We created The Clinical Record to help small and mid-sized agencies/practices collect client data. Why did we do this? Because we wanted to help agencies create a repository for storing client records in a way that can be useful for program evaluation later on. In this blog post, we will give you a quick tour of The Clinical Record and in our next post, we will show you how to download data so you can analyze it.
When you first enter The Clinical Record, you will be on the Client tab:
Here, you will be able to view, enter and store basic demographic client data. You can define ALL drop-down menus so you can do some tailoring to your own agency/practice need using the Modify Codes tab!
Because The Clinical Record assumes that the agency in which you work is not in a vacuum, we allow you to identify resources in the community and relate them to your clients on the Resources tab.
On the Notes tab, you can put an UNLIMITED amount of qualitative information. In our example, we show you dated session notes.
The Interventions tab allows you to associate defined client interventions with a particular client problem or diagnosis. In this example, we show you that this client is receiving group counseling for academic problems.
We also let you define desired outcomes, which can be assigned to various clients regardless of whether or not they have achieved them yet. This is done on the Outcomes tab.
The Disposition tab allows you to terminate with a client, provide a final diagnosis and then add some last notes. If the client returns to your agency, you can simply look up the client and add another admission.
What would you do with all this client information? We have a few ideas:
1) You can use the Reports tab to produce some basic reports. We provide 3 with The Clinical Record, but we can create customized reports to fit specific agency needs. Just let us know!
2) You can download data, import it into R and analyze it for FREE! You can have a facility to collect and analyze agency/program data for FREE! And how wonderful is that?
Let us know what you think! We appreciate your comments and emails, as always!