MentalNote will continue to support global initiatives and provide the best information technology that will improve the quality of care in psychiatry.

The Indian Global Psychiatric Initiative (IGPI) is a distinguished group of psychiatrists from around the world of shared Indian sub-continent ancestry. The IGPI is the umbrella organization of the federation of Indo Psychiatry Association across the globe incorporating the Indo-American, Indo-Australiasian, British-Indian, Indo-Canadian, Indo-New Zealand and the Indian Psychiatric Associations. It represents over 16,000 psychiatrists worldwide. This organisation is a vehicle for psychiatrists who have a desire to contribute to enhancing the capacity and quality of psychiatry and mental health care within India.

Posted in behavioral health, documentation, Electronic Medical Records, mental health, Psychiatry | Leave a comment

MentalNote Friday is what you call an opportunist’s dream. We all wait for that moment to buy something new that we want to use so badly and MentalNote Friday is that time to do it. Regardless if you are buying as a gift or for yourself, it’s that one-time of the year MentalNote says “Ho! HO!! HOOO!!!

Most psychiatrists and behavioral health clinicians got to know MentalNote as an Electronic Medical Record software for mental health. But did you also know that it is also:

1. An electronic documentation software (a.k.a. MentalNote Solo Edition). If you just want a software that will manage and document  your psych evaluations, progress notes, correspondence letters and much, much more, without the need to write or type (unless you choose to), then the MentalNote Solo Edition is it.

2. Simple to install. Within minutes, you can download a full functional electronic medical and documentation software. Who wants to sit through the holidays with a bunch of tech-geeks?

3. Intuitive to use. Within minutes after installation, you can start and finish a full progress notes. Who wants to drink eggnog with a group of talkative trainers.

4. Portable without the need of the Internet. If you ever have an Internet outage, a slow network or just no network, there’s no need to worry. There’s a solution … MentalNote, because it will work without the Internet and when you do have Internet, it will sync and backup all your work from your secure hard-drive. What EMR can say that?

This Friday, if you have always wanted to buy MentalNote, it’s the best time of the year to do so. It’s been a tradition of ours since 2008 to offer MentalNote at a deep discount once a year — and MentalNote Friday, Dec. 16, is that day.

Posted in documentation, MentalNote | 1 Comment

There are events that we look forward to going to. Then there are ones that we regret ever going to it. We hope the MentalNote Annual Consortium is one of those events that you feel compel to spread the word about. After many years hearing issues that psychiatrists face with on a daily basis, we thought we will make a day of solving some of the biggest issues in psychiatry. So we came up with (3) subject that matters most to our customers and the questions that they had:

- Meeting Meaningful Use — Can psychiatrists actual get the government incentive payment for meeting MU?

- Using MentalNote in a Real-Life Setting — How is MentalNote used in my practice?

- Electronic Prescribing For Controlled Substance — Can I prescribe controlled substances electronically in my state?

So I ask you, the customers, attend our consortium and tell us if it was worth your time. Here is more information about the MentalNote Consortium:

Date: Friday, Dec 9, 2011
Time: Session 1 – Meaningful Use – 11AM EST (8AM PST)
Time: Session 2 – MentalNote in Practice – 1PM EST (10AM PST)
Time: Session 3 – ECPS – 3PM EST (12PM PST)
Click HERE to register.

Posted in e-prescribing, Electronic Medical Records, electronic prescribing, EMR, Incentives, Meaningful Use | Leave a comment

CLEVELAND – Doctors’ adoption of health information technology doubled in two years, according to a new report, Department of Health and Human Services Secretary Kathleen Sebelius released Wednesday. Sebelius also announced extension of the meaningful use qualification date to 2014.

To encourage faster adoption, Sebelius  announced that HHS intends to allow doctors and hospitals to adopt health IT this year, without meeting the new standards until 2014. Doctors who act quickly can also qualify for incentive payments in 2011 as well as 2012.

