AMIA Annu Symp Proc - Computerization of Mental Health Integration complexity scores at Intermountain Healthcare.

Tópicos

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Resumo

Intermountain Healthcare's Mental Health Integration (MHI) Care Process Model (CPM) contains formal scoring criteria for assessing a patient's mental health complexity as "mild," "medium," or "high" based on patient data. The complexity score attempts to assist Primary Care Physicians in assessing the mental health needs of their patients and what resources will need to be brought to bear. We describe an effort to computerize the scoring. Informatics and MHI personnel collaboratively and iteratively refined the criteria to make them adequately explicit and reflective of MHI objectives. When tested on retrospective data of 540 patients, the clinician agreed with the computer's conclusion in 52.8% of the cases (285/540). We considered the analysis sufficiently successful to begin piloting the computerized score in prospective clinical care. So far in the pilot, clinicians have agreed with the computer in 70.6% of the cases (24/34).

Resumo Limpo

intermountain healthcar mental health integr mhi care process model cpm contain formal score criteria assess patient mental health complex mild medium high base patient data complex score attempt assist primari care physician assess mental health need patient resourc will need brought bear describ effort computer score informat mhi personnel collabor iter refin criteria make adequ explicit reflect mhi object test retrospect data patient clinician agre comput conclus case consid analysi suffici success begin pilot computer score prospect clinic care far pilot clinician agre comput case

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