title: Computerization of Mental Health Integration complexity scores at Intermountain Healthcare.
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).
authors.affiliation: Intermountain Healthcare, Salt Lake City, UT.
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Oniki
authors.affiliation: Intermountain Healthcare, Salt Lake City, UT.
authors.forename: Drayton
authors.initials: D
authors.lastname: Rodrigues
authors.affiliation: Intermountain Healthcare, Salt Lake City, UT.
authors.forename: Noman
authors.initials: N
authors.lastname: Rahman
authors.affiliation: Intermountain Healthcare, Salt Lake City, UT.
authors.forename: Saritha
authors.initials: S
authors.lastname: Patur
authors.affiliation: Intermountain Healthcare, Salt Lake City, UT.
authors.forename: Pascal
authors.initials: P
authors.lastname: Briot
authors.affiliation: Intermountain Healthcare, Salt Lake City, UT.
authors.forename: David P
authors.initials: DP
authors.lastname: Taylor
authors.affiliation: Intermountain Healthcare, Salt Lake City, UT.
authors.forename: Adam B
authors.initials: AB
authors.lastname: Wilcox
authors.affiliation: Intermountain Healthcare, Salt Lake City, UT.
authors.forename: Brenda
authors.initials: B
authors.lastname: Reiss-Brennan
authors.affiliation: Intermountain Healthcare, Salt Lake City, UT.
authors.forename: Wayne H
authors.initials: WH
authors.lastname: Cannon
mesh_terms: D000465:Algorithms; D019033:Delivery of Health Care, Integrated; D006801:Humans; D001523:Mental Disorders / Q000145:classification*; D008603:Mental Health / Q000145:classification*; D010865:Pilot Projects; D011320:Primary Health Care; D012189:Retrospective Studies; D014589:Utah