“When doctors and hospitals use health IT, patients get better care and we save money,” said Sebelius.“We’re making great progress, but we can’t wait to do more. Too many doctors and hospitals are still using the same record-keeping technology as Hippocrates.Today, we are making it easier for healthcare providers to use new technology to improve the healthcare system for all of us and create more jobs.”

In addition to improving the healthcare system, data indicate that the national transition to health IT is creating jobs. More than 50,000 health IT-related jobs have been created since the enactment of the HITECH Act, Sebelius said.

According to the Bureau of Labor Statistics, the number of health IT jobs across the country is expected to increase by 20 percent from 2008 to 2018, much faster than the average for all occupations through 2018.

Sebelius promised  greater outreach efforts that would provide more information to doctors and hospitals about best practices and to vendors whose products enable healthcare providers to meaningfully use EHRs. For example, in communities across the country HHS will target outreach, education and training to Medicare eligible professionals that have registered in the EHR incentive program but have not yet met the requirements for meaningful use. Meaningful use is the necessary foundation for all impending payment changes involving patient-centered medical homes, accountable care organizations, bundled payments, and value-based purchasing.

These efforts will complement existing outreach efforts to doctors and hospitals including the Obama Administration’s work to create a nationwide network of 62 Regional Extension Centers.  The extension centers are comprised of local nonprofits that provide guidance and resources to help eligible health care providers participate in the Medicare and Medicaid EHR Incentive Programs and meaningfully use health IT.

[See also: HHS aims to spur software apps development.]

Also released today, a new Centers for Disease Control and Prevention (CDC) survey found 52 percent of office-based physicians in the U.S. now intend to take advantage of the incentive payments available for doctors and hospitals through the Medicare and Medicaid EHR Incentive Programs. EHR incentive payments for eligible healthcare professionals can total as much as $44,000 under the Medicare EHR Incentive Program and $63,750 under the Medicaid EHR Incentive Program. The CDC data also show the percentage of physicians who have adopted basic electronic health records in their practice has doubled from 17 to 34 percent between 2008 and 2011 (with the percent of primary care doctors using this technology nearly doubling from 20 to 39 percent).

To meet the demand for workers with health IT experience and training, the Obama Administration has launched four workforce development programs that help train the new health IT workforce.  The training is provided through 82 community colleges and nine universities nationwide.  As of October 2011, community colleges have had 5,717 professionals successfully complete their training in health information technology.  Currently there are 10,065 students enrolled in the training programs across the nation.  As of November 2011, universities have graduated over 500 post-graduate and masters-level health IT professionals, with over 1700 expected to graduate by July 2013.

 

To read more, go to http://www.healthcareitnews.com/news/hhs-extends-mu-stage-2-deadline-spur-faster-emr-adoption?topic=01,08.

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We have discovered that everyone has a talent to give. Tapping into people’s skills and knowledge creates a more meaningful experience for the volunteer and those he or she serves. It can be expertise in a certain field to the ability to make others feel assured, cared for and safe. No matter what the talent or gift a volunteer shares with others, it helps to sustain a culture of relationship-building among many groups, including youth, seniors, businesses and other charitable organizations.

This Thanksgiving, the MentalNote family will volunteer for the Meals-on-Wheels For Seniors in the southeast region of Michigan. Our company’s mission has not only been to provide the best product and services to our customers, but also to give back to the community that we surround ourselves with everyday.

Tell us what volunteer work you’ve done for your community.

Happy Thanksgiving!

More about Meals on Wheels: The Home Delivered Meals program, more commonly known as Meals on Wheels, is designed to provide a hot meal,  Monday through Friday for individuals who are 60 years of age or older, homebound and unable to obtain or prepare meals. An in-home assessment is completed to determine eligibility. This service is not based on ability to pay, though donations are encouraged. Often the meals are delivered by volunteers. Senior Nutrition programs also include Congregate Meals that are served in a group setting (usually at Senior Centers) and Liquid Nutrition. The Meals on Wheels programs in Southeast Michigan are administered by the Area Agencies on Aging. Each Area Agency on Aging office manages the program differently. Contact the AAA office that serves your community for specific program information about the program in your community.

