Acadia’s Gifford Street Wellness Center chose the SMART Solution, a 100% paperless EHR, to manage their clinic’s record keeping. They serve the New Bedford area with individualized therapy and opioid treatment services. Their approach allows them to identify the medication and therapeutic interventions needed to provide personalized treatment.
For over 25 years, Medication-Assisted Treatment (MAT) facilities have increased their efficiencies with SMART’s insurance, clinical, medical, dosing, scheduling, and drug testing modules. The clinical and medical features allow teams to collaborate and share patient information securely and in real-time. Moreover, the SMART Solution has automated functions that help guide the treatment team to more informed treatment decisions
Gifford Street Wellness Center chose SMART’s EHR for its 100% paperless functionality and for the level of care provided by support. Clinical Supervisor, James Leverone said “The ease of use with this software is fantastic! Very speedy response times as well.” The team at SMART looks forward to continuing to meet their needs in the future.
About Gifford Street Wellness Center
Gifford Street Wellness Center provides outpatient opioid treatment with medication-assisted care. Medications recommended are based on individual needs. In addition to their therapeutic approach, this clinic uses Methadone and Suboxone/buprenorphine-assisted treatment to aid the patient’s recovery. Learn more about the SMART Solution, our implementation process, or get to know other SMART EHR partners.
SMART Management is proud to serve Hawaii addiction treatment providers with an EHR specifically designed to streamline opioid treatment program workflows. Providers like Ku Aloha Mau dedicate their time to supporting the states efforts to stay ahead of the ongoing epidemic.
In 2019 Hawaii was awarded $2 million in federal grant funds to aid in opioid crisis prevention efforts. This funding helps Hawaii’s Opioid Initiative Action Plan and other proven programs, like those delivering Medication-Assisted Treatment (MAT).
This plan includes action areas such as: modernizing healthcare strategies, improving prescribing practices, enhancing data collection, increasing consumer education and prescription harm management with pharmacy-based strategies, and supporting law enforcement and first responders. “Fortunately, Hawaii has not yet experienced the magnitude of the opioid crisis seen in other parts of the country,” said Gov. David Y. Ige in 2017 after the release of Hawaii’s Opioid Initiative Action Plan. “While emerging issues and concerns in the state are on the rise, we have been given a relatively unique opportunity to proactively respond, prepare, and prevent the crisis from reaching the same magnitude.”
For more information on Medication-Assisted Treatment or to find a treatment provider near you visit SAMHSA. If you are a MAT provider and want to learn about improving efficiencies at your facility, please visit SMART’s Solutions page or get to know other SMART EHR partners.
SMART, EHR software vendor for opioid treatment programs proudly serves Habit OPCO Treatment Center. Now, apart of CRC Health Group, these Massachusetts-based clinics provide medically supervised methadone and Suboxone (buprenorphine) maintenance treatment. They help individuals working to overcome addiction to or dependence upon heroin or other opioids.
Methadone has been used for decades to treat individuals addicted to heroin and pain medicines. Many treatment providers have found success in treating patients via methadone dosing when combining with counseling and support programs. Habit Opco is a SAMHSA (Substance Abuse and Mental Health Services Administration) Certified addiction treatment provider.
“With the ability to become fully electronic SMART has enabled us to improve communication within the program as well as ease the burden with paperwork. The medical order package has also simplified the need to write multiple orders when providing individual treatment to patients. As far as other departments go, another great feature is that we now have real-time access to multiple disciplines, medical, clinical, and financial. I have used two previous systems and this has been the best by far.”
John Vinitsky, Director of Nursing, Habit OPCO, Inc.
CEO Alan Oberman at new JBRC methadone maintenance treatment location
SMART’s EHR partner, New Jersey-based addiction treatment provider, John Brooks Recovery Center (JBRC), is improving access to methadone maintenance treatment. Their recent relocation, the opening of 2 new locations, and a new jail-based program represent some of the significant changes that patients can expect moving forward. Alan Oberman, JBRC CEO and long-time recovery advocate, shared that “This project began in 2007, and it is an example of what can be achieved with vision and perseverance.” He went on to say, “I will never forget the faces of our clients when they first walked through the doors. It made it all worth it.”
