Experience – And Helps Keep Clients Engaged

As the contact with the client wraps up, it is now time to schedule a follow up appointment.  Remarkable Health’s EHR mobile application gives the provider the ability to review their schedule, find an opening and schedule their next appointment with the client.  This eliminates the need to call the office and speak to the front desk staff to schedule the next appointment, ultimately saving time for both the staff as well as the client.  All openings and next 10 consecutive appointments are available at your fingertips in the mobile application, thus creating a seamless workflow and positive experience for the client.

BONUS Feature:  A TRULY Offline Mobile Application Improves Coordination and Efficiency

It is important point out one additional bonus feature of Remarkable Health’s EHR mobile application, the ability to work offline.  All of the previously mentioned features to increase efficiencies can be completed without a cellular/Wi-Fi connection, resulting in a completely offline experience.  Within one client contact, the provider has efficiently reviewed and updated the client’s consent form, scheduled a follow up appointment and completed their progress note in an accurate and timely manner.

Ready to experience the Remarkable Difference? Visit our website to learn more about our mobile application and schedule a demo today.

3 Ways Electronic Health Record (EHR) Mobile Apps can Improve Outcomes for Behavioral Health and DD Providers

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It is important to deliver high-quality behavioral health and DD services each time a provider encounters a client. These services can range from an initial session with a client to writing full fledge notes that document a client’s progress towards their goals and objectives. But with more services being delivered in the client’s home or community setting, providers are finding it difficult to get their notes done closer to the service delivery time, which can lead to inaccuracies or incomplete documentation for billing. In order to assure compliance and billing efficiencies, it’s critical that their electronic health record (EHR) technology move seamlessly with their clinicians and synch back to the home office—especially when they spend the bulk of their day serving clients in outlying locations. This need for an EHR mobile app roots directly from the crucial ability to work offline in remote areas with weak or no internet connection or access.

But beyond billing efficiencies, what benefits does a mobile EHR bring to providers to ensure improved client outcomes? To help answer this question, Matt Banyai, Product Manager at Remarkable Health, shares 3 ways a mobile-first EHR will not only help providers improve their billing inefficiencies, but also client engagement and outcomes.

#1: Mobile EHRs Will Improve the Client Experience

The last thing a clinician wants to do is stop care to document an event or progress. The right mobile EHR application should help clinicians validate, create, and edit certain areas of interest pertaining to their everyday job duties – without having to rely on internet connectivity. These include reviewing client demographics, clinical documentation, progress notes, and upcoming or historical appointments. With a mobile app, clinicians can easily search and review these areas of interest before, during, and post visits with their clients as desired. This ability is a game-changer in the fast-paced world of a behavioral health and DD clinician or staff member. Simply put: it creates more face-to-face time with the client to focus on their progress and well-being, instead of screen time documenting in the office before or after hours. Ultimately leading to a better experience for the clients receiving care.

#2: Mobile EHRs Reduce Documentation Costs – And Improve Work/Life Balance for Staff

The right mobile EHR application should impact a clinician’s workflow dramatically and work in a rural and offline environment. This capability will enable clinicians providing services in the community to practice most of their normal day-to-day duties at the tips of their fingers. This will not only increase the accuracy of data and clinical performance, but also the ability to schedule a follow-up session while still face-to-face with the client. The power of mobile means clinicians can create a real-time session progress note that is more intuitive and concise to the progress of their client before, during, or immediately after the session.  This should then seamlessly sync back to their EHR system of record. This eliminates the need to jot notes down on paper to then later re-create the typed version of the note in the system of record at home or in the office. As for scheduling follow-up sessions, clinicians can now schedule these additional sessions with real-time sync functionality, instantly visible in their agenda.  With real-time documentation at their fingertips, clinicians can now spend more time with their clients, document care – and still be home on time for dinner.

#3: Mobile EHRs Give Clinicians More Time to Focus on Goal Progress

Through recent studies and interviews with Remarkable Health partners, providers report that their clients are being positively impacted when clinicians use the Remarkable Health mobile EHR application.  This is mostly due to the app giving clinicians increased time with the client to focus on goal progress. Another notable impact is the mobile EHR increases the ability to meet clinician-to-client in the client’s environment of choice; meaning the client’s home, school or business – where they spend most of their time and are comfortable with their surroundings. Our clinicians state that meeting the client’s in their desired environments has allowed them to have clearer insight into the client’s needs and can focus on the progress during real-world situations.

Remarkable Health’s Mobile Companion App

Remarkable’s Mobile EHR app provides clinicians the ability to be more effective, efficient and work in an offline manner to meet the client’s everyday needs. As we continue to enhance the application, we are positively impacting the lives of not only the everyday clinician, but the clients as well – ultimately the why of all we do.

Visit our website to learn more about our mobile app and request a demo today.

Want to experience our Mobile EHR at NATCON?  Visit us in Booth 358.