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If you have not signed up for Evan’s blog, you are missing out on great insights about EMRs & EHRs.

————-

Last week’s EMR Straight Talk post, “Are EHRs Being Oversold,” hit a nerve, judging by the number of readers and the volume and intensity of comments submitted by physicians. Sadly, for every one of the physicians who took the time to write, there are scores of others enduring similar experiences. The following excerpts from their comments are reflective of their frustrations:

  •    We are a year into [EHR] implementation and it has been horrible and costly.
  •    What little efficiencies gained have been lost to a decrease in productivity.
  •    I now require a scribe to maintain the [same] patient flow that was seen four years ago we began using the system.
  •    The trouble with most EMRs is the horrible user interfaces that are designed by committees who have no concept of ease of use for ophthalmologists.
  •    The programs are user unfriendly in the extreme, cumbersome and inflexible.
  •    The learning curve is seriously long and even when mastered takes a terrific amount of time away from the patient.
  •    The joy-killer was encountering the endless barriers to putting my own ideas to work.
  •    Training is lengthy, expensive, and markedly disruptive in an office.

Every one of these stories breaks my heart as a staunch EHR proponent—particularly since the situations could have been easily avoided.

The Root of the Problem

The problem lies in the EHR selection process. When it comes to dispensing medications, for example, no physician prescribes without knowing the success rate for that particular drug for that particular type of patient and problem being addressed. Yet, typically, physicians do not make EHR purchase decisions in the same way that they make clinical decisions—using empirical evidence and data to predict outcomes.

… to read more, click here.

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Do we need to conduct in-person assessment before delivering telemental health or online therapy? Is reimbursement for home-based telehealth still prohibited from federal reimbursement? Answers depend on your state law.

For Californians, state law just changed, making home-based telehealth care of many types not only feasible, but reimbursable. The Telehealth Advancement Act of 2011 was passed in September of 2011. Repercussions are far-reaching, and open the door to home-based practice state-wide.

While the entire law can be seen here, I will re-post a few key sections for your convenience:

2290.5. (a) For purposes of this division, the following definitions shall apply:

(6) "Telehealth" means the mode of delivering health care services
and public health via information and communication technologies to
facilitate the diagnosis, consultation, treatment, education, care
management, and self-management of a patient's health care while the
patient is at the originating site and the health care provider is at
a distant site. Telehealth facilitates patient self-management and
caregiver support for patients and includes synchronous interactions
and asynchronous store and forward transfers.
1374.13.  (a) For the purposes of this section, the definitions in
subdivision (a) of Section 2290.5 of the Business and Professions
Code shall apply.
   (b) It is the intent of the Legislature to recognize the practice
of telehealth as a legitimate means by which an individual may
receive health care services from a health care provider without
in-person contact with the health care provider.
   (c) No health care service plan shall require that in-person
contact occur between a health care provider and a patient before
payment is made for the covered services appropriately provided
through telehealth, subject to the terms and conditions of the
contract entered into between the enrollee or subscriber and the
health care service plan, and between the health care service plan
and its participating providers or provider groups.
   (d) No health care service plan shall limit the type of setting
where services are provided for the patient or by the health care
provider before payment is made for the covered services
appropriately provided through telehealth, subject to the terms and
conditions of the contract entered into between the enrollee or
subscriber and the health care service plan, and between the health
care service plan and its participating providers or provider groups.

Again, the link to the original document is here. 

This law will set the tone for telehealth practice across the country, forcing other state legislator to consider the many restrictions they are putting on their practitioners. For some of us, this has been a long time coming. For consumers who have been denied care despite their desperate need, this is a God-send.