A Move To Help More Patients
JBRC’s previous facility is a 100-year-old building located in the crowded heart of the Atlantic City tourist district. As they helped more individuals in the community, the facility lacked the space to accommodate everyone in need. Since they serve over 500 clients, patients would have to wait on the sidewalk. Their recent move was the best solution to express appreciation and consideration for patients and the community.
Consolidating Methadone Maintenance Treatment and Other Services
Inside new JBRC location
One new JBRC facility in Pleasantville has combined medication-assisted treatment (MAT), intensive outpatient (IOP), admissions, and administration under one roof. This has already shown improvement in communication and morale among their 70-person staff. Moreover, they are now able to accommodate more individuals in need. This location treats around 600 MAT clients and 115 IOP clients. The other new site, JBRC of Atlantic City, treats 325 MAT and 30 IOP patients. Alan Oberman noted, “We have been able to treat almost two hundred more clients.”
Project Kick Start
New Jersey’s first jail-based methadone maintenance treatment program is Project Kick Start. Atlantic County Jail Warden, Geraldine Cohen, and Alan Oberman worked together for the past five years to start this program. The Division of Mental Health and Addiction Services funded the pilot program. Alan explained in a recent press release that “The timing for the program is just right. We are in the midst of an opioid epidemic that affects approximately 75% of the inmates at the jail. At John Brooks, we had a mobile methadone bus designed for physical examinations and the dispensing of methadone that we were not using plus excess revenue on a State contract .”
SMART Management, Inc. is the creator of The SMART Solution. This cloud-based EHR is designed specifically for Methadone Maintenance Treatment and opioid treatment services. This EHR software provides advanced automation for all treatment workflows, improving operational efficiency, and contributing to maximized revenue. The SMART Solution is built on continuous improvement and has a total focus on customer delight. SMART is proud to partner with John Brooks Recovery Center (JBRC) to streamline paperless clinic operations. Learn more about the SMART Solutionor get to know other SMART EHR partners.
SSTAR, a substance-abuse treatment organization, is formulating plans for an addiction treatment research facility in Fall River, MA. “It will be a small part of a full treatment center,” said CEO Nancy E. Paull. “I’m not building a methadone clinic. I’m building a research and treatment facility.” According to The Herald News, this facility will be complete with inpatient treatment, outpatient clinical services, and will perform research into programs and therapies. One possible location is the former home of Border City Mill No. 3 intersecting Weaver and West streets. This building was lost in a fire of February of this year.
Plans call for a research facility with 60 beds (30 of which are for individuals) in their detox program with 30 more servicing those in need of rehabilitation. Furthermore, this will be supplemented with an outpatient medication-assisted treatment program. “We’ll expand our treatment services,” Paull said. “It will allow us to expand our research. It will allow us to increase primary care.”
For 40 years, SSTAR has dedicated themselves to providing a range of mental health and substance abuse treatment services. Because of this, they recognize the extent of the opioid crisis and the tremendous need for their services in Fall River. Yet, they’re only capable of handling 20% of those in need of in-patient treatment. “There is a huge demand for services that we are not able to meet,” Paull said. No official sale was made, but a decision is expected within the next 30 to 60 days.
Stanley Street Treatment and Resources (SSTAR) is a non-profit health care and social service agency. They serve Southeastern Massachusetts communities with a wide-range of mental health and substance abuse treatment services. SSTAR programs are licensed by the Massachusetts Department of Public Health and the Department of Mental Health Retardation.
We’re proud to shine the spotlight on CODAC, providing opioid treatment as well as recovery and prevention resources to individuals, families, and communities. Recently, the state deemed CODAC as the first “Center of Excellence” regarding the treatment of opioid use disorders.
