Understanding the Enhanced Feedback Report Layout

Understanding the Enhanced Clinical Feedback Report

Note: Not all Mirah customers have access to the Enhanced Feedback Report. If this interface does not look familiar to you, and you're interested in learning more, please reach out to your Customer Success Manager or email support@mirah.com.

Mirah presents client-level clinical feedback in a comprehensive, interactive report. This report is the core of Mirah for clinicians using the platform and provides invaluable insight to guide care and clinical decision making. 

The enhanced version of the Clinical Feedback Report was developed using more modern technology and redesigned to support the future of measurement based care. The report presents current and historical data and directs the user to important information using color, icons, scores, and text. These changes enhance the clinician’s understanding of how the client is progressing in treatment.

Orienting to the Report Layout

Header

At the top of the screen, you’ll find basic information about the client. Initials presented in a dark gray circle indicate the client and their associated information and responses. Initials visualized in the light gray circle, if present, represents the caregiver. Throughout the report, you can always tell who the respondent for an item was by looking to the left of the measure for these identifiers. Other pertinent information includes client demographics, information about the active care episode, and the care team.

Risk Screening

Underneath the basic information in the header, there is a section for risk screening. This presents critical information related to risk screening and management. If more information is needed for any of the risks, clicking on the badge will bring up the most recent item responses in the right “Details” panel. From there, using the navigation at the top of the right hand panel, the user can view the entire risk history and item responses from past dates. See “Badge Details: Responses” below for more information.

There are three risk badges that may be present, based on the administered scales. They are:

  • Suicidality
  • Alliance
  • Medications

Two Panel Layout


The remainder of the report navigates between two panels. On the left “Overview” panel, the full overview or compare view will always be present. Within the right “Details” panel, the information will change based on what is selected from the left panel and how the navigation bar at the top of the right panel is utilized. At any time, the “Expand” button can be used to expand or minimize either panel, for more focused viewing. 

Overview Panel

On the left of the screen, the overview section shows high level information on all the measures underway for the client. 

Compare

Clicking the “Compare” button allows you to choose any measures by any reporter to view. This is useful to understand patterns or limit the amount of information to focus attention on something in particular. Select the measures that you’d like to compare using the checkboxes. This shows the graph of past responses for those measures within the left panel. The data points on this view are clickable and selecting one will populate details in the right panel (see below “Badge Details: Responses” for additional information on item level responses).

Treatment Response

Treatment response shows information related to how the client is progressing in treatment, such as symptoms and goal attainment. Using the “Add” button opens editable fields in the right panel that allow the clinician to add different types of goals for either the client or the caregiver from within the report.

Goals/Problems

The Goals section allows for tracking of goals progress, over time. Any goals or problems that the patient (and/or caregiver) have been working towards are highlighted here. Selecting the “Add” button allows the user to add more goals from the report, as well. The drop down within the goal section allows for selecting a “Top Problem”, “7 point Likert Goal”, or “Goal Attainment Scaling” to automatically add to the report.

Other Scales

The bottom section of the left panel presents the information related to the rest of the scales from the respondents. Scales are grouped by domains that organize scales measuring similar psychometric constructs. The names shown in the report are typically the construct names. However, when selecting a scale to view the details, the scale name is also displayed.

Details Panel

The right “Details” panel of the report shows details from the selections made within the left panel. When first navigating to the report, the right panel includes the high level patient details and information on how to use the report. As the report is used, this information is replaced by relevant content but can always be returned to by using the navigation path at the top of the right panel to select “Patient Info”.