A Help or a Hindrance: The Role of Electronic Health Records in Implementing New Practices in Community Mental Health Clinics

Autor:	Victoria Stanhope, Elizabeth B. Matthews
Rok vydání:	2020
Předmět:	Community Mental Health Centers Health information technology Person-centered care Health records Routine practice Ambulatory Care Facilities Mental health Article Organizational resource Psychiatry and Mental health Mental Health Nursing Key (cryptography) Electronic Health Records Humans Business
Zdroj:	Psychiatr Serv
ISSN:	1557-9700 1075-2730
Popis:	OBJECTIVE: Practice innovation requires adequate organizational resources. Electronic health records (EHRs) are a key organizational resource impacting routine practice delivery, though their capacity to support practice innovation in mental health is largely unknown. This study examined the influence of EHR availability on community mental health clinic (CMHC) providers’ fidelity to Person-Centered Care Planning (PCCP), an emergent practice that integrates person-centered principles into the mental health service planning process. METHODS: Participants included direct providers and supervisors implementing PCCP in 7 CMHCs. Fidelity to PCCP was measured using chart reviews of 378 service plans across 3 timepoints. Mixed effect regression models examined the influence of EHR availability on fidelity to PCCP at each timepoint. RESULTS: Findings suggest EHRs didn’t influence PCCP delivery at baseline but was positively associated with fidelity post-implementation. CONCLUSIONS: Findings suggest that EHRs are an organizational resource that can support practice innovation in mental health when paired with clinic-wide implementation efforts.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3f2598ca6a2e7c966d0d2544e4b742c4 https://doi.org/10.1176/appi.ps.201900470 Zobrazit plný text záznamu