Abstract
BackgroundElectronic health records (EHRs) are a key tool for primary care practice. However, the EHR functionality is not keeping pace with the evolving informational and decision-support needs of behavioural health...
Highlights
behavioural health clinicians (BHCs) are typically licensed clinical social workers or clinical psychologists that work in primary care practices with adult patients to provide brief therapy to address mild to moderate behavioural health needs such as substance abuse, health behaviours, life stressors and other crises.[11]
We purposively selected practices that varied with regard to the geographic location, size and approach to integration. We expected these attributes would influence integrated team workflows, information needs and tasks, and we wanted to ensure that the Electronic health records (EHRs) tools we developed would be usable by a wide range of practices
BHCs wanted screening tools and scores to be in a single EHR location. We addressed these needs by developing the BH assessment tab, which allows primary care team members to select common screeners from a drop-down list of options, and provides screening templates that auto-tabulate scores and track screening scores over time
Summary
The EHR functionality is not keeping pace with the evolving informational and decision-support needs of behavioural health clinicians (BHCs) working on integrated teams. Objective Describe the workflows and tasks of integrated BHCs working with adult patients identify their health information technology (health IT) needs and develop EHR tools to address them. We observed clinical work and conducted interviews to understand workflows and clinical tasks, aiming to identify how effectively current EHRs supported integrated care delivery, including transitions, documentation, information sharing and decision-making. We analysed these data and employed a user-centred design process to develop EHR tools addressing the identified needs. Needs include the ability to: (1) automate and track paper-based
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