Before the emergence of Covid-19, overdose deaths took an average of 130 American lives per day. Some estimate that the number has doubled over the past few months, as resources for people with substance use disorders have been diverted to deal with the immediate crisis of the pandemic. The lack of access to treatment has left many people vulnerable while isolation and socioeconomic stressors are at an all-time high.
More Reasons To Relapse
Job loss, depression, and loneliness increase the likelihood that a person with a substance use disorder may be driven to relapse. People who are cut off from their support network by quarantine and stay-at-home orders are not getting the medical care they need. According to White House analysis, overdose deaths were up by 11.4% from January to April of this year when compared with the same period in 2019 when death rates were already at historically high levels. The outlook has only worsened since then, as the coronavirus continues to spread.
An Overwhelmed Medical Community
Some fear that hospitals are too busy dealing with Covid-19 patients to enroll overdose survivors into addiction treatment programs. Without a comprehensive follow-up plan, opioid abuse patients face a greater risk of relapse and overdose. This is especially true when you factor in the loss of continuity of treatment, and other potential struggles:
unpaid medical bills,
loss of insurance,
loss of employment,
a lack of support.
Where do we go from here?
In a recent podcast, AMA President Patrice Harris acknowledged the pandemic has exacerbated the opioid epidemic and emphasized the need to eliminate treatment barriers. Recent regulatory changes have made it easier for healthcare providers to expand virtual care options like telehealth services. These new measures also offer more accessibility to the medications that patients need. We must ensure that all populations have equitable access to these treatment pathways, especially the marginalized populations who have been disproportionately affected by Covid-19.
The medical community can do its part by educating more doctors around pain management, addiction treatment, and legitimizing addiction medicine. Providing addiction resources is more important than ever, especially during Covid-19. With proper planning and execution, this new infrastructure will continue to expand access to treatment, even when the pandemic is over. Making these proactive policy changes permanent will significantly aid those suffering from opioid addiction and substance use disorder.
Alleva offers telehealth solutions and supports behavioral health providers. Discover how Alleva can help you by scheduling a free demo today.
Even before the spread of COVID-19 forced millions of people around the world to isolate, the decline of human contact in our digital world was taking a toll. In the great debate about the merits and difficulties of a world dependent on technology, the jury is still out.
In some ways, we may fault technology for our culture’s rampant obsession with status, or the resulting depression and even addiction in the younger generations. In other ways, we praise it for making our lives easier, for making information available to the masses, and for its ability to connect us with others across the globe.
While we may agree with the risks of allowing technology such a vital place in our lives, we have all, in some way or another, cosigned the idea that through technology, we can improve how we communicate and connect with each other. Some technology, like video conferencing, brings people together and breaks through the barriers of isolation.
The Need for Human Connection
Since the dawn of humanity, we have needed connection with others of our kind, just as much as we needed food, water, or shelter. This is because, in many ways, banding together was our ticket to successfully meeting all other needs. As evidenced by early cave drawings all the way to today’s obsession with social media, we’ve long felt convinced of our need to communicate important messages, share about dangers on the horizon and even to celebrate successes with one another. Although the medium has changed over time, the fundamental service that these platforms appear to provide remains the same.
In the years since those early attempts at human connection, our society was on a path towards individualism, and as a whole becoming lonelier and more and more isolated from one another. Tricked time and time again by a consumerist mindset that told us that we are always “only 3 easy payments of $19.99” away from happiness, we’ve continually failed to learn our lesson. With the advent of the internet, we fared no better.
In his poignant discussion of the root causes of depression, Johann Hari points out that we are drawn to these manufactured forms of connection because at first, we believe that they are the real thing. However, no matter the number of emoji’s, gifs, or iMessages sent with special effects, communication online fails to measure up to the real thing, and only leaves us clamoring for our next ‘fix’.
“Only through our connectedness to others can we really know and enhance the self. And only through working on the self can we begin to enhance our connectedness to others.” ― Harriet Lerner
What Does This Mean for Clinicians?
Recent research reveals that the average person checks their phone 96 times per day or roughly every 10 minutes, and spend nearly half their day listening to, watching, reading, or otherwise consuming media. The Behavioral Health Industry is not immune to these societal changes. Although the therapy room may be one of the last frontiers where two individuals connect with one another for an extended length of time, uninterrupted, the battle for such a structure and even mandates for concurrent documentation appears to threaten this practice.
In some ways, clinicians are expected to provide a remedy for this lack of human connection, as well as a model for the path forward. It is crucial to this task to consider both the role of technology in both fostering and hindering human connection, and to discover the balance between consuming the content available to us and engaging with the people in front of us.
True, because of technology, we are aided in our ability to get tasks done more quickly and connect with others across the globe, but we must not neglect our connection to the natural world. For many reasons, this is why wilderness therapy has been so successful, in that it helps you retain your connection with the world around you.
Partnering with Alleva
At this time in history, we are navigating two worlds: the physical and the virtual. It is altogether vital to remember which one fosters true, fulfilling, human connection, and that which is only masquerading as such. Technology is important, but only when we remember its true purpose, to aid the lives of those behind the screen.
At Alleva, we are all about harnessing technology that helps you get back to what you do best- providing authentic, in-the-moment care. From our intuitive design and easy-to-use templates, with HIPAA-compliant communication logs, and tasks and notifications all in one place, spend less time stressing out over the tediousness of record management and invest your time instead back to the clients who have sought you out for treatment.
Quickly access and edit client notes, create individualized treatment plans based on Wiley Treatment Planners best practices, and assign the corresponding homework. With Alleva, you are able to deliver the same high-quality, individualized treatment that your clients have come to expect. Have your technology work for you, not the other way around. Less headache, more connection.
So, what does this mean for you? What is accreditation, and how can you obtain it? We’ve prepared a short guide explaining the change and how you can stay one step ahead of the curve.
NATSAP’s New Decision
The National Association of Therapeutic Schools and Programs, or NATSAP, was created in 1999 as a resource available throughout the United States for programs and centers helping young people with behavioral and emotional burdens.
Currently, NATSAP serves only as a resource and not as an organization that checks for compliance. Therefore, in order to improve the quality of the programs that boast NATSAP membership, the board voted in October to make all members follow accreditation procedures.
Fortunately, your center has three years to obtain accreditation: the deadline is January 1st, 2023. Furthermore, NATSAP has committed to helping organizations gain the accreditation they need. They have samples of policies that satisfy accreditation criteria and mentoring programs to help newer organizations navigate accreditation. Of course, you have to be a member of NATSAP to obtain these resources.
