1 00:00:05,005 --> 00:00:06,640 When you walk into your doctor's office, 2 00:00:06,640 --> 00:00:10,611 your doctor can't look at you and immediately know what you need. 3 00:00:10,611 --> 00:00:17,684 There are some things that are going on inside your mind and your body that may not be evident. 4 00:00:17,684 --> 00:00:23,824 Systematic screening is a way for practices to make sure that they are 5 00:00:23,824 --> 00:00:28,629 identifying the full range of needs that patients have. 6 00:00:28,629 --> 00:00:32,633 And some of those needs are often very hard to articulate. 7 00:00:32,633 --> 00:00:37,304 A lot of patients when it comes to things like preventive screening, 8 00:00:37,304 --> 00:00:40,908 a lot of patients will know when they need their colonoscopy or they 9 00:00:40,908 --> 00:00:46,079 may not remember the exact date, but they may have some ideas about when they're due for their mammogram. 10 00:00:46,079 --> 00:00:54,121 But when it comes to things like mental and behavioral health, those things are sometimes harder to talk about. 11 00:00:54,121 --> 00:00:58,025 So when somebody's feeling sad, they may not articulate that. 12 00:00:58,025 --> 00:01:05,365 But if it becomes part of standard practice that everybody gets asked about how they're feeling emotionally, 13 00:01:05,365 --> 00:01:11,238 it becomes normalized and desensitized. But it also becomes routinized in the practice. 14 00:01:11,238 --> 00:01:16,243 Practices are organizations that do things out of routine. 15 00:01:16,243 --> 00:01:20,280 So if you can make something just a standard operating procedure, 16 00:01:20,280 --> 00:01:22,816 something that a person does with every patient, 17 00:01:22,816 --> 00:01:28,188 every time, then it's likely to not be forgotten and it's likely to get done. 18 00:01:28,188 --> 00:01:32,459 And having tools that support that process can be really helpful. 19 00:01:32,459 --> 00:01:35,929 So when the MA or the medical assistant takes you back to the 20 00:01:35,929 --> 00:01:39,800 room, if they have a prompt that makes sure that they ask every 21 00:01:39,800 --> 00:01:44,204 patient – maybe it's the PHQ-2, how they're feeling. 22 00:01:44,204 --> 00:01:47,941 It's just like taking blood pressure on every patient. 23 00:01:47,941 --> 00:01:53,547 They do it with everybody, and they typically don't forget to do it. That's the value of systematic screening. 24 00:01:53,547 --> 00:01:56,883 You're really creating a routine for the practices so that things aren't 25 00:01:56,883 --> 00:02:01,388 forgotten, but you're also making these behaviors absolutely normal. 26 00:02:01,388 --> 00:02:04,191 They are expectations that patients have. 27 00:02:04,191 --> 00:02:06,493 When I go to the doctor, I expect that they're going to ask me about 28 00:02:06,493 --> 00:02:09,663 my state of mind just like they're going to take my blood pressure. 29 00:02:09,663 --> 00:02:12,499 So now it becomes something that I can talk about with them and I feel 30 00:02:12,499 --> 00:02:19,150 like they're not focusing on me because I'm somehow different or special.