Success Factors of an Early EHR System for Child and Adolescent Mental Health: Lessons Learned for Future Practice Data-Driven Decision Aids

Koochakpour, Kaban; Nytrø, Øystein; Westbye, Odd Sverre; Leventhal, Bennett L.; Koposov, Roman; Bakken, Victoria; Clausen, Carolyn; Røst, Thomas Brox; Skokauskas, Norbert

doi:10.3233/shti220057

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…Our goal is to demonstrate the potential in analyzing clinical data and review and mitigate data quality challenges. We describe data from an Electronic Health Record (EHR) system, BUPdata, that initially served all Norwegian CAMH clinics, and some for over 35 years [2]. Our cohort from one university hospital CAMHS has 22,643 distinct patients.…”

Section: Introductionmentioning

confidence: 99%

Challenges in Interpreting Norwegian Child and Adolescent Mental Health Records

Koochakpour,

Sofie Solheim,

Nytrø

et al. 2024

Studies in Health Technology and Informatics

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The Electronic Health Record system BUPdata served Norwegian Child and Adolescent Mental Health Services (CAMHS) for over 35 years and is still an important source of information for understanding clinical practice. Secondary usage of clinical data enables learning and service quality improvement. We present some insights from explorative data analysis for interpreting the records of patients referred for hyperkinetic disorders. The major challenges were data preparation, pre-analysis, imputation, and validation. We summarize the main characteristics, spot anomalies, and detect errors. The results include observations about the patient referral diversity based on 12 different variables. We modeled the activities in an individual episode of care, described our clinical observations among data, and discussed the challenges of data analysis.

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Section: Introductionmentioning

confidence: 99%

Challenges in Interpreting Norwegian Child and Adolescent Mental Health Records

Koochakpour,

Sofie Solheim,

Nytrø

et al. 2024

Studies in Health Technology and Informatics

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“…Furthermore, over the course of the year nearly 36,000 referrals for mental health care have been reported for children and young people (26). The Norwegian National Association of Child and Adolescent Mental Health Services (N-BUP), established in 1958, has historically been responsible for providing a basis to connect all CAMHS in Norway and continuing to promote coordination and sharing knowledge amongst CAMHS (28). While N-BUP actively helps to facilitate the dissemination and sharing of important CAMHS information through research and management conferences annually, there is still invaluable CAMHS knowledge that has yet to be utilized-previously collected CAMHS individual patient EHR data (i.e., BUP-data) (29).…”

Section: Introductionmentioning

confidence: 99%

Usability of the IDDEAS prototype in child and adolescent mental health services: A qualitative study for clinical decision support system development

et al. 2023

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IntroductionChild and adolescent mental health services (CAMHS) clinical decision support system (CDSS) provides clinicians with real-time support as they assess and treat patients. CDSS can integrate diverse clinical data for identifying child and adolescent mental health needs earlier and more comprehensively. Individualized Digital Decision Assist System (IDDEAS) has the potential to improve quality of care with enhanced efficiency and effectiveness.MethodsWe examined IDDEAS usability and functionality in a prototype for attention deficit hyperactivity disorder (ADHD), using a user-centered design process and qualitative methods with child and adolescent psychiatrists and clinical psychologists. Participants were recruited from Norwegian CAMHS and were randomly assigned patient case vignettes for clinical evaluation, with and without IDDEAS. Semi-structured interviews were conducted as one part of testing the usability of the prototype following a five-question interview guide. All interviews were recorded, transcribed, and analyzed following qualitative content analysis.ResultsParticipants were the first 20 individuals from the larger IDDEAS prototype usability study. Seven participants explicitly stated a need for integration with the patient electronic health record system. Three participants commended the step-by-step guidance as potentially helpful for novice clinicians. One participant did not like the aesthetics of the IDDEAS at this stage. All participants were pleased about the display of the patient information along with guidelines and suggested that wider guideline coverage will make IDDEAS much more useful. Overall, participants emphasized the importance of maintaining the clinician as the decision-maker in the clinical process, and the overall potential utility of IDDEAS within Norwegian CAMHS.ConclusionChild and adolescent mental health services psychiatrists and psychologists expressed strong support for the IDDEAS clinical decision support system if better integrated in daily workflow. Further usability assessments and identification of additional IDDEAS requirements are necessary. A fully functioning, integrated version of IDDEAS has the potential to be an important support for clinicians in the early identification of risks for youth mental disorders and contribute to improved assessment and treatment of children and adolescents.

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Success Factors of an Early EHR System for Child and Adolescent Mental Health: Lessons Learned for Future Practice Data-Driven Decision Aids

Cited by 2 publications

References 3 publications

Challenges in Interpreting Norwegian Child and Adolescent Mental Health Records

Challenges in Interpreting Norwegian Child and Adolescent Mental Health Records

Usability of the IDDEAS prototype in child and adolescent mental health services: A qualitative study for clinical decision support system development

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