According to NATSAP, accreditation can be obtained by any of the following groups:
National Independent Private Schools Association (NIPSA)- Therapeutic Level 3 or 4 only
Here at Alleva, we have recommended CARF and the Joint Commission for accreditation purposes. Both are excellent choices for your accreditation needs, but their requirements are somewhat different. Our advice is to learn about both in order to pick the one that works best for you.
Accreditation & Why It Matters
Why is NATSAP suddenly requiring accreditation? The truth is, this has been in the works for some time. As an organization devoted to therapeutic programs and centers, best practices often require rigorous enforcing of evidence-based procedures. If you’re accredited, it means that your program or center has been deemed satisfactory to provide the treatments you offer.
For this reason, accreditation often cultivates safety and efficacy. By making all members accredited, NATSAP gains more credibility and authority when it comes to advocating for centers and programs like yours.
However, you may find yourself wondering: is accreditation worth it?
Accreditation does take some work, but the end result is powerful. Not only does it force you to take a look at how your organization is running, but it puts you in the shoes of your patients. By doing so, you are taking a personal approach to your treatments, and you are getting first-hand experience of what your patients are going through so you can provide the best quality service you are able to offer.
Promoting your accreditation status also has benefits outside of the treatment you offer. It immediately strengthens confidence in your center and your programs because they have been vetted by trusted organizations, and it also provides a boost in your marketing since you can boast accreditation that another facility may not have.
Smaller benefits include improving risk management, a reduction in liability insurance, continued support from your accreditation organization, and improved recruitment efforts, since employees always want to work at more respected organizations and accreditation is one way of gaining respect in the industry.
"Quality is never an accident; it is always the result of high intention, sincere effort, intelligent direction, and skillful execution; it represents the wise choice of many alternatives."
WILLIAM A. FOSTER
Before applying, our advice is to do as much research as you can on the process and which accreditation body you would prefer to work with.
Once you have reviewed the requirements for accreditation, analyze your center and programs yourself in order to discover the areas where you may need improvement. Go through the process internally and involve your staff, making sure everyone is aware of the caliber of service you need to offer to obtain accreditation.
Once you have discovered some potential areas for improvement, make a plan or systematized effort to implement changes, and decide when these need to be completed by. The survey by the accreditation body can take up to one year to be scheduled, so you may have some extra time, but ideally, you would start diagnosing your program as soon as possible.
One of the benefits of working with an accreditation body is that they provide feedback from a perspective of experience and guidance. They want to help, and you can collaborate with them to designate areas for improvement and implementation suggestions.
How Alleva Helps With Accreditation
Alleva can help with accreditation in numerous ways. To start, Alleva can help you digitize forms, which leads to less lost paperwork and prepares you for compliance checks.
By digitizing your practice, you gain our expertise and digital tools that will grow and change with your program in an industry that is constantly evolving. Not to mention—we have extensive experience helping clients through the accreditation process. Everything, including accreditation, is easier when it’s digitized and organized.
If you want to learn more about Alleva, request a demo today and see what we can do to help.
The Ins and Outs of the FCC’s $200 Million COVID-19 Telehealth Program
As part of the government’s recent measures to curb the economic crisis brought in by the spread of COVID-19, lawmakers recently signed a bill called the Coronavirus Aid, Relief, and Economic Security (CARES) Act, which contains numerous programs created to offer assistance for industries affected by the pandemic.
One of these plans, the COVID-19 Telehealth Program, was recently adopted by the Federal Trade Commission (FCC), and it includes a $200 million financial package meant to support care providers who are following the social distancing guidelines. The goal is to help healthcare providers purchase telehealth and IT services to successfully treat patients virtually.
As of April 13, eligible healthcare providers can request assistance from the FCC to help fund their newly acquired telehealth needs. Many have already taken advantage of the program; the FFC awarded $1 million to Ochsner Clinic Foundation, in New Orleans, Louisiana for telehealth-related services.
Read below to learn more about how you can apply for telehealth assistance today.
What Does the Program Entail?
During a crisis any assistance is welcome, but the details of the program matter. The more informed you are about the Telehealth Program, the better equipped you’ll be to shift your practice towards a virtual approach.
The FCC has selected a number of covered expenses related to telehealth services, which include:
The Telehealth Program does NOT include funding for the following:
Telecommunication Services: Voice communication services for providers or patients Information Services: Internet connectivity services for providers or patients, remote patient monitoring technology, patient outcomes reporting technology, video conferencing services Necessary Devices/Equipment: Tablets, smart phones, remote patient monitoring equipment for patient or provider use
Staffing Costs: IT personnel and administrative/training costs are not included in the relief package Websites: The Telehealth Program is not intended to fund the development or creation of new websites, systems, or platforms Unconnected Devices: Devices that patients use at home and then manually report the results to their medical professional are not covered
Quick Facts
This is not a grant; Applicants receive reimbursement for eligible expenses and services. More details about compliance on the FCC website.
Retroactive costs are eligible for funding up to March 13, 2020.
There is currently no deadline for applications, and they are being accepted on a rolling basis.
Eligibility
Now that you know what the program entails, the next question revolves around eligibility. How do you know if you qualify for assistance?
Eligibility in this instance is two-tiered. You need to qualify through both categories in order to receive assistance. Without making this more complicated than it should be, let’s review the requirements for each level of eligibility.
Eligible to Receive Funding
This is the first category of eligibility. Please note: being eligible to receive funding doesn’t necessarily mean you are eligible to participate in the new Telehealth Program. It is simply the first step toward determining your eligibility.
The Telehealth Program follows the rules set in place by the Telecommunications Act of 1996, which only includes nonprofit and public healthcare providers from the following categories:
Local health departments/agencies
Teaching hospitals, medical schools, and post-secondary organizations that offer health care instruction
Rural health clinics
Community health centers or health centers that provide health care to migrants
Community mental health centers
Not-for-profit hospitals
Skilled nursing facilities
Along with falling under one of these categories, you must also be registered with the federal System for Award Management (SAM) to receive COVID-19 Telehealth Program funding. If you are already registered, then you can simply move on to the next eligibility tier.
