Table 3.
The electronic health records (EHR) and other methods used by providers to document clinical tasks (n = 26).
| Workflow and clinical tasks – n (%) | New Patient | Existing Patient | Patient Requiring a Referral |
|---|---|---|---|
| Requested health risk screen while scheduling, yes | 5 (19.2%) | 0 (0%) | 0 (0%) |
| Systems or methods used | n = 5 | n = 0 | n = 0 |
| EHR structured fields | 2 (40.0%) | … … .. | … … .. |
| EHR unstructured fields (e.g., progress notes) | 3 (60.0%) | … … .. | … … .. |
| Patient Portal | 2 (40.0%) | … … .. | … … .. |
| Paper forms or records | 2 (40.0%) | … … .. | … … .. |
| mHealth or apps | … … .. | … … .. | … … .. |
| Screened substance us, yes | 25 (96.2%) | 21 (80.8%) | 17 (65.4%) |
| Systems or methods used | n = 25 | n = 21 | n = 17 |
| EHR structured fields | 20 (80.0%) | 10 (47.6%) | 9 (52.9%) |
| EHR unstructured fields (e.g., progress notes) | 19 (76.0%) | 18 (85.7%) | 15 (88.2%) |
| Patient Portal | 5 (20.0%) | 3 (14.3%) | 3 (17.6%) |
| Paper forms or records | 6 (24.0%) | 5 (23.8%) | 5 (29.4%) |
| mHealth or apps | 1 (4.0%) | 1 (4.8%) | 1 (5.9%) |
| Assessed substance use disorder, yes | 22 (84.6%) | 20 (76.9%) | 11 (42.3%) |
| Systems or methods used | n = 22 | n = 20 | n = 11 |
| EHR structured fields | 17 (77.3%) | 16 (80.0%) | 9 (81.8%) |
| EHR unstructured fields (e.g., progress notes) | 13 (59.1%) | 9 (45.0%) | 3 (27.3%) |
| Patient Portal | 2 (9.1%) | 3 (15.0%) | 2 (18.2%) |
| Paper forms or records | 3 (13.6%) | 1 (5.0%) | … … .. |
| mHealth or apps | … … .. | … … .. | … … .. |
| Explored treatment motivation or options, yes | 26 (100.0%) | 25 (96.2%) | 22 (84.6%) |
| Systems or methods used | n = 26 | n = 25 | n = 22 |
| EHR structured fields | 7 (26.9%) | 5 (20.0%) | 2 (9.1%) |
| EHR unstructured fields (e.g., progress notes) | 25 (96.2%) | 24 (96.0%) | 21 (95.5%) |
| Patient Portal | 2 (7.7%) | 3 (12.0%) | 3 (13.6%) |
| Paper forms or records | 2 (7.7%) | 1 (4.0%) | … … .. |
| mHealth or apps | … … .. | … … .. | … … .. |
| Conducted brief intervention or counseling, yes | 24 (92.3%) | 24 (92.3%) | 21 (80.8%) |
| Systems or methods used | n = 24 | n = 24 | n = 21 |
| EHR structured fields | 4 (16.7%) | 3 (12.5%) | 1 (4.8%) |
| EHR unstructured fields (e.g., progress notes) | 24 (100.0%) | 24 (100.0%) | 21 (100.0%) |
| Patient Portal | 3 (12.5%) | 3 (12.5%) | 3 (14.3%) |
| Paper forms or records | 2 (8.3%) | 1 (4.2%) | 1 (4.8%) |
| mHealth or apps | … … .. | … … .. | … … .. |
| Provided on-site treatment, yes | 21 (80.8%) | 21 (80.8%) | 14 (53.8%) |
| Systems or methods used | n = 21 | n = 21 | n = 14 |
| EHR structured fields | 17 (81.0%) | 18 (85.7%) | 12 (85.7%) |
| EHR unstructured fields (e.g., progress notes) | 10 (47.6%) | 11 (52.4%) | 6 (42.9%) |
| Patient Portal | 7 (33.3%) | 7 (33.3%) | 4 (28.6%) |
| Paper forms or records | 2 (9.5%) | 3 (14.3%) | 1 (7.1%) |
| mHealth or apps | … … .. | … … .. | … … .. |
| Arranged referral to a specialist, yes | 23 (88.5%) | 24 (92.3%) | 23 (88.5%) |
| Systems or methods used | n = 23 | n = 24 | n = 23 |
| EHR structured fields | 14 (60.9%) | 14 (58.3%) | 13 (56.5%) |
| EHR unstructured fields (e.g., progress notes) | 19 (82.6%) | 21 (87.5%) | 18 (78.3%) |
| Patient Portal | 4 (17.4%) | 6 (25.0%) | 4 (17.4%) |
| Paper forms or records | 6 (26.1%) | 8 (33.3%) | 5 (21.7%) |
| mHealth or apps | 1 (4.3%) | 1 (4.2%) | 1 (4.3%) |
| Conducted follow-up for uptake of substance use disorder treatment or documentation, yes | 20 (76.9%) | 24 (92.3%) | 23 (88.5%) |
| Systems or methods used | n = 20 | n = 24 | n = 23 |
| EHR structured fields | 6 (30.0%) | 6 (25.0%) | 5 (21.7%) |
| EHR unstructured fields (e.g., progress notes) | 19 (95.0%) | 23 (95.8%) | 23 (100.0%) |
| Patient Portal | 4 (20.0%) | 5 (20.8%) | 5 (21.7%) |
| Paper forms or records | 2 (10.0%) | 3 (12.5%) | 5 (21.7%) |
| mHealth or apps | 1 (5.0%) | 1 (4.2%) | 1 (4.3%) |
| Conducted follow-up for other services, yes | 8 (30.8%) | 9 (34.6%) | 4 (15.4%) |
| Systems or methods used | n = 8 | n = 9 | n = 4 |
| EHR structured fields | 3 (37.5%) | 2 (22.2%) | 1 (25.0%) |
| EHR unstructured fields (e.g., progress notes) | 7 (87.5%) | 8 (88.9%) | 4 (100.0%) |
| Patient Portal | 1 (12.5%) | … … .. | 1 (25.0%) |
| Paper forms or records | 1 (12.5%) | 1 (11.1%) | … … .. |
| mHealth or apps | … … .. | … … .. | … … .. |