Latest / Becker's Healthcare Behavioral Health / AI and the Future of Behavioral Health, and How to Enhance Care Without Replacing Clinicians
Transcript
- 0:00- Hi, everyone. This is Lucas Voss with Becker's
- 0:02- Healthcare. Thanks so much for tuning in to
- 0:03- the Becker's Healthcare podcast series.
- 0:06- It's great to have you. Today, we're talking
- 0:07- about AI and the future of behavioral health
- 0:10- and how to enhance care
- 0:12- without replacing
- 0:14- clinicians. And joining me for today's discussion, so
- 0:16- excited to have him, Javier Ferreira, VP market
- 0:18- segment leader at NextGen. Javier, it's so great
- 0:21- to have you again. Welcome. Yeah. It's good
- 0:23- to be here. Thank you for having me.
- 0:25- I wanna kick us off with a statistic
- 0:29- while I was doing research for this podcast,
- 0:31- and it was pretty staggering, and that's why
- 0:33- I wanted to include it.
- 0:35- As of December
- 0:36- 2025,
- 0:38- forty
- 0:38- percent. Again, I'll say that again. Forty percent
- 0:42- of The US population lives in a federally
- 0:45- designated mental health professional shortage area,
- 0:48- and we also know from that research that
- 0:50- gap is projected to widen
- 0:53- through 2038.
- 0:54- So this is a decade ahead. We know
- 0:56- this is happening.
- 0:58- And we also know that these organizations
- 1:00- that are trying to close this gap
- 1:02- are experiencing tremendous
- 1:05- stress from workforce shortages to,
- 1:08- again,
- 1:08- increasing consumer expectations
- 1:11- for personalized care. There's so much happening.
- 1:14- From your perspective,
- 1:16- where is AI making the biggest difference today,
- 1:20- and why
- 1:22- is 2027
- 1:23- why is this moment now so important for
- 1:26- this?
- 1:28- Yeah. It's a the scary stat that you
- 1:30- just gave in in if you look at
- 1:31- the trajectory there, right, even
- 1:34- a larger gap projected to widen through through
- 1:38- that 2038
- 1:39- time period in that study.
- 1:41- I think the biggest difference AI can make
- 1:43- today
- 1:45- is helping
- 1:46- behavioral health organizations
- 1:48- expand capacity
- 1:50- without an already stretched workforce to simply do
- 1:53- more.
- 1:55- We have an increasing demand, no doubt, in
- 1:57- behavioral health and with the stat you just
- 1:59- shared and my experience working with behavioral health
- 2:03- organizations,
- 2:04- a real workforce shortage.
- 2:07- And so clinicians who are carrying a significant
- 2:11- amount of already administrative burden and compliance, right,
- 2:14- these are these are some scary stats to
- 2:16- think through.
- 2:17- When we think about augmented intelligence or AI,
- 2:20- you know, people use the artificial intelligence term
- 2:22- like I like to say augmented intelligence, and
- 2:25- I think that's a really important distinction.
- 2:27- It's important to note that AI doesn't solve
- 2:30- the workforce shortage by itself,
- 2:33- but it can help us use
- 2:35- the technology.
- 2:36- It can ultimately have an impact on the
- 2:38- work workforce
- 2:40- where it can be leveraged most effectively.
- 2:43- And so the the most immediate opportunity is
- 2:46- reducing the friction surrounding care.
- 2:49- That includes things like supporting documentation,
- 2:52- bringing relevant information forward before
- 2:56- and during an encounter.
- 2:58- And it ultimately can help clinicians. Right? I
- 3:01- think that's an important word, help clinicians
- 3:04- identify gaps that require attention.
- 3:06- It can help organizations
- 3:08- understand where patients may be falling
- 3:11- short or falling out of care. I think
- 3:13- what makes this moment particularly
- 3:16- important in in AI
- 3:18- is that we're moving from this theoretical
- 3:21- conversation to a more practical one.
