A Netsmart Blog

Risk Management – Part 1

Risk Management – Part 1 October 2, 2012 “Life is a probability statement.” – Jim Treloar, Ph.D. Dr. Treloar was my statistics and research methods professor when I was working on my doctorate at Ball State University. His quote above has stuck with me my entire career. It summarizes the human condition in one, pithy sentence. We can’t predict events exactly, but we can say (sometimes with high confidence) when they are more or less likely to happen. For some…

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Checklists In Complex Systems

Checklists In Complex Systems July 31, 2012 In his book The Checklist Manifesto, Dr. Atul Gawande made a compelling case for the value of checklists in complex systems. Dr. Gawande correctly observed that checklists are routinely used in aviation to mitigate risk and improve safety. Pilots use checklists extensively for a reason. Flying an airplane is a complex endeavor and things can get missed if one relies on memory – especially when things get stressful. There is a phenomenon called…

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Outcomes-Driven Model of Delivering Care in a Behavioral Health World

Outcomes-Driven Model of Delivering Care in a Behavioral Health World July 13, 2012 In the acute medical world an outcomes-driven model of delivering care has been very successful. I believe the same will hold true for the behavioral healthcare world. In a behavioral health setting a diagnosis is likely more of a categorization of groups, and outcomes will be generally measured along one or more of three dimensions: symptomology, functionality and satisfaction. So outcomes reporting might look like, “For depressed…

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Diagnosis Code Debate

Diagnosis Code Debate June 18, 2012 was recently asked the following question: There always seems to be an on-going debate in the market as it relates to Diagnosis. There is debate is between DSM-IV and DSM-V and in other instances, I hear people in the behavioral health industry lash out against ICD-9 vs. DSM. But what I do not understand is why the code set used to define the diagnosis is focused upon as the source of frustration. In my…

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Interoperability vs. Confidentiality

Interoperability versus Confidentiality June 4, 2012 This is my first blog post and I’ve ruminated about what to write for several weeks. After much thought, it occurred to me that one of the biggest conundrums facing the behavioral industry these days is the challenge of Interoperability versus Confidentiality. So, let’s take a few minutes to explore this issue.

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