Rhode Island health officials estimate 20,000 Rhode Islanders are addicted to some form of opioid. However, only a few thousand are getting medication-assisted treatment. Given the number of people affected by addiction, there is a shortage of certified physicians. Currently, R.I. only has a total of 171 buprenorphine prescribers.
Increasing Opioid Treatment Access
Governor Raimondo advocates for the access of buprenorphine (Suboxone) and the availability of psychiatrists, social workers, and recovery coaches. “Rhode Island’s first Center of Excellence will make it easier for patients with opioid use disorders…,” offers Raimondo.
CODAC provides Methadone, Naltrexone, or Suboxone for patients coming into treatment, so physicians can work with patients to choose the best treatment option for each person. The Centers for Excellence model helps compensate for the shortage of certified professionals. Rebecca Boss, acting director of the Department of Behavioral Healthcare, Developmental Disabilities and Hospitals celebrates CODAC for “recognizing overdose as a public health crisis and moving swiftly to complete the application process.”
About 1,700 Rhode Islanders died of drug overdoses between 2006 and 2014. In 2014, Rhode Island had the sixth-highest rate of overdose deaths per 100,000 residents in the country. The US Centers for Disease Control blames a majority of drug deaths on prescription opioids and heroin.
Primary Care Providers Needed
Patients may walk into a Center of Excellence or be referred. From there, patients are stabilized, given treatment, and referred to a care provider in the community. Advocates hope the design will help primary care doctors treat a growing number of opioid-dependent or addicted people. Centers can cater to patients who may need initial intensive care but do not require in-patient care.
Rhode Island is not alone in battling citizen opioid addiction. Connecticut recently deployed a three-year plan to combat addiction based on Yale University research. In August alone, 27% of those admitted to the New Haven outpatient clinic were diagnosed with opioid-use disorder. As US Attorney, Peter Neronha recently pointed out, the numbers of those in need may be obscured. “Those potentially at risk of death were brought back by Narcan.” Naloxone stops the effects of heroin or opioid overdose, stripping the opiate receptor site, and restoring breathing. “When we realize how many times Narcan is being administered, we start to get a sense of how deadly this problem really is,” offers Neronha.
Since 1971, CODAC has served the Rhode Island community. Its five locations enable a range of outpatient recovery treatment and prevention services. Those struggling with drugs, gambling, or addictive behaviors rely on CODAC for compassionate and personalized service.
April 2016 – Evergreen Treatment Services (ETS) has offered medication-assisted treatment for adults with opioid use disorder since 1973. This August they plan to open their newest location, a 350 patient facility in Renton, King County, Washington. This new addition comes on the heels of a 58% increase in heroin related deaths in 2015.¹ Assistant Division Director of King County Behavioral Health and Recovery Division Brad Finegood noted that the opening of this clinic is a direct result of the overwhelming need for more treatment facilities in the area. “The problem is growing faster than our ability to build new facilities.”² ETS CEO, Molly Carney, said that methadone and buprenorphine as well as counseling services is a crucial part of treatment for those addicted to opioids.²
However, just offering this services does not solve the larger societal problem of public stigma. Time and time again we see instances of people fighting against the opening of clinics in their respective communities. Business owners and residents often feel concerned when they hear of the possibility of a medication-assisted treatment facility (often misleadingly referred to as just “methadone clinics”) opening near them for fear that an increase in criminal activity will follow. In a Philadelphia Daily News report on a proposed clinic opening they quoted one resident as saying, “We’re not gonna tolerate the existence of this establishment…No community is an appropriate place for a methadone clinic.” The sentiment “not in my back yard” is commonly applied to treatment clinic openings. Logically, it should instead be applied to addressing overdose deaths because those are happening in everyone’s backyard. This is just one of the barriers that advocates, professionals and those in recovery face.