If you have not yet registered, go to their online system and make sure you have the following information at hand:
DUNS number
Taxpayer Identification Number (TIN) or Employment Identification Number (EIN)
Bank account information (routing, account number, account type)
While you can still submit an application if you are not yet registered with SAM, we recommend registering as soon as you can because it can take up to eleven business days for your registration to go through.
Eligibility to Participate in the Program
On to the next step: verifying your eligibility to participate. The Universal Service Administrative Company (USAC), a non-profit that aims to make internet connectivity accessible, affordable, and pervasive, is the organizing body tasked with determining the eligibility of healthcare providers for funding.
Yes, it’s another form you have to fill out. You can apply on USAC’s portal, where they can notify you of any changes in your application process, or you can email Form 460 to RHC-Assist@usac.org.
Just a heads up—if your organization has separate sites, each site will have to apply separately for eligibility from the USAC (if they are seeking assistance through the Telehealth Program).
Once again, you do not have to wait to receive your eligibility determination from the USAC to apply. However, you will not be able to receive any funding until the USAC determines you are eligible. Our advice is to complete your application as soon as you can because needs are urgent and the funds are limited.
Application Process
If you’ve made it this far, nice job! You’re almost there. The first step toward submitting your application is registering with CORES to obtain an FCC Registration Number (FRN).
Go here to set up your CORES account. Once you submit your registration, you’ll receive your FRN. If you’re not sure whether you already have an FRN, you can go to CORES, search for your name, TIN, or other contact-related information, and you’ll be able to find it there.
Once you’ve received your FRN, you are ready to apply! The COVID-19 Telehealth Program application is right here.
Which Applications Will Be Approved?
Every healthcare provider applying for assistance is anxious to know how the FCC will evaluate applications. Keep in mind, that the FCC has a set of goals and objectives it wants the Telehealth Program to achieve, so these will be a top priority. One of these priorities is to support areas that have been affected heavily by COVID-19.
Along with these goals, the FCC will also take into account the conditions to be treated, geographic areas and population served by the applicant, whether or not the area has been suffering from shortages or closures, and what type of access the community has to broadband connections.
Ideally, the $200 million financial packages will be used efficiently, so another factor to keep in mind is the metrics which the applicant will use to measure the impact of the services and devices provided by the program. If you can demonstrate that you will be using the funding for specific and necessary purposes and that you have the ability to monitor and enforce correct use, you will be much better off.
Final Checklist
Make sure you run through these steps in the following order. If you’ve already completed a step, move to the next one.
Make sure you will be using the funds for covered expenses
Make sure your organization falls under the covered categories
Hopefully, we were able to synthesize the information and make it easier to understand. There are a lot of moving parts, and it’s important to stay informed in order to make sure the COVID-19 Telehealth Program funding is used properly and effectively.
At Alleva, we are here to help the helpers, those who are essential in moments like these, and who need help taking medical care to a virtual atmosphere. Due to the pandemic, a lot of telehealth services have not been able to acclimate properly with the surge in demand. We have specialized in offering user-friendly Telehealth platforms that aim to cultivate virtual connections between provider and patient.
If you are a healthcare provider and you need help transitioning to an online or virtual treatment system, we can provide the assistance you need while simultaneously making compliance and organization easier.
Request a free demo today and spend more time serving those in your care.
It has long been a challenge for those in the substance abuse and mental health professions to get their clients to engage in treatment in the time between sessions, or for those in a residential facility, to keep them on the right track after discharge. Especially in the wake of COVID-19, clinicians are searching for ways to help their clients seek and access the resources available to them at home.
While on some levels, technology can seem to lead us to disconnect from others in favor of virtual versions of ourselves, it also presents us with innumerable supportive resources to assist clients with taking ownership of the recovery process, while dedicating time and attention to caring for themselves on a mental, emotional, and physical level.
The following is a summary of four types of apps that can be helpful resources for your clients, while in therapy and long after.
Meditation Apps
Mindfulness and meditation are taught in therapy as a means of connecting clients to internal resources to harness healing outside of the session.
An integral part of meditation is eliminating and/or directing awareness away from distractions. Meditation apps do this wonderfully by changing technology from a distraction into a tool. By facilitating meditation practices and activities, meditation apps also increase the self-efficacy of clients and confidence in their mental awareness.
Insight Timer- Insight Timer offers the unique experience of several forms of guided meditations for various needs. Music, guided imagery, and muscle relaxation are some of the few forms of meditations available on the app.
10 Percent Happier- 10 Percent Happier is a wonderful app for those who are new to mediation. Courses and coaches set this app apart from more independent meditation apps.
Reading Apps
Bibliotherapy refers to the use of literature in the healing process of counseling or therapy. Some therapists prefer to assign materials for clients to read based on treatment goals. However, some may encourage clients to simply explore as they feel comfortable, as for the ever-anxious, picking up a fantasy fiction novel may be the perfect distraction to get them out of their heads for a while.
In addition to Audible or Kindle, consider some additional reading apps for use in your therapeutic process:
OverDrive- The OverDrive app offers app users the chance to connect with local libraries in order to browse and read any of the volumes available nearby, in addition to the books on file with OverDrive.
Nook app- The Nook reading app from Barnes & Noble offers a large selection of literature spanning multiple genres.
Sleep Apps
Research on sleep hygiene and its connection to mental health and wellness is growing rapidly. In fact, a routine question in mental health services intakes is: “how many hours of sleep do you get on average?”
Sleep apps are available to promote proper sleep hygiene by helping clients set alarms for sleep and wake times, tracking REM (deep sleep) cycles, noting restless periods of sleep, prompting appropriate times to turn off lights and technology, and offering music to assist with falling asleep.
The following are a few sleep apps available to assist you with establishing and maintaining important sleep hygiene habits:
Slumber- The Slumber app uses both meditations and music to assist app users to attain restful sleep. Some of the “techniques” available on the app include: “mindfulness, breath control, guided imagery, and progressive muscle relaxation.”
Sleep Cycle- The Sleep Cycle app is an innovative app created to tailor the morning alarm to your stages of sleep. The app maintains a record of your sleep cycles and uses this information to wake you in the lightest stage of sleep. Thus you’ll wake feeling rested, rather than the alternative where you’re abruptly pulled from a deep sleep.
Time Management Apps
Depending on the presenting concerns of clients, time management may be a targeted skill in therapy. While this may not appear to be a primary issue, learning and embracing effective time management can contribute to reduced stress and anxiety.
