, Volume 13, Issue 4, pp 464-478

Developing an efficient clinical information system for a comprehensive psychiatric institute: II. Initial evaluation form


This paper describes the objectives, design, organization, content, evaluation, and implementation of the initial evaluation form, first component of a comprehensive psychiatric institute’s clinical information system. Major features of this effort are the involvement of a large number of clinicians in the form’s development, the use of complementary narrative and standardized components, the use of an expanded DSM-III multiaxial diagnostic format, pilot testing with over 1,000 patients, the evaluation of the form’s usefulness and interrater reliability, the form’s computerization, facilitating data retrieval and coordination with other institutional data bases, and the form’s monitoring.

A number of individuals at the Western Psychiatric Institute and Clinic have contributed ideas and work in the design and implementation of the Initial Evaluation Form. Particularly helpful in the initial planning and design stages were our colleagues on the clinical information system committee: R. Cohen. M. A. Danagh, T. Detre, N. French, P. Henderson, S. Hill, G. Hogarty, G. Huber, M. Kovacs, D. Kupfer, D. O’Donnell, V. Romoff, G. Roy, D. Wagener, and J. Wolford. Essential roles in the implementation of the IEF are being played by our collaborators in the Clinical Information System Group (G. A. Coffman, S. Goodpastor, and L. M. Axelson) and in the Diagnostic and Evaluation Center (B. Claypoole, D. Cox, S. Dachille, C. Davis, M. Davis, K. Evanczuk, E. Hazlett, R. Mathias, M. Reffner, S. Repta, R. Ruggieri, L. Sereles, J. Van Dyke, H. Capparell, M. Ganguli, D. Spiker, and R. Trivus) M. Maloney has provided competent and gracious assistance with the layout and printing of the form.