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First published June 7, 2004 as JAMIA PrePrint; doi:10.1197/jamia.M1492
Journal of the American Medical Informatics Association 2004;11(5):358-367
© 2004 American Medical Informatics Association


A more recent version of this article appeared on September 1, 2004
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Submitted on October 30, 2003
Accepted on April 5, 2004

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

Alexander S. Young MD, MSHS1*, Jim Mintz PhD1, Amy N. Cohen PhD2, and Matthew J. Chinman PhD3

Affiliation of the authors: 1 Department of Veterans Affairs Desert Pacific Mental Illness Research, Education and Clinical Center (MIRECC); UCLA Neuropsychiatric Institute; 2 Department of Veterans Affairs Desert Pacific Mental Illness Research, Education and Clinical Center (MIRECC); 3 Department of Veterans Affairs Desert Pacific Mental Illness Research, Education and Clinical Center (MIRECC); RAND

* To whom correspondence should be addressed.

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 team-work, and allow management of healthcare quality. MINT includes a browser interface for entry and organization of data and preparation of real-time reports. It includes PC-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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