California legislators are to be heartily congratulated for having the education, vision, and courage to enact a law that will reduce the suffering and thereby give hope to the people who now can access affordable healthcare.

That’s my opinion. What’s yours?

Read more (http://telehealth.net/blog/telehealth-advancement-act-of-2011/).

~

Marlene M. Maheu, Ph.D. is the Executive Director of the TeleMental Health Institute, Inc., offering a Certificate training program in TeleMental Health for telepsychiatry, telepsychology, telesocial work, and online counseling. Academic books authored by Dr. Maheu and colleagues include eHealth, Telehealth and Telemedicine and The Mental Health Professional & the New Technologies.

Posted in mental health, telehealth | Tagged , , | Leave a comment

What is the MentalNote Consortium?

Over the years, we provide our customers with topics and discussion that matters to their practice. We continue this tradition with our first MentalNote Consortium on December 9, 2011. The consortium will consist of 3 expert presenters touching on topics that will help you with your practice. All webinar presentations will be 1-hour and will be stream live on the internet. There will also be Q&A sessions after each presentation. Please click below to register for the session that you want to join. The consortium will be FREE for all registered MentalNote accounts.

Session 1 (S1): Dec 9 @ 11AM EST (8AM PST) – Meaningful Use & EMR: A Case Study

Session 2 (S2): Dec 9 @ 1PM EST (10AM PST) – Practicing with MentalNote: A Case Study

Session 3 (S3): Dec 9 @ 3PM EST (12PM PST) – Electronic Prescribing for Controlled Substances (EPCS)


Posted in electronic prescribing, Incentives, Meaningful Use, MentalNote, Psychiatry | Tagged , | Leave a comment

Another great blog from Evan Steel of EMR Straight Talk. The key thing is that you do your DUE DILIGENCE before selecting an EHR & EMR.

——–

I am a firm believer in the tremendous value that the right EHR can deliver to physicians, so the historic dissatisfaction with the EHR industry—as reported in studies and anecdotal conversations—has long disturbed me. The alarming intensity of this dissatisfaction was brought home by visitors to my company’s booth during the recent AAO (American Academy of Ophthalmology) meeting.

I was truly appalled by the abject frustration and anger expressed by numerous physicians about their EHRs. One visitor described his experience by saying, “It has taken the joy out of practicing medicine.” Another said that he felt like he should put a picture of his face on the back of his head so that his patients could see him—because he was forced to focus on the computer and enter data while the patient provided information. Physicians universally complained about the “productivity-killing” impact.

Why is this so? I know there are good EHR products in the market that physicians enjoy using and that enhance, rather than reduce, their productivity. Why are physicians not more successful in finding these?

The answer is that EHRs are being oversold. There are many EHRs that are marvels of software, capable of doing incredible things, but the selection process that physicians typically employ is flawed, and the sales process capitalizes on this shortcoming. The salesperson dazzles them with a demo, or they take prospective purchasers to see a physician—typically just one or two—who adeptly uses the software. This creates a false sense of ease-of-use, and the physician prospect leaves the site visit expecting that he or she will be able to use the EHR just as successfully. But not all physicians are alike—they may all be very intelligent and have tremendous medical expertise, but they are not all equal in technological inclination or skills. Their success—or lack thereof—with a particular EHR will vary significantly.

This brings us back to the importance of doing due diligence—something I have talked about before. Call and/or visit a variety of physicians who represent a wide spectrum of proficiency. Go to the reference practice’s website and select physicians on your own—don’t rely on the vendor’s selection. Ask the kind of questions listed in the last EMR Straight Talk. This is the only way to increase the odds of a successful EHR experience, and to avoid making a painful and costly mistake.

Are EHRs Being Oversold? | EMR Straight Talk

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Sign Petition

Petition is design to develop a "revision of DSM diagnoses and should include the contribution of psychologists."

Psychologists Start Petition Against DSM 5

Posted in behavioral health, Best Practices, Law, MentalNote | Tagged , , , | Leave a comment