Golden Gate Bridge Survivor Kevin Hines: “Suicide the Ripple Effect”

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Remarkable Health recently partnered with Kevin Hines to help produce “Suicide the Ripple Effect”, a feature length documentary film, currently in production. The film focuses on the devastating effects of suicide and the tremendous positive ripple effects of advocacy, inspiration and action that are helping millions of people find the hope needed to stay alive.

The film takes you on a journey with Kevin, who at age 19, attempted to take his life by jumping from the Golden Gate Bridge. Kevin is now one of the Golden Gate Bridge survivors. Today, Kevin still battles many extreme symptoms of bipolar disorder, but that hasn’t stopped him from becoming a world-renowned mental health advocate, motivational speaker and author who has helped thousands of people choose life. We are excited to help Kevin spread a message of hope, recovery, and wellness as he visits some of the people who have been impacted by his suicide attempt.

Please join us in this mission to help insure this film and its inspirational message of hope reaches its full potential and is seen around the globe by those who need hope the most. You can help by sharing this post with your social networks.

Check out the trailer here

Remarkable Health Named One Of Arizona’s Best Companies For Work-Life Balance

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Between implementing health and wellness initiatives and building fun cultures that promote flexibility, several stellar organizations among the 100 Best Arizona Companies work extra hard to keep their people happy. Meet some of the best companies for work-life balance — including American Express, Remarkable Health, Henry+Horne, meltmedia, Ryan, Longboard Asset Management, Shutterfly, USAA, Vanguard, and Workiva.

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EHR implementation

Steps to a Successful EHR Implementation

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Whether you are replacing paper records or replacing an existing EHR system, the process of transitioning to a behavioral health EHR platform requires significant preparation.

The following steps will help you plan your specific goals and understand the overall impact, easing the transition process and increasing your chance of success.

  1. What are your goals?

Establishing key goals for EHR implementation should be one of the first things you should document. Goals should be measurable, realistic, and include timelines for completion.

Example goals to include:

  • Identify inefficiencies in your current workflow processes
  • Improving revenue cycle, clinical and productivity metrics
  • Providing better access to data across providers and programs.

Key goals should be dynamic. Be prepared to modify your goals as you learn more about your workflows in the next step and how an EHR solution will mesh with or change them.

  1. Is your agency ready for a transition?

The first step is to document your administrative, clinical, and financial workflows. You need to understand how you currently do things to determine where there are areas for improvement and how they may change after EHR implementation.

Are there any technical literacy gaps that require training outside of using the EHR system?

Finally, consider additional financial costs like staffing changes, updates needed to hardware, and a loss of productivity while employees become proficient with the new EHR solution.

  1. Who will be part of your core implementation team?

Designated leadership can make or break your EHR implementation process. Your team should include clinicians, staff, and management of all levels and from all roles.

Your implementation team must have the authority to make decisions concerning the transition process. Also, assign a champion to lead the team. You want someone who can engage others and create excitement around your new EHR solution.

Finally, appoint someone willing to be the point person during and after implementation to answer questions and help others through the transition.

Your EHR provider should also provide a key contact to help you undertake the transition.

  1. Who will be your EHR vendor?

Now you need to search for prospective EHR providers. Your planning in the above steps provides guidance on what to look for in preferred vendors.

A behavioral health EHR vendor supplies a configured platform designed to take your agency’s workflows and optimize them in a way that functions within the EHR system. Part of selecting an EHR vendor is determining whether they will provide the security necessary for your protected health information, so it’s important to look for a certified vendor.

Finally, it’s important to find a vendor that values relationships. You want a vendor that will guide you through implementation and support you like a business partner after go-live. Without this type of business partnership, it’s likely you will have a failed implementation.

Conclusion

While these four steps summarize a successful EHR implementation, planning the details before selecting an EHR vendor puts you on the path to success. Agencies are more likely to experience a smoother implementation and better outcomes when they take the time to plan accordingly.

Where to find more information

Remarkable Health’s comprehensive best practice guide, Behavioral Health EHR Implementation Roadmap, shows you how to create a roadmap for a successful implementation. Download your free copy of the guide today.

The Remarkable Health difference

Remarkable Health offers an implementation methodology that puts your agency first. Our goal is to ensure you have remarkable experiences throughout each stage of your relationship with us.

When you engage with our implementation team expect formal project plans for each program we set up and establish. Once your organization is ready, our extensive training process helps your staff and clinicians become efficient users of CT|One from well before your go-live date.

And once you go live with the system, we are here to provide assistance through any hiccups or roadblocks encountered with the process, serving as a trusted advisor for your organization.

Request a demo of CT|One today to experience the difference a powerful fully integrated behavioral health EHR platform can make in your client care and agency goals.

EHR implementation process

Best Practices: EHR Implementation Process

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You are investing significant time, money, and resources to ensure the success of your behavioral health EHR implementation. Failure is not an option.

The following best practices will help you plan and manage your electronic health records (EHR) implementation process to ensure its success:

Set goals

Before you purchase an EHR, set clear, achievable goals for after your new EHR solution goes live. Goals for your new system may include:

✓       Universal usage of the new EHR system.

✓       Improving clinical document management.

