Resources
Reading · glossaryReading on clinical memory and care transitions.
The problem we're solving, the words we use, and what we're learning along the way.
01Featured
Start hereStart here.
Beyond the AI Scribe
Featherglass's white paper on clinical memory in behavioral health.
SeriesThe Myth series
Five common beliefs about behavioral health records, and why each one falls short. By Dr. Israel.
The problemSystemic Amnesia, in one scroll
Why a patient's history stays behind at every transition, and what it costs.
02The Myth series
By Dr. IsraelFive myths about behavioral health records.
Each one sounds reasonable. Each one leaves the patient's history behind.
Myth 1
Our EHR solves the information sharing problemWhy the most common assumption in behavioral health IT is a patient safety failure waiting to be named.
Myth 2
More EHR adoption will fix fragmentationWhy two decades of health IT investment have made the coordination problem structurally worse.
Myth 3
This is a care quality issue, not a mortality issueThe clinical chain that connects a missing psychiatric record to a preventable death.
Myth 4
AI scribes solve the documentation problem in behavioral healthWhy the real problem was never documentation. It was the patient's story, carried across settings.
Myth 5
Patients with serious mental illness already get coordinated careWhy referrals and discharge plans are only the beginning, and why coordination has to be structural.
03Glossary
The words we useThe words we use.
In plain language.
Clinical memory
A patient's clinical history kept as one record that carries forward across clinicians, programs and levels of care, so each new team starts from what is already known.
Systemic Amnesia
Our name for what happens when a patient's history stays behind at every transition: a system with no memory of its patients.
Fragmentation Tax
The excess cost associated with highly fragmented care: $4,542 per patient each year, in a study of privately insured patients with chronic conditions (Frandsen et al., 2015). It is an association, not a measured saving.
Level of care
The intensity of a treatment setting, from inpatient and residential care to partial hospitalization (PHP), intensive outpatient (IOP) and outpatient care.
Step-down
A move to a less intensive level of care, such as from residential treatment to an intensive outpatient program.
Treatment summary
A clinician-reviewed account of a course of treatment: what happened, how the patient responded, and what remains open.
Ambient capture
Documentation drafted from the conversation in a session, so the clinician can stay present with the patient.
42 CFR Part 2
The federal regulation that protects the confidentiality of substance use disorder treatment records, with consent requirements of its own.
04Updates
Occasional, never noisyNew writing, when we publish it.
Essays, research notes and product updates, a few times a year.
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