A Network-Based System to Improve Care for Schizophrenia: The Medical Informatics Network Tool (MINT)

Department of Veterans Affairs Desert Pacific Mental Illness Research, Education and Clinical Center, Los Angeles, CA, USA.
Journal of the American Medical Informatics Association (Impact Factor: 3.5). 09/2004; 11(5):358-67. DOI: 10.1197/jamia.M1492
Source: PubMed


The Medical Informatics Network Tool (MINT) is a software system that supports the management of care for chronic illness. It is designed to improve clinical information, facilitate teamwork, and allow management of health care quality. MINT includes a browser interface for entry and organization of data and preparation of real-time reports. It includes personal computer-based applications that interact with clinicians. MINT is being used in a project to improve the treatment of schizophrenia. At each patient visit, a nurse briefly assesses symptoms, side effects, and other key problems and enters this information into MINT. When the physician subsequently opens the patient's electronic medical record, a window appears with the assessment information, a messaging interface, and access to treatment guidelines. Clinicians and managers receive reports regarding the quality of patients' treatment. To date, MINT has been used with more than 165 patients and 29 psychiatrists and has supported practices that are consistent with improvements in the quality of care.

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    • "1998 ✓ ✗ ✗ ✗ Gadd et al. [40] 1998 ✓ ✗ ✗ ✗ Panzarasa et al. [41] 2002 ✓ ✗ ✗ ✓ Young et al. [42] 2004 ✓ ✗ ✗ ✗ Shiffman et al. [43] 2004 ✓ HL7 ✓ ✗ Rosenbloom et al. [44] 2004 ✓ ✗ ✗ ✗ Galanter et al. [45] 2005 ✓ ✗ ✗ ✗ Haller et al. [46] 2007 ✓ ✗ ✗ ✗ Stutman et al. [47] 2007 ✓ ✗ ✗ ✗ Wilson et al. [24] 2007 ✓ ✗ ✗ ✗ Lobach et al. [48] 2007 - HL7 ✗ ✗ Graham et al. [49] 2008 - HL7 ✗ ✗ Marcy et al. [50] 2008 ✓ ✗ ✗ ✗ Wright et al. [51] 2008 ✓ HL7 ✗ SNOMED CT,ICD Gerard et al. [52] 2008 ✓ ✗ ✗ ✗ Field et al. [53] 2008 ✓ ✗ ✗ ✗ Schnipper et al. [54] 2008 ✓ ✗ ✗ ✗ Peleg et al. [55] 2009 ✓ ✗ GLIF ✗ Saleem et al. [56] 2009 ✓ ✗ ✗ ✗ Field et al. [57] 2009 ✓ ✗ ✗ ✗ Chen et al. [58] 2010 ✓ ✗ ✓ ✗ Galanter et al. [59] 2010 ✓ ✗ ✗ SNOMED CT,ICD Noormohammad et al. [60] 2010 ✓ HL7 ✗ ✓ Trafton et al. [61] 2010 ✓ ✗ ✗ ✗ Were et al. [62] "
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    Federated Conference on Computer Science and Information Systems - FedCSIS 2011, Szczecin, Poland, 18-21 September 2011, Proceedings; 01/2011
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    • "Throughout the 15 months of intervention, patients met with the nurse care coordinator for a brief clinical assessment immediately prior to each meeting with his psychiatrist. Assessment data were provided via a computer “pop-up” window to the patient’s care team at the time of the clinical encounter.22 Situations typically leading to poor outcomes23 were highlighted on the screen (high persisting symptoms, reports of family stress, and/or medication non-compliance). "
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