Skip to main content
Skip table of contents

Behavioral Health


Because behavioral health care has historically been separated from general medical services, many electronic health record (EHR) systems have evolved without the capacity to integrate the two information sources. Without a shared health record, clients navigating between the two settings may experience greater difficulty in obtaining appropriate treatment due to a lack of informed decision-making. To alleviate this discord, HealthInfoNet connects providers across the care continuum to deliver more effective population health management services to behavioral health care providers so they can best serve their clients.

Top Use Cases & Interventions

Enhance Care Coordination

  • Increase collaboration among behavioral health, hospital, primary care, and other care locations to improve the quality and safety of clients’ care interactions and experiences

  • Assist hospital and primary care nurse care managers through reviews of clients’ emergency department/hospital discharge plans and in making further treatment recommendations as needed

  • Assess the accuracy of SMI versus medical diagnoses by ensuring clients are receiving the right diagnoses in order to receive the right treatments

Provide Targeted Care Management

  • Proactively identify clients’ warning signs and assess risk for re-admissions through the use of a shared longitudinal health record

  • Coach clients in avoiding unnecessary emergency department utilization by educating them on the appropriate use of behavioral health and primary care services when warning signs and risks are presented

  • Facilitate patients’ transitions to primary care, behavioral health, or emergency department settings depending on the severity of their ailment(s) or if follow-up care is needed

Manage Transitions of Care

  • Review post-acute care plans within 24 hours of emergency department or hospital admission notifications

  • Provide same-day services on date of discharge from the emergency department or hospital following notifications

  • Schedule follow-up medical appointments with PCP

  • Review medication lists and discharge instructions with clients to ensure they are informed of their role in the plan of care

  • Communicate plans of care with the medical home Advocate for resources and follow-up care for marginalized clients

Identify Gaps / Overuse of Care

  • Ensure that duplicate laboratory tests and/or radiology reports are not ordered by reviewing clients’ comprehensive electronic health records

  • Advocate for clients when additional care is needed from another provider or specialist

  • Look for gaps in care to ensure clients’ activities are aligned across various healthcare settings

  • Reduce clients’ needs for unnecessary documentation for reimbursement purposes

Conduct Medication Reconciliation

  • Confirm correct medication lists during transitions of care by reviewing filled/dispensed medications (over last 120 days)

  • Prevent duplication of medications after discharge to avoid overprescribing, eliminating redundancies and extra costs

  • Monitor medications to prevent misuse and risk of harm

  • Identify potentially adverse drug combinations/interactions and/or dosing levels

Engage and Educate Clients

  • Teach high-utilizing clients about the appropriate use of care settings beyond the emergency department

  • Help clients use their data to get better outcomes, make better decisions, and take greater ownership of their care

  • Coach clients on self-management of chronic diseases, with referrals to appropriate resources as needed

  • Intervene with clients following their medical events to help them recollect the events and debrief on their causes, clarify reasons for medical interventions, and ensure compliance with treatments

Participant Testimonial

“At Catholic Charities, our care coordinators use HealthInfoNet’s Clinical Portal to look at historical patterns and triggers that have resulted in ED visits. These patterns, coupled with the real-time information available in the portal and the client’s behavioral health background, allow our coordinators to almost predict and prevent incidents of care. We are actually getting ahead of what could happen.”

– Alyssa Perkins, MPA, LSW, Chief Administrative Officer, Catholic Charities

Additional Case Study Resources



Last Updated



How HealthInfoNet Can Help Behavioral Health Care Organizations In Their Clinical Workflows


Download Here


Using HealthInfoNet to Support Behavioral Health Use Cases & Interventions


Watch Here


Using HealthInfoNet to Support Behavioral Health Use Cases & Interventions


Download Here

Other Relevant Training/Education Resources

JavaScript errors detected

Please note, these errors can depend on your browser setup.

If this problem persists, please contact our support.