Counselors and clients alike find it helpful to tackle some of the practical issues with daily life before diving deeper into the therapeutic process. Time management apps, much like personal assistants, are available to provide a central place to track the important events and tasks in life while allotting time for self-care.
Below are a few current time management apps to assist with organizing and following through with life tasks to promote healthy efficiency:
MyLifeOrganized- My Life Organized is a time management platform offering users tools for prioritizing tasks in a daily planner and various formats. This app encourages optimizing your time by helping you manage the tasks entered and organized in the app.
Remember The Milk-Remember the Milk is an application designed to help keep track of the tasks and appointments in life that may slip by. This app is designed to “get to-dos out of your head” to reduce stress and increase concentration on the tasks you want to prioritize.
An App for You: Alleva
After helping your clients find and access apps that are supportive of their recovery, try one of your own: Introducing Alleva, the friendliest EMR platform around. Alleva not only has a client app meant to keep clients connected during and aftercare, but you will also be able to easily send out text surveys and have access to the latest in telehealth technology.
Speaking of time-management skills, Alleva’s built-in, real-time alerts will also remind staff to dot I's and cross T's to ensure compliance. Alleva is the perfect example of harnessing technology that allows you to spend more time where your heart is -serving those in your care. Request a demo today.
Last month we posted an article that detailed one aspect of the role that compliance specialists play in many behavioral health organizations. While that article focused on the tenuous relationship they often have with the clinicians on staff, it’s true that the compliance specialists’ role is meant to achieve much more than just a title as “stickler” or “perfectionist” by their coworkers.
Goals of Compliance
For those who are unaware, the compliance department works not only as a way to meet regulatory demands by accrediting bodies such as CARF or The Joint Commission, but also functions as an added layer to protect against fraud, waste, abuse, or misconduct by staff members, or the agency as a whole. This type of work is the heartbeat of any organization that is concerned about its influence in the community and can truly impact the lives of your patients, their families, and all those they come in contact with, as well as your staff.
In the state of this industry, which is rife with ethical complaints, court cases, and legal battles, it is of utmost importance to have a proactive compliance department and to create policies and practices that are more preventative in nature. Often, compliance departments and programs are engineered, per Medicaid regulations, with a few specific aims:
To create and have accessible written policies, procedures, and standards of conduct that comply with all applicable Federal and State requirements.
To designate a Compliance Officer who is responsible for developing and implementing policies and practices and to establish a Regulatory Compliance Committee that is equally accountable to senior management.
To design a system for training and education for all levels of employees and positions.
To establish effective lines of communication between the compliance officer and the organization's employees.
To enforce standards through well-publicized disciplinary guidelines.
To create procedures within a system of dedicated staff for routine internal monitoring and auditing of compliance risks, prompt response to compliance issues as they are raised, investigation and correction of potential or identified problems promptly and thoroughly in order to maintain ongoing compliance.
Is it Working?
Although these may represent the intentions behind the role of compliance, often still the felt experience of many clinicians is that those reviewing their work are simply lying in wait, excitedly correcting spelling errors or pointing out what seems like insignificant mistakes. They may think that compliance specialists find great joy and their life’s purpose in pointing out when dates or times don’t match up, or when the metaphorical I’s and T’s need dotting and crossing.
In many ways, this feels like what compliance has become, a shift in focus from pursuing agency standards to simply watching out for any clerical errors.
At times this appears to be a byproduct of an antiquated way of working together, still relying on paper and pen methods or printing copies, working off of forms that are always needing an update or forgetting to use the most updated version, and just generally not having tools that are actually serving effective documentation practices. Compliance specialists would likely agree that it is not their intention to prioritize these concerns, however, without the tools that make these a non-issue, or at least an easier issue to correct, they end up spending a significant portion of their time and energy on these menial corrections.
Another concern that occurs down the line, is that although you may have taken great care to create policies, practices, and procedures to ensure compliance, when is the last time a staff member read and used their policy manual? Are the lines of communication between the compliance officer and employees more theoretical in nature? How is ongoing education and training implemented into organizational practice? What are the messages, if any, that you are sending to your employees about compliance?
When You Partner with Alleva
With Alleva, our model has always been to provide you with the tools needed, so that you can get back to what you do best, compliance department notwithstanding. When you digitize your practice with Alleva, we make it easy to focus on the important things: like pushing yourself to be your best for your community that deserves it.
Free up your clinician’s time by avoiding repetitive data entry, and make accessing agency policies and procedures a breeze. Allow your compliance specialists to focus on less trivial tasks, with built-in automated auditing and compliance features, and create a work environment that thrives on mutual respect, community, and a drive to pursue excellence. When you partner with the friendliest EMR platform around, you can make your humdrum, routine tasks easy to accomplish. To request a demo, schedule with us today!
Compliance Specialists and the Clinicians They Review
Compliance in the field of mental health services is very similar to the backstage crew on a Broadway production. Compliance specialists ensure the accuracy and timely submission of the documentation integral to mental health services provided by therapists around the world. Without their keen attention to detail, clinicians rushed for time would be facing serious consequences due to unintentional, incomplete or inaccurate documentation of services.
Consumers and clinicians alike may find it hard to remember that event notes, intake reports, treatment plans, approval documents, and incident reports are all medical records and deserve to be treated with respect. Compliance specialists truly are the hidden heroes of mental health services, who tirelessly work behind the scenes to make sure these medical records are submitted with the client and clinician’s welfare in mind.
Behind the Scenes
As someone with the unique and often pressured task of reviewing mental health records, a dedicated compliance specialist once commented on the relationship between compliance personnel and the clinicians they review. She astutely stated that she would hope that clinicians would see her as a member of their team rather than as an adversary.
As it is the task of compliance specialists to determine whether documentation reflects agency and accreditation standards, often they can be viewed in a negative light. During the review process, they ensure that the documentation is both correct and submitted in a timely fashion so that clinicians are compensated fairly for services rendered. Of course, this also means returning documents with changes to be made before it is determined appropriate for submission.
Missing Out on Relationship
The “turn-in, have it returned, make corrections and turn it in again” cycle understandably creates a divide between the much-needed compliance specialists and the clinicians they serve. What gets lost in this shuffle is the relationship between them.
Clinicians are prone to see their compliance specialists as other cogs in the wheel, standing in the way of their paycheck. Common to the human experience, clinicians often find it difficult to have documentation returned with corrections. Conversely, compliance personnel often solely interact with the documentation and know the clinicians only by name on a form. The relationship may then feel reduced to primarily error and correction.