- 3:23- So organizations are are are no longer asking
- 3:27- only what could AI eventually do.
- 3:30- They're
- 3:31- asking
- 3:33- where can it create measurable value today? And
- 3:35- I think that's an important question to be
- 3:37- asking.
- 3:38- And for me,
- 3:40- the right measure is not how much a
- 3:42- output an a an organization
- 3:44- can deploy AI.
- 3:46- I think it's whether that technology gives clinicians
- 3:49- more time to care.
- 3:51- It can improve access, how it can reduce
- 3:55- avoidable burden,
- 3:56- and then help an organization achieve better outcomes,
- 3:59- which I think should be the target and
- 4:01- goal.
- 4:02- And so
- 4:03- behavioral health or behavioral health organizations and in
- 4:06- behavioral health in particular,
- 4:09- we are especially dependent on context, patient context.
- 4:13- And a person's
- 4:15- needs cannot be understood from
- 4:17- one diagnosis,
- 4:19- one note, or one encounter.
- 4:21- And I think the opportunity
- 4:23- is to use augmented intelligence or AI to
- 4:26- connect information
- 4:28- across the care journey, right, across an episode
- 4:31- of care
- 4:32- and help the clinicians see more of more
- 4:34- complete picture
- 4:35- while keeping the clinician firmly in control.
- 4:38- And so for me, the value of AI
- 4:41- is not that it replaces capacity.
- 4:44- It is that it helps us recover capacity
- 4:46- for care, And I think that's an important
- 4:48- distinction.
- 4:50- I wanna double click on that a little
- 4:51- bit, and I wanna just touch on the
- 4:53- augmenting piece too because that's very important. And
- 4:55- you just touched on it as well. We
- 4:57- know that, again,
- 4:58- not that clinical care is in in itself
- 5:01- a very personal matter. Behavioral health today
- 5:04- is one of those pieces that's just deeply
- 5:07- personal to a lot of folks, and AI
- 5:10- just doesn't for a lot of people, it
- 5:12- doesn't quite fit into that conversation. Right? Because
- 5:15- they're Mhmm. They feel like it creates this
- 5:17- distance. Right? There is a computer. There's often
- 5:19- this misunderstanding, like, this computer, this robot that's
- 5:21- talking to me instead of the clinician.
- 5:23- Yep. Where do you see AI truly augmenting
- 5:26- all of this? You've touched on it a
- 5:28- little bit, but I want you to to
- 5:29- focus on that human piece, the human connection.
- 5:32- How can AI help
- 5:34- there and truly create
- 5:36- that center of care from the human piece?
- 5:40- Yeah. I think in behavioral health, the human
- 5:42- connection I I shouldn't say I think. I
- 5:44- know.
- 5:45- Right? The human connection
- 5:47- is not an accessory to care. It's central
- 5:50- to care. And so trust, listening, clinical judgment,
- 5:53- and the relationship
- 5:54- between the clinician
- 5:56- and the the person that they're taking care
- 5:59- of, those certain things
- 6:01- should not and cannot be augmented.
- 6:04- I think the appropriate role for augmented intelligence
- 6:07- or AI is to support that relationship,
- 6:10- not to insert itself between the clinician and
- 6:13- the patient.
- 6:15- An example, straightforward example, is documentation.
- 6:18- So the clinician can spend less time looking
- 6:20- at the screen, recalling information
- 6:23- after the visit or completing things that are
- 6:25- repetitive or repetitive administrative steps.
- 6:29- That creates more opportunity to be fully present
- 6:31- in that conversation.
- 6:33- And so AI can help organize information
- 6:36- that may spread across the record. It can
- 6:38- surface relevant history, changes over time, potential gaps,
- 6:42- or even issues that deserve
- 6:44- a a much closer look. But searching
- 6:47- servicing information is really different than making the
- 6:50- clinical decision.
- 6:52- The clinician still has to apply judgment, understand
- 6:55- the context of the patient,
- 6:57- and ultimately determine what is appropriate for that
- 6:59- person.
