Entries for 'mhile'

The "Add Participant" button is enabled only if the "All" options is use to search for the patient's name. The picture below shows how the search options should be set to enable the button.

There are at least three ways that you can put a copy of a patient's Personal Feedback Report (PFR) into your Electronic Medical Record (EMR). Which of these that you will use will depend on your EMR.

All of these methods start the same way:

1. Open the patient's eSBIRT record and go to their PFR.
2. At the top of the record is an Export link. Next to if is a drop down menu of options.

There are a variety of export options from which to choose.

Any of these will generate a file on your computer that can then be uploaded into your EMR.

Method 1 - Add a PDF copy

1. Select PDF from the menu and click the export link.
2. A PDF file will be saved on your computer. Rename it as you wish and upload it to the patient's EMR record.

Advantages: High fidelity copy that can be printed for later use.
Disadvantages: Not easily searchable. Multistep process. Care must be taken to not leave PHI on your personal computer.

Method 2 - Add an RTF copy

1. Select Rich Text Format from the menu and click the export link.
2. A rich text document file will be saved on your computer. Word opens these by default. Rename it as you wish and upload it to the patient's EMR record.

Advantages: High fidelity copy that can be printed for later use. As a word document it may be more easily searchable
Disadvantages: Searchability will be determined by the specific EMR. Multistep process. Care must be taken to not leave PHI on your personal computer.

Method 3 - Paste into a text entry box (when you don't want to upload a file)

1. On the web site select the text in the PFR and copy it.
2. In the EMR go to the text box where you would like this information (e.g., a clinical note) and paste the text. (Note that sometimes the graphs do not get pasted in the correct location. It that is a problem, export the Rich Text Format into Word, select and copy the text in that document and paste it into the text box.)

Advantages: One step cut-and-paste process. No PHI stored on your computer. Searchable to the extent that the EMR searches notes.
Disadvantages: Graphics may be misplaced. Will not print a high fidelity version from the EMR note.

For these screens and assessments to be used with adults who are developmentally delayed they would need to be verbal and living either independently or some place with a lot of freedom to be at risk. That would eliminate individuals who are very low functioning and nonverbal.

However, folks with developmental delays do engage in risky substance use and if they are positive on the prescreen it would be appropriate to use eSBIRT to help you determine and deliver an appropriate level of service adapting it to the capabilities of the individual.

eSBIRT's Complete Change Log

MIMH - eSBIRT: 1.04.01

5569: Local ID length not tested during search

To enter a new participant information in the search must contain both their name and a valid local Id.

6073: PreScreen - Add location ddlb

The location where the prescreen has been conducted has been moved off of the main search screen to the prescreen itself. It has also been made editable to simplify error correction.

5773: Patient mgmt - delete mistakenly created episode

A new section has been added to the left menu, "Management." In this section it is possible to delete any unfinished service episodes. Data, on removed episodes, will be retained for 30 days (during which it is possible to undelete the episode) before being permanently removed from the system.

5870: GPRA A - move to follow ASSIST

Moved the new GPRA questions regarding military service to follow the GPRA B.

5854: Person screen - veteran status

Added veteran status to the person screen.

5600: Cancel button does not warn of leaving

Replaced "Cancel" button with a "Undo" that returns all of the assessment values to where they were when last saved.

6021: Spanish language and instruction updates

Added Spanish translations to all GPRA assessments.

5793: ASSIST - Item 8.a only if 8 is in past three months

The number of times a person has injected is asked only if they have injected in the last three months.

I am trying to enter in second reports for individuals whose original report is over one year old. I have tried everything I can think of short of deleting their old record and reentering the new. I am hoping there is another way to do this. Could you please advise me on how to proceed

Generally the cause of this is that the previous screening was not completed and the person was never discharged. To enter a new screening record search for the patient and discharge them. At that point a new screening can be entered.

The eSbirt site offers three levels of training:

• Screening
• Brief Education/Intervention (5-15 minute intervention)
• Brief Coaching (up to 5 sessions)

A description of the training and costs is available.A training preview is available to unregistered users by clicking the SBIRT Training Preview menu.

To begin training for credit register on this site. You will receive an email with a verification link. Clicking that link will send you back to the site to login verifying your email address. Once verified, select the SBIRT Training menu option to start training.

NOTE: This training is open to all registered users. You do not need to be a Missouri Primary Care Health Home provider to take the training or receive certifications.

eSBIRT uses screens that have been validated on adults (18+ years old). Because of this it does not accept screens on individuals younger than 18.

To screen youth we recommend the CRAFFT.

The CRAFFT is a behavioral health screening tool for use with children under the age of 21 and is recommended by the American Academy of Pediatrics' Committee on Substance Abuse for use with adolescents. It consists of a series of 6 questions developed to screen adolescents for high risk alcohol and other drug use disorders simultaneously. It is a short, effective screening tool meant to assess whether a longer conversation about the context of use, frequency, and other risks and consequences of alcohol and other drug use is warranted. CRAFFT Website

The assessment is available for multiple languages in two formats:

• Self-administered.
• Clinician administered.

As in all medical procedures it is a patient's right to refuse. However, it is often the case that refusals are based on misunderstandings. So, ask the patient why they do not want to participate. Based on their concerns some possible responses include:

• “Your doctor feels that your health habits are important to your overall health.“
• “We ask the questions of everyone and we don’t single anyone out.”
• “We have a set of standard questions that we ask everyone to make sure we provide the best care possible.”
• “We ask everyone to help improve our patients’ long-term health.”
• “We ask everyone, as substance misuse is a major factor in accidents, injuries and chronic health conditions.”

eSBIRT is a secure web based system built to collect the information and support service provision for Screening Brief Intervention and Referral to Treatment (SBIRT) programs. eSBIRT supports unlimited users, programs, sites, and locations.

eSBIRT walks users step-by-step through the SBIRT assessment and service process.(Demographics > Prescreen > Full Screen > Drinking comparison > Readiness to change > Personal feedback report > …

As users respond to questions, it dynamically tailors its self so that no unnecessary information or assessments are ever presented. Questions and information are provided a page at a time making it easier for users to contextualize the content and respond. Data quality checking is built into the system highlighting issues for the user before the data is saved. This user experience has been used successfully by both trained SBIRT staff and untrained users. All assessments are available in English or Spanish.

At the conclusion of the assessment process eSBIRT enumerates the individual’s risks and recommends a service that is specific to their needs.

Services for most individuals are based upon motivational interviewing techniques. Because of this, a Personal Feedback Report is generated for each individual to support motivational enhancement. This report describes the various risks the individual faces, compares their current behaviors with normative data, and offers specific behavioral change recommendations based on their current readiness to change. In addition to its use during motivational interviewing, the report is printed, allowing individuals to take it home for further reflection.

eSBIRT provides evidence base manualized service guidance for a single brief (about 15 minutes) session and for those needing the next step up in services, five one hour sessions. For each type of session, providers are briefly reminded of the topics to cover and the approach to be taken. Each session includes an explicit evaluation by the staff and patient to help measure their impact. For individuals needing referral eSBIRT tracks warm hand off activities.

In sum, eSBIRT provides a usable, secure, and flexible platform for the provision and reporting of SBIRT services.

Download a PDF of this description.