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Take Your Behavioral Health and Integrated Care Clinic to the NextStep

Learn. Apply. Analyze. Repeat!

How to craft a successful treatment plan for substance abuse

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Topics: Substance Abuse

How to Compare Software for Behavioral Health Treatment

What makes software systems different and how do you know if you're looking at the system that best meets your needs?  It is very important to be objective when looking at software.  When you are taking that long objective look, when making comparisons between Qualifacts, Netsmart, Psych Advantage, and Kareo, consider the following:

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Topics: Treatment, practice management software, EMR, EHR

Video: how the digital pen can help your behavioral health organization.

Dave Ballenberger with Next Step Solutions discusses the advantages and benefits that the digital pen and software can provide your behavioral health organization. Avoid the problems with wi-fi issues and internet connection, and automatically upload information to the client's EHR.

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Topics: software mental health, Behavioral Health Care, EHR

Video: What to look for in your billing software

Billing software is an intricate and important part of any health practice and it is something that you want to be sure you investigate extensively before purchasing. The Next Step Solutions team goes into depth about what you should look close for in your billing software.

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Topics: software mental health, Behavioral Health Care, EHR

Why using a smart pen that links to an ehr may be a better choice for your mobile behavioral Health workforce

THE BENEFITS OF USING A DIGITAL PEN THAT LINKS TO AN EHR

  • What are the differences?

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Topics: Behavioral Health Care

Video: 3 things you should you look for in behavioral health software

What should your organization look for in behavioral health software? In this video, David Ballenberger outlines the three things you must look for as you're evaluating behavioral health software.

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Topics: EMR, Behavioral Health Care, EHR

Video: Creating a treatment plan for behavioral health

What are the key aspects of creating a behavioral health treatment plan template? In this video, David Ballenberger outlines the top elements of a treatment plan.

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Topics: Treatment, Substance Abuse

Video: How does change to health care affect behavioral health?

How will behavioral health change if Medicare and health insurance laws change? In this video, David Ballenberger, MSW, explores why you still need behavioral health care software regardless of change to health care and insurance services.

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Topics: software mental health, Behavioral Health Care, EHR

Video: The Future of Behavioral Health Care with David Ballenberger

 

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Topics: EMR, Behavioral Health Care, EHR

9 things clinics aren’t doing right in behavioral health care

 

 In this post we explore 9 things That clinics arent doing right in behavioral health care and what smart clinics need to do to stay competitive.

  1. They’re using ineffective software to manage and track client care. Find something that measures, gauges, studies what is happening in your client population and provides insight into what is working and what is not
  2. Therapist and client relationships can adversely or positively affect care. Matching therapists to their clients’ personalities is key to seeing successful outcomes. We see this most notably in treating substance abuse. Control does not work. Therapists have to work with them in their efforts to regain sobriety first, then they can help them regain control. The therapist has to be someone who can flex with that. We now know much more about how the interrelationship between therapists and clients is the key to client success.

  3. Medicaid expansion is creating competition in areas that never saw it before. In Louisiana, for instance, Medicare expansion there means there are more clinics with better rates. Clinics that can demonstrate outcome success will rise to the top.

  4. When we ask clinics “how are you demonstrating medical necessity?” most can’t answer this question. Yet, demonstrating medical necessity is critical for competitive success. Most clinics are NOT doing because they don’t know how. Some can demonstrate improvement, but don’t have a method for showing that whatever they’re doing, that it is what is working. If clinics move to using a tool with assessments and tracking it over time, you can prove clinical necessity, and then, by extension, you can demonstrate outcome. Demonstrating medical necessity is key – and matching that with demonstrating outcome is the other side of the equation. If clinics can do both, they’ll succeed.

  5. Insurance companies are driving care and that is not likely to change. Insurance companies want to see outcome. Clinics that can both manage clinical care based around outcomes and management that can demonstrate that what the clinicians are doing is working will be successful.

  6. Most clinics are not really producing treatment plans. Rather than using open-ended statements, clinical care directors need to have metrics that they can measure client progress against it. At many programs, the metric is how many people can be moved through a program quickly because the clinic is paid a certain dollar amount per month. When it becomes more about the money than helping people, we’ve gone too far.

  7. Rebuilding treatment planning to demonstrate medical necessity needs to be a key focus at clinics (and in their clinical management software.) Problems and issues list substance abuse, for instance, as a problem. But it is not. It’s the symptom of depression. Or, conversely, depression may be a symptom of alcoholism – and clinics need to determine this and respond with treatment plans that address the root problem and provide (and measure) steps to recovery.

  8. Insurance companies are not paying for open-ended treatment plans any longer. It has to be specific, time-limited and demonstrate whether it works or does not. If it’s not working, a change must be identified. Longer-term interventions such as DBT or CBT will have to be tracked to prove that they work.

  9. At many clinics administration and clinical care are not on the same page. Efforts are not coordinated and “we’re doing things” is not good enough to get paid any longer. Insurers are demanding that clients move through quickly, so a 13-point treatment plan can’t be executed in 28 days. Using the right tools means clinical care can produce and exccute reasonable treatment plans AND administrators can monitor and report on outcomes.

 

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Topics: Behavioral Health Care