In a powerful statement, Assistant Division Director of King County Behavioral Health and Recovery Division, Brad Finegood said, “Public support is going to be very important…One of the biggest battles we are fighting is stigma. People who are opiate dependent are not bad people, they are people who have a sickness and illness. They have a medical condition. Rather than people being afraid, we need the community to rally around the fact that people need treatment. We have a need in our suburban cities and rather than saying we don’t want the services here, we want communities to embrace treatment and treatment that we know it works.”² Shilo Murphy of the People’s Harm Reduction Alliance says that, “If you want to stop overdose deaths…the key is getting rid of the stigma, loving and respecting people who use, supporting them to use with friends, providing them with education, and not shunning them.”¹
Risk management through medical documentation was an important topic addressed and presented via a mock trial at the 2015 AATOD conference. As treatment providers, you are responsible for taking the appropriate measures to ensure that patient documentation is accurate and thorough. Consistent documentation not only ensures that important patient progress is recorded, but it is also key to protecting your clinic from legal retaliation should a patient experience an unfortunate event while enrolled in your Medication Assisted Treatment program.
Addiction Treatment Forum (ATForum) recently published an article outlining the specific protocol that should be followed for every patient and emphasizing the tasks that should be tailored to patients in specific circumstances. “The problem wasn’t necessarily that the counseling wasn’t done. The problem was that it wasn’t documented.”(1) Read the full article.
Reports on substance abuse and addiction therapies, research, news, and events of interest to both healthcare professionals and patients with a focus on methadone maintenance (MM) treatment for opioid addiction. AT Forum is made possible by an unrestricted educational grant from Mallinckrodt Pharmaceuticals, St. Louis, MO, a manufacturer of opiate and alcohol addiction products. (2)
The SMART Software Division is pleased to announce that Pinnacle Treatment Centers has chosen SMART as the EHR Software vendor for their locations in New Jersey, Pennsylvania, Virginia, Michigan and Kentucky, providing drug-free inpatient and outpatient treatment, medically-assisted treatment, and counseling for drug addiction.
SMART’s implementation team recently visited Pulaski Medical of Pinnacle Treatment Centers for their first SMART Software installation. Our team was impressed by the beauty of this rural Virginia town and by the hospitality of Pulaski’s staff. They do a truly wonderful job of providing a clean and safe environment for patient treatment. We are thrilled to welcome Pinnacle Treatment Centers to our family of SMART partners and look forward to continuing our integration.
About Pinnacle Treatment Centers
Pinnacle Treatment Centers is based in Pittsburgh, Pennsylvania. They began in 2006 with the acquisition of four treatment centers in Pittsburgh and Johnstown. Since then, they have expanded to provide facilities in New Jersey, Kentucky, and Virginia. Each year, their facilities provide drug addiction treatment and services at 20 facilities.
Pinnacle Treatment Centers provide inpatient and outpatient treatment for those suffering from addiction. Their services include drug-free and medication-assisted treatment, including Suboxone, methadone, substance disorders, and co-occurring disorders. They provide these treatments along with medical evaluation and counseling for our clients and their families. Through a network of facilities in Pennsylvania, New Jersey, Virginia, and Kentucky, Pinnacle treats more than 7,500 people every day.
We would like to welcome Promesa Inc. of Bronx, NY to SMART’s family of software partners. SMART is now fully utilized and integrated as a paperless system in all of the medication assisted treatment modalities that Promesa offers. Our Team is proud to serve such an amazing and influential community behavioral health resource. Promesa is an affordable community based drug and alcohol rehab facility that is a part of the Acacia treatment family, the largest Latino based behavioral health treatment facility in the world.
SMART would like to thank Promesa for their hospitality during our recent installation and training of the SMART’s Clinic Management Solution. The team at SMART is excited for the software transition that has been made, and we are fully prepared to support Promesa as a new SMART Partner.
About SMART Management, Inc.: SMART’s Electronic Medical Record is designed to meet your facilities every need. SMART Software manages your facility from admission to annual report. SMART’s Clinical, Medical and Financial Software Modules integrate any multi-modality treatment facility including Residential or Outpatient Substance Abuse, Methadone Maintenance and Behavioral Health. Learn how SMART can be your Partner.