✓       Providing better access to data across the entire organization.

✓       Improving workflows from client-intake to claims submission and payment.

✓       Improving revenue cycle, clinical, and productivity metrics.

Once you have goals in place, create benchmarks for each one.

Prepare your plan

Create a thorough implementation roadmap beginning with a workflow analysis. Take the time to document each step in your workflows and analyze for improvements.

Determine the training necessary for every user. Training plans may vary by user access, so it is important to conduct a thorough review and align training to job function.

When migrating data from an existing system to the new  EHR solution, make sure to backup all data first. A contingency plan will help you think through how to adapt if problems occur during migration.

Manage change

Change is easier when you have a great implementation team comprising clinicians and staff at all levels to champion your new EHR solution and engage others in the process.

Part of managing change is providing clear, transparent communication about each phase of the implementation. Ready your organization and ensure all parties are on the same page of what the objectives are. Give clinicians, staff, and others enough information to form a visual picture of what is changing, why the change is necessary, and the steps necessary to make it happen.

Your implementation team must also manage the vendor/agency relationship. Make sure individuals feel their concerns and ideas are heard, and the EHR vendor responds in a clear and concise manner.

Finally, change means a cultural shift in your agency. Pay particular attention to staff and clinician’s reactions to make sure they’re engaged and on board with your new culture of change.

During implementation

Take this opportunity to analyze your workflows against the EHR’s functionality and make any changes necessary to optimize the use of your new system. Matching your workflows to your new EHR will help mitigate any setbacks once you go live.

After your go-live date

Once your new EHR solution goes live, monitor how employees are using the system. Assign a point person willing to coordinate requests/changes between users and the vendor.

Conclusion

Best practices are time-tested strategies on which you can rely. The best practices included above will point you in the right direction to achieve a successful EHR implementation.

If you’d like more information, Remarkable Health has a comprehensive guide titled Behavioral Health EHR Implementation Roadmap (link) that offers sound advice for a successful EHR implementation.

Download your free copy today.

The Remarkable Health difference

Remarkable Health’s CT|One is a fully integrated behavioral health EHR solution offering practice management best practices through operational functionality and reporting.

Our implementation program puts your agency in control. With a CT|One implementation you get:

  • ✓ A formal project plan for each program we set up and establish.
  • ✓ Timelines and expectations.
  • ✓ A project manager and project team dedicated to your implementation.
  • ✓ Onsite and remote training capabilities.
  • ✓ System setup and configuration.
  • ✓ Walk-throughs and documentation to help train in real-time and as you onboard new users.

Request a demo today to discover the power of an EHR solution designed specifically for behavioral health agencies.

medication compliance in mental health

Medication Compliance in Mental Health

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The HIPAA Privacy Rule ensures clients’ privacy rights and protections regarding their health information. Nevertheless, the Privacy Rule recognizes when health information may need to be shared to make sure clients receive the best treatment and to ensure the health and safety of the client or others.

Sharing information related to mental health

HIPAA permits mental healthcare providers to share protected behavioral health information in the following instances.

  • Communicate with a client’s family members, friends, or other responsible parties directly involved in the client’s care. You should get the client’s written consent first, if possible.
  • Communicate with family when the client is a dependent adult or a minor.
  • Consider the client’s capacity to agree or object to sharing information. Per HIPAA, this could include when a client is “unconscious, experiencing temporary psychosis, or is intoxicated and cannot agree or object.”
  • Involve family members, friends, or other responsible parties when clients fail to adhere to medication.
  • Listen to family members about clients receiving mental health treatment.
  • Communicate with family members, law enforcement, or others if the client poses a “serious and imminent threat of harm to self or others.”
  • Communicate with law enforcement about the release of a client brought in for an emergency psychiatric hold.

Restrictions

HIPAA Privacy Rule allows disclosure of mental health information for treatment in the above situations and other purposes with appropriate protections.

  • Disclose only the minimal amount of information necessary for the intended purpose.
  • Psychotherapy notes get heightened protection by the Privacy Rule, which restricts them from release.
  • There may be federal regulations governing alcohol and drug abuse confidentiality, and state laws may offer more stringent protections.

Conclusion

If you’re faced with a medication compliance situation with a client, you may communicate with family members or other responsible parties about the compliance issues. This can help you guide your client towards medication compliance and a better outcome for treatment.

On the other hand, only divulge the minimum amount of information required. Be cognizant of both the Privacy Rule and the restrictions on protected mental health information.

The Remarkable Health difference

Remarkable Health’s flagship platform, CT|One, offers a fully integrated behavioral health EHR platform that offers medication compliance and safeguards to help you properly treat your clients with minimal risk.

CT|One has a drug/drug and allergy interaction alert that activates if a known interaction exists. It alerts the user as well as provides information on the specific interaction and the resource from which it came. The interaction alert recognizes minor, moderate, and severe levels, and you can configure it to suppress alerts.

Contact Remarkable Health today to request a demo of this powerful EHR platform. See for yourself how CT|One can help you accurately and safely treat your clients and increase medication compliance.