Time and time again, this results in feelings of misunderstanding, complaint, frustration, and/or resentment. A trusted supervisor once said, “Rules without relationship equals resentment.” The same applies to workplace relationships.
We’re on the Same Team
To address this (at times) problematic dynamic, compliance specialists and clinicians can embrace the all-important therapeutic tool--empathy. Clinician’s benefit from considering their compliance specialists intent-- to protect clinicians’ liability and support their effective documentation.
Positive relationships may be fostered between compliance teams and their clinicians by developing personal interactions outside of the documentation cycle. Emails or personal conversations at the proverbial water cooler can go a long way in helping compliance personnel and clinicians appreciate the personhood of their coworkers.
Compliance and clinical personnel may also consider using constructive compliments and criticism tools when discussing documentation. Compliance specialists can complement the areas of clinical growth or change they might observe in their clinicians. Likewise, they can address patterns of incomplete or inaccurate documentation with their clinicians to prevent correcting the same issue. Clinicians can complement the careful observations that compliance makes, and seek to expressly appreciate the time compliance takes to review the documentation on a time constraint.
Lastly, compliance and clinical personnel can recognize and challenge their own thoughts during the compliance cycle. When writing documentation, clinicians can consider their outlook on paperwork in general. Compliance specialists and clinicians alike can make note of how and what they are thinking of their counterparts while reviewing, correcting, and returning documentation.
The reality is that difficulties and frustration exist in any workplace. If you desire to converse about your workplace woes, make sure you attempt to contribute a constructive idea to the conversation. Then come together as a team to present your ideas and concerns to the powers that be (director, supervisor, manager, etc.).
We all have an integral part to play as members of the mental health services community. Let’s stop to appreciate the time, energy, and sacrifices of our team members.
With Alleva on Your Team
When you digitize your practice with Alleva, many of the concerns between compliance specialists and clinicians are handled within the platform. Clinicians are able to have access to helpful software that makes documentation easy, and compliance specialists are able to shift their focus to more pressing concerns. Keep the relationships between your compliance specialists and your clinicians friendly, with the friendliest EMR around! Request a free demo today!
The Joint Commission, previously known as The Joint Commission on Accreditation of Healthcare Organizations or JCAHO, is a nonprofit 501(c) that since 1951 has led the way in accreditation for healthcare organizations in the states and worldwide.
Although The Joint Commission’s predecessor was focused on hospital care, for more than 50 years, they have operated in the realm of behavioral health, helping organizations understand and adhere to their standards. This aligns with the vision of the company to improve and enhance the quality and safety of healthcare delivery.
The official mission of The Joint Commission is described as follows:
“To continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value.”
The Joint Commission provides a service to the public, by establishing standards of practice, and reviewing and vetting organizations that have risen to meet them. Accreditation can be earned by organizations across the spectrum of health care, whether it is a hospital or doctor’s office setting, or a behavioral health treatment facility.
Those who seek accreditation through The Joint Commission will receive practical support and counsel through education on the standards before and during the on-site survey, as well as supplementary tools such as The Leading Practice Library or Targeted Solutions Tools. The latter is comprised of interactive web-based tools that offer a means of performance measurement to organizations that seek them out, along with customizable solutions.
Those who pass the on-site survey are rewarded with a golden seal of approval and awarded accreditation status for three years. Through this process, organizations learn performance-improvement strategies to address issues of safety and improve the quality of care, reducing the risk of errors and subsequently, the cost of liability insurance coverage.
Why Pursue Accreditation?
While the coveted gold seal of approval is a much sought-after prize, at the outset of any journey to accreditation, obtaining it may appear to be a daunting and intimidating task. It is not uncommon to wonder whether it is worth it or not to venture on such a laborious undertaking. However, there are many reasons to consider that may shift the direction of your thoughts.
Helps organize and strengthen efforts to improve patient safety Strengthens confidence in the quality and safety of the care, treatment, and services you provide to the community
Provides a marketing advantage and a competitive edge in a competitive health care environment and improves your ability to secure new business
Improves risk management and risk reduction by focusing on performance-improvement strategies, that ultimately can reduce the risk of error or low-quality care
May reduce liability insurance costs by demonstrating attention to areas of needed improvement
Provides continuing support and education services through Joint Commission Resources® (JCR®) and The Targeted Solutions Tool®
Provides a customized, intensive review that will help identify areas of needed growth
The team of Joint Commission Surveyors offers professional advice and counsel, and education services to staff members during the on-site survey
Enhances staff recruitment and development, attracting qualified personnel, and providing opportunities for staff to develop their skills and knowledge
For some organizations, reduces the burden of duplicative federal and state surveys as it may fulfill regulatory requirements in some states and allow organizations to qualify for Medicare and Medicaid certification without undergoing a separate government quality inspection
Provides a framework for organizational structure and management and provides guidance to an organization’s quality improvement efforts.
What’s the Difference Between The Joint Commission and CARF?
In the world of behavioral health, there are two big names in the accreditation industry, The Joint Commission and CARF International, or formally, The Commission on Accreditation of Rehabilitation Facilities.
While they perform the same task, the primary difference between them is their individual collection of standards by which they evaluate the organizations applying for accreditation.
In order to see what’s required by each accrediting body, contact the companies directly, as both CARF and The Joint Commission will allow free access to their standards for a limited time (3-6 months) and have manuals available for purchase. (The Joint Commission provides free access once an organization has officially applied)
Some additional differences between the agencies:
The Joint Commission is more medically-based, while CARF is more active in the healthcare market
They may have differing preferential relationships with third-party funders including states and insurance companies
Accreditation fees vary between the bodies, typically based on the size of the organization seeking accreditation. An estimate can be easily obtained by contacting them directly.
Depending on your accreditation needs, whether you are looking to accredit the entire organization or just specific programs, you’ll want to seek out CARF, which allows for one program’s accreditation at a time, or The Joint Commission accordingly.
Why Choose The Joint Commission?
The Joint Commission has over 65 years of experience, has accredited over 22,000 organizations during their tenure, and brings all of that experience to you when you join them on an accreditation journey.
For years, they have led the way to shape best practices in the industry and establish the most rigorous performance standards, earning their place as one of the most respected names in health care. In working with these thousands of agencies, they know what works and what doesn’t, and offer their expert perspective when you’re making important decisions about the structure of your organization and treatment practices.
