Computerization of Mental Health Integration complexity scores at Intermountain Healthcare

Thomas A. Oniki, Drayton Rodrigues, Noman Rahman, Saritha Patur, Pascal Briot, David P. Taylor, Adam B. Wilcox, Brenda Reiss-Brennan, Wayne H. Cannon

Research output: Contribution to journalArticlepeer-review

Abstract

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

Original languageEnglish
Pages (from-to)934-943
Number of pages10
JournalAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
Volume2014
StatePublished - 2014

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