Mental health I think is at least somewhat different. I'm surprised this hasn't been studied at least a little. A fortune in implementation costs (system I was

Mental health I think is at least somewhat different. I'm surprised this hasn't been studied at least a little. A fortune in implementation costs (system I was stuck with was 10 years ago now - absolute trash / hell). The patient wants time with their clinician. So in a 20-30 minute visit either the clinician has to be busy charting away (we called them progress notes) or you get actual patient time and more summarized to the point notes. Why can't charts include decision useful info. For example, if a patient has 5 objectives in their plan, why make EVERY 20 minute encounter go over all these objectives yadda yadda - is it unfair to expect the clincian will be working on these issues during their visit. Now every progress note has to have. We discussed patients success and potential tools to help them improve in their ability to control X, including various strategies and evidence tested techniques shown to demonstrate good results in this area. We discussed patients success and potential tools to help them improve in their ability to control Y, including various strategies and evidence tested techniques shown to demonstrate good results in this area. This was govt delivered / managed care BTW - so in reality, the EHR made clear that they gave to craps about patients or outcomes and just wanted to check boxes, so everything was both insanely detailed and offered no decision usefulness. The tell is that most of these systems have been total top down forced (from national level). That's a good good sign there is not much natural desire for them. In other fields you get bottom up adoption of tools - a proof in the pudding point of evidence that folks find value in them (beyond the admins).