During the review process, you will be matched with a team of experienced surveyors based on their background and your organization’s needs. Through collaboration and communication, they aim to provide the support needed to navigate this journey, along with practical tools and resources to help you maintain excellence even after accreditation.
What is the Accreditation Process?
Initial steps in the accreditation process begin with learning as much as you can about the accreditation process, both by reading articles by third-party reviewers or accreditation experts, visiting and reviewing the many resources available to you on The Joint Commission website, and contacting them to request free online access, to review their standards and requirements directly.
Once you’ve chosen to pursue accreditation through The Joint Commission and confirmed your eligibility, the next focus will be conducting an internal review, identifying areas of focus, and aligning your practice to meet standards as described in the manual. During this time, you will have access to a number of tools and experts to question and fully understand the standards and their implementation.
In order to officially apply and decide upon a survey date, the following steps are recommended:
After reviewing the requirements, conduct an analysis to see where there are gaps in your performance. Document and target these areas.
Schedule and conduct a mock survey, with your staff if possible. Consider your service delivery from the vantage point of one of the individuals you serve and walk throughout the entire process.
Develop a timetable to implement changes to areas identified in Step 1. Breaking up large tasks into smaller ones with their own completion date can be helpful in settling on a readiness date for your on-site survey.
Once your survey is scheduled (up to one year from the application date), spend the rest of your time preparing for the visit from the surveyors. As they undergo the comprehensive review, you will be able to borrow from their perspective and feedback and know where you stand. Drawing from their collaborative approach, they may identify areas for improvement, and suggestions for implementation along the way.
Scoring and The SAFER Matrix
When it comes to the scoring and decision-making process, The Joint Commission takes seriously its mission to hold organizations to a higher standard, especially as it relates to the quality and safety of patient care.
Requirements for Improvement (RFIs) are scored based on the criticality of the standards, the likelihood of the issue to cause harm, as well as how widespread the problem is. The visual representation on which all RFIs are represented is the SAFER Matrix and is based on the surveyor’s observations. This allows surveyors to perform the on-site evaluations of deficiencies, and denote the timeline for compliance.
Accurate and Reflective of an organization’s performance
Transparent and Easily Understood- The Joint Commission wants to ensure that all applicants are fully aware of each step of the process
Graded Based on Impact- Some standards are “critical,” or have a more direct effect of the patient than others
The hallmark principles for this process rely on the results to be:
How Does Alleva Help You Achieve Joint Accreditation Status?
Alleva can help you to elevate your practice no matter if you are considering accreditation from The Joint Commission, CARF, or are not quite ready to make the jump towards either. Whether you’re just beginning the process, have decided to wait to get started, or have been accredited for years, when you partner with Alleva, you will have access to all the tools and software that will grow withyou, and this constantly updating industry.
With Alleva, you can get back to doing what you do best. You’ll save yourself the headache of lost forms, the tediousness of compliance checks, and endless paperwork fatigue. When you digitize your practice with Alleva, rest soundly knowing that when you’re ready, we have continued success helping our clients obtain The Joint Commission accreditation. If you want to learn more about how Alleva can work for you, visit our home page, and request a demo today!
What is HL7? It stands for Health Level-7 and is a set of international standards, rules, and definitions used to exchange and transfer medical information between health care providers. This is commonly done through electronic health records (EHRs). It's called level 7 because it focuses on the application layer, also referred to as layer 7.
HL7 has a structure for exchanging and sharing health care information electronically. Its standards set in place how that information is exchanged between health care providers and that includes the language, data type, and structure.
What are HL7 standards?
Standards for HL7 have been grouped into seven different sections. Here's a synopsis of each section for you:
Primary standards: These are the most common/popular standards. You can learn more about the specific primary standards here. Keep in mind that these are the most frequently used for system integration and compliance. So, it's a good place to start.
Foundational Standards: These are the basic tools or fundamentals the standards were built on and the technology that you as a medical professional implementing HL7 standards has to manage.
Clinical and Administrative Domains: This is where you will find standards on HL7 documents and messaging. Typically, you will have primary and foundational standards in place before getting into standards for clinical specialty standards.
EHR Profiles: The standards for EHRs make it possible for you to build an electronic health record system with models and profiles. If you're looking for a new EHR, here's a blog post on how to choose an EHR. It deals specifically with how to choose a behavioral health EHR but the principles apply to all EHRs.
Implementation Guides: This section helps you implement and support documents that were made for the purpose of a current standard. Each document here will be used as supportive material for one of the other standards.
Rules and References: These are the programming structures and guidelines for the growth and expansion of standards and software.
Education and Awareness: In this section, you'll find the Standards for Trial Use (STU) and other projects currently happening. There are also various tools and resources here to help you understand HL7 and put it into practice.
HL7 Messages
A lot of questions dealing with HL7 revolve around HL7 messages. So I want to answer a few of these questions for you. Some of these include "what is an HL7 message," "how are HL7 messages transmitted," and "what are HL7 message types?" I'll answer these questions to help you get a better understanding.
What is an HL7 message?
The whole point of HL7 messages is to transfer data electronically between various health care providers. These messages are sent whenever events happen with patients, such as when you admit a patient into your clinic. These messages are comprised of segments in a specific sequence. However, these segments are sometimes optional, sometimes required, and sometimes they're repeatable.
Message Types
Message types are present in every HL7 message as they explain why you're sending the message in the first place. Each message type has a specific code of three characters and they trigger an event. Now you're probably wondering what a trigger event is. Simply put, it's an actual, real-life event that sparks the communication needed for a message to be shown. It's shown along with the message type. You will find the trigger event and message type in the MSH-9 part of the message.
For example, if you see ADT-A04 in the MSH-9 section, ADT is the message type and A04 is the Trigger Event. In the HL7 standard, ADT-A04 would signal the message of "patient register." There are a lot of different message formats to keep up on. You can see more examples here.
I'm not going to go into every single message type but here are some of the more commonly used ones:
ADT - Admit, Discharge, Transfer
ACK - General acknowledgment
BAR - Add or change the billing account
MDM - Medical document management
DFT - Detailed financial transaction
ORM - Order (for treatment or pharmacy)
MFN - Master Files Notification
QRY - Query, original mode
ORU - Observation results unsolicited
RAS - Pharmacy/treatment administration
RGV - Pharmacy/treatment give
RDE - Pharmacy/treatment encoded order
SIU - Scheduling information unsolicited
You can see the full list of HL7 message types here.
How are they transmitted?
Now that you know what some of the HL7 message types are, I'll explain how they're sent. First, you'll need to create a listener so you can receive the messages. This may sound complicated but it's just a TCP listener. Then you'll need to make another thread that sends HL7 messages or else the listener won't be able to get the messages. When your listener has received a message then it needs to send a message back. This is commonly referred to as an "acknowledgment."
Here are the steps you would go through to receive a message and send back an acknowledgment:
Create console application: File > New > Project. Choose the console app, give it a name like HL7 Listener then click OK.
Make a class for your messages: Make a new class and name it message or something similar.
Form a Segment class: Next, you need another class that contains the information of the segment. An easy way to do this is to create a new class and simply name it Segment.
Manipulate Your Segment Class: By adding fields, methods, and constructors, you can easily control your Segment. This is something you can do by holding the fields by utilizing a dictionary object. The fields use a certain type of message that have very specific locations in the segment.
Now you know what HL7 is, how to read the codes, and how they're transmitted. But how does all of that improve interoperability? In order for modern health care to be effective and efficient, information needs to be shared with other health care providers. This has been a problem in the health care industry for a long time. Accountable Care Organizations work mainly to improve communication between providers and EHRs play a huge part in this as well.
Legacy Systems
Legacy systems have their networks hidden behind closed walls. If you work in a legacy situation, this makes it incredibly difficult to share information. In the past, legacy organizations had to put information into a text file and try to safely send it to another organization. So, if you have a legacy system, you need to have file formats to write health data on and use your EHR to exchange the data with other health care providers. All of this had and has to be agreed upon with the other organization.
With HL7's universally agreed-upon messaging standards, it's much easier for you to group that information in a file and securely send it to the organization you need to communicate with.
Online Systems
Online systems are essentially constructed the opposite of legacy systems. For example, internet systems are built to be open and shared easily, and because of that, the information they share needs to be secure when it's exchanged. Online health systems are growing and will continue to grow. And while online-based systems don't use legacy or HL7, they need to be able to send and receive HL7 documents and messages for backwards compatibility with legacy systems.
In short, HL7 improves your interoperability by making it easier for legacy systems to securely share medical information while also making web-based systems compatible with legacy.
How to learn HL7
If you're looking to learn HL7, HL7.org has various 12-week courses throughout the year you can register for. The courses are designed for people that are novices at HL7 and help you learn through hands-on guided exercises. Oh, and it's a self-paced course allowing you to learn at your own speed.
Once you've finished the course, you will know how to do the following:
Read and understand the most commonly used HL7 standards
Understand HL7's controlled vocabulary
Know when to use messages and documents
Handle projects with interoperability problems across different health care systems and more
HL7 Summary
HL7 is a set of standards and definitions used across the globe to exchange medical information between medical care providers, commonly used in EHRs. There are seven different types of standards. The message types are based on a series of letters and numbers that indicate various actions such as admitting or discharging patients. You can take a course online to help you learn how to understand and use HL7 codes.
If you're in need of a behavioral health EHR, we offer the best software on the market! You can schedule a free demo here.
What is an ACO? How does an ACO work? Workers in the health care industry need to know about ACOs. ACO stands for Accountable Care Organization and they're comprised of groups of doctors, hospitals, and other providers of health care. These medical professionals voluntarily coordinate with each other to provide quality health care to patients on Medicare, Medicaid, and commercial insurance according to CMS.gov.
Do you think ACOs are working? Comment below with "yes" if you believe they are or "no" if you don't think they are. I'm curious to know what your thoughts are on the subject.
If you're a medical provider, you would do this to help your patients get the right care at the best time. Doing this can also help you steer clear of providing services your patients have already received which can consequently prevent other health care errors. When ACOs work effectively in providing good care and while cutting spending, they share the savings.
You can see the obvious benefits of participating in an ACO, which is why the Affordable Care Act (ACA) incentivized this for health care providers. Since 2011, approximately 6 million Medicare beneficiaries have joined an ACO. Combine that with the private sector, a minimum of 744 various health care providers have become ACOs themselves, according to Health Affairs in 2015. As of that date, about 23.5 million Americans were being served by ACO.
https://youtu.be/3rs8kpoXmWw
How does an ACO work?
Now that you know what an ACO is, you also need to know how an ACO works. When the ACA passed into law, it created the Medicare Shared Savings Program. ACOs then provide financial incentives for medical professionals who provide good care. But, ACOs only work if you and the other participating providers do a good job of sharing patient information.
It should be noted that you have to share patient information in a way that doesn't violate HIPAA. You can learn more about how to avoid HIPAA violations here. Under the ACA, every participating ACO must manage the health care for at least 5,000 patients on Medicare for a minimum of three years.
ACOs that provide high-quality health care while also saving money (and that should happen if you're sharing information well) get to keep a chunk of the money they saved. When entering an ACO program, you have a couple of options to choose from:
Aim for a bigger return at the risk of losing money if you don't meet certain standards
Get a lower, more attainable goal with no risk of losing money
ACOs and HIT
With one of the main goals of ACOs being to cut costs, you can use meaningful use in Health Information Technology (HIT) to improve patients' self-care. HIT tools, such as Electronic Health Records (EHR) make your patients' information more available to health care providers. This also makes it easier for physicians to communicate patient information so the patient doesn't have to.
ACOs can also use patient-facing tools referred to as "patient portals." These allow patients to see their medical information that has been recorded in the EHR. This way, your patients can check their test results, get educational self-care materials, and more. You can learn more about the features and benefits of our EHR here.
Are ACOs only for Medicare?
This is a common question and the answer is no. ACOs work with Medicare, Medicaid, and private insurance companies. However, there are three different plans in Medicare ACOs.
Pioneer
Medicare Shared Savings Program
Next Generation
While the Next Generation model is similar to the Pioneer model, patients will have different experiences depending on which model they participate in. When health care providers save money in Medicare they get to keep a portion of those savings.
Medicaid ACOs
Medicaid ACOs differ from state to state as their approaches are designed at the state level. Some Medicaid ACOs are similar to Medicare ACOs while others follow a more traditional Medicaid managed-care structure.
Some states that currently have Medicaid ACO plans include Utah, Colorado, Oregon, Illinois, Minnesota, Vermont, Arkansas, New Jersey, Maine, and Iowa. Other states have announced coming out with Medicaid ACO models.
Commercial ACOs
Commercial ACOs have the most variety of all ACOs. People with private health insurance that is part of an ACO should see a drop in the amount they pay for premiums and out-of-pocket costs. This decrease most likely won't be seen immediately. It should also be noted that consumers could see a rise in costs depending on if their provider requires preventative health care or disease management programs.
If you're enrolled in a private ACO, you might also have a change in your network provider. This is because some plans have very specific provider network providers.
What are ACO quality measures?
CMS.gov established ACO quality measures for 2018 and 2019 to make it easier for you and other medical providers to understand. Quality performance measures or benchmarks are certain performance standards an ACO must hit in order to earn points for that specific measure.
The system starts with the 30th percentile and ends at the 90th percentile. In the Shared Savings Program regulations, you will encounter circumstances where the benchmarks are flat percentages. These flat percentages are used to help your ACO get high scores. Once your ACO has a high score, it can earn the max amount of points.
You can see all the points scoring system and quality measures here. Keep in mind that all your "pay-for-reporting" needs to be 100% complete and as accurate as possible.
Are ACOs working?
The results have been mixed.
The purpose of the ACA in 2010 was to stop health care costs from continuing to skyrocket. ACOs are an important part of this. However, ACOs had not saved the government money, according to a report in 2015, five years after the ACA was passed into law. The 333 ACOs in the Shared Savings program and 20 in the Pioneer program reported huge savings of $411 million. However, that was before they took into account paying bonuses. Including bonuses, these ACOs actually had a net loss to the Medicare trust fund of $2.6 million.
However, the Pioneer program in Medicare ACOs did save some money for CMS as it cut spending by 1.2%, according to the New England Journal of Medicine.
Today, many believe ACOs are working very effectively, and some definitely are. That being said, there are a lot of people out there who believe ACOs are just a temporary fix until we can find a more permanent solution.
ACO problems
In order for ACOs to work, they had to make some big changes that required big investments in order to share data seamlessly. These changes frequently included new care coordination and care management systems, and those aren't cheap.
Needing such large investments in the beginning stages meant you could only join an ACO if you had lots of money to begin with. So, once you met Medicare's standards, you could still very well be in financial trouble, according to Kaiser Health News. In fact, you can actually be worse off financially.
What if an ACO doesn't save money?
You've most likely heard the saying, "it takes money to make money." With ACOs, it takes money to save money. But what if your ACO invests money with the hope of improving care and saving money but they don't actually save money? What if you hire more nurse managers or invest in some other type of new care management system that doesn't end up saving you money?
Unfortunately, you might have to eat those costs. And, if you don't meet the quality care and savings standards of the higher-risk option, you may have to pay a penalty.
Fortunately, if your ACO is sponsored by a rural provider, you can apply to obtain payments in advance for the purpose of building the necessary infrastructure to create a high-performance ACO.
If you're going to get in the ACO game, it's imperative you make it work. Below are some tips I've included on how high-performing ACOs achieved success.
How successful ACOs work
We've established that there can be some problems with ACOs. But, some are extremely profitable and work really well. Here are some takeaways from successful ACOs:
The longer ACOs are in the program, the better they tend to fare. Any time you participate in a new program, it will take some time to understand how to navigate it and make it work for you. This is no different here
Physician-led ACOs typically outperform hospital-ed ACOs. The reason for this is that bigger companies are more likely to have business incentives that conflict with the program
Reducing high-skill nursing and in-patient hospital services while continuing with high primary care use has been one of the key factors for ACOs to get good results. ACOs that have shifted focus in these areas have surpassed others in improving quality health care and reducing costs.
But there's more to it than that. Health Affairs interviewed 11 of the 21 most successful ACOs in 2018 to see what made them the best. They found that the highest achieving ACOs had these three things in common:
Worked to have a "high-value" culture
Developed population health management programs
Came up with a process of accountability to make sure performance continues to trend up over time.
Be Innovative with population health management
One of the first things ACOs do is aim to better manage patients that are chronically sick and high cost. Successful ACOs did this. And if you're new to the ACO game, I strongly recommend this as a first step. High-performing ACOs have tried testing different strategies for their staffing models. Some tried placing care managers in community health centers to focus on face-to-face patient management. Others centralized their staff to emphasize telephonic care coordination.
This resulted in many care managers thinking outside the box to improve patients' self care. Some ACOs put procedures in place to educate patients to know the difference in something that can be managed at home vs a situation that requires a hospital visit.
One of the keys to having a successful ACO is being innovative and thinking outside the box. Focus on what you can do to provide better care for patients and help them avoid unnecessary hospital visits and costs.
How do ACOs affect patients?
The goal of an ACO is to provide better care for Medicare patients while curbing rising health care costs. So with the goal of providing better, higher quality, more timely, well-coordinated, patient-centered care comes change in how that care is received.
A common issue for medical patients today is getting uncoordinated treatment. If you're the patient, you already have to schedule the appointments, potentially share test results with your clinicians, and get them to communicate with each other, not to mention deciphering through the various recommendations doctors give you. That's a lot to ask of someone looking for treatment.
The whole point of an ACO is to fix this problem, according to National Partnership. When done properly, your primary care doctor will communicate with the other medical professionals you need to be in contact with. A lot of ACOs actually have personnel that work specifically on coordinating care. This makes things so much easier for the patient.
ACO benefits for patients
There are a lot of benefits for patients in ACOs
Patients don't have to coordinate visits between doctors
Clinicians communicate with each other so patients don't have to share information
Educated patients spend less time and money on hospital visits with better self-care
Doctors recommend health care specialists for patients to see although patients are still allowed to choose a doctor that's not in their ACO
The downfall here is that many patients, if not most, don't know their provider is part of an ACO. However, an easy way to find out if you're part of an ACO is to simply ask your doctor.
Summary
What is an ACO and how does an ACO work? ACOs are Accountable Care Organizations that consist of doctors, insurance providers and hospitals with the purpose of providing better health care to patients through communication and coordination while saving the health care provider money. If those tasks are accomplished, the government will dole out bonuses to the ACO.
In order to have a successful ACO, you have to do a good job of sharing and coordinating patient information. While not all ACOs save money, the most successful ACOs focus on being innovative.
If you're a health care provider, having a really good EHR can help you achieve these goals in your ACO. Click here to schedule a free demo of our mental health EHR or simply fill out the form below.
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