- 7:01- I'd like to describe
- 7:02- and this is really important. The model is
- 7:05- human led and AI supported.
- 7:08- The technology can listen,
- 7:10- organize,
- 7:12- and then
- 7:13- ultimately prompt the clinician.
- 7:16- The clinician still has a responsibility
- 7:18- to interpret,
- 7:19- validate,
- 7:20- decide, and connect the dots.
- 7:23- If you kind of look at the way
- 7:24- that,
- 7:26- you know, kind of the old way of
- 7:27- an electronic account record
- 7:29- versus a a a more system of context
- 7:33- AI enabled platform within an electronic
- 7:35- account record, a legacy system is like a
- 7:37- digital filing cabinet. Right? Clinicians have to dig
- 7:40- through the records to surface information.
- 7:43- Right? They have to read it, interpret it.
- 7:46- Whereas
- 7:47- a new EHR that's AI enabled, right, helping
- 7:50- the clinician,
- 7:52- it's surfacing
- 7:54- relevant information
- 7:55- at the right time at the point of
- 7:57- care, and that's an important distinction.
- 8:01- And that distinction is important because behavioral health
- 8:04- care is really highly personal.
- 8:07- So two individuals with similar if you take
- 8:09- a person, for example, two individuals with similar
- 8:12- clinical information,
- 8:13- they may have different circumstances.
- 8:16- They might have different treatment goals,
- 8:18- support system,
- 8:20- and you think about social determinants of health
- 8:22- and barriers.
- 8:24- AI
- 8:25- augmented intelligence can provide another layer of insight,
- 8:28- but ultimately cannot replace the clinician's understanding of
- 8:31- the person that's sitting right in front of
- 8:34- And so if AI is implemented well, and
- 8:36- I do lots of presentations on this,
- 8:38- patients should ultimately experience more, not less
- 8:42- human intention. And I think that's really important
- 8:45- in this conversation.
- 8:47- And so AI can bring information forward,
- 8:50- but the clinician brings the meaning to that
- 8:52- information and ultimately better serve the the patient
- 8:55- in front of them.
- 8:57- One of the important steps in this that
- 8:59- you started the conversation is the fact that
- 9:02- we are moving from pilots to
- 9:05- integrated systems. Right? A lot of this is
- 9:07- happening across health care.
- 9:09- We're using it. It's part of the job
- 9:12- in in 2026.
- 9:15- You've mentioned the the insights piece to being
- 9:17- able to surface more insights, surface information.
- 9:21- That's what AI does really well, and that's
- 9:23- why it's being used so widely. When we're
- 9:25- looking at behavioral health, though,
- 9:28- what are you seeing there in terms of
- 9:30- how AI helps
- 9:33- understand
- 9:34- certain risks earlier, for example? And and also
- 9:38- then deliver more some some more of those
- 9:40- personalized interventions
- 9:42- that you've mentioned. How does AI do that?
- 9:45- Yeah. I I think this is a huge
- 9:47- opportunity. So one of the greatest opportunities
- 9:50- in behavioral health with augmented intelligence is moving
- 9:53- from
- 9:54- reactive care
- 9:56- towards earlier more informed action, and I think
- 9:59- that's what you're talking about here.
- 10:01- Behavioral health organizations hold a tremendous amount of
- 10:04- information,
- 10:05- but it often we it often exists between
- 10:09- multiple encounters, multiple nodes, multiple assessments,
- 10:13- treatment plans over time,
- 10:15- and then operational workflow.
- 10:18- And the challenge is turning that information into
- 10:20- something actionable
- 10:22- at the right time.
- 10:24- And what AI can do is AI can
- 10:26- ultimately help identify changes or patterns
- 10:30- that may deserve more attention by the clinician.
- 10:33- This might include changes to patient engagement strategy,
- 10:37- missed appointments,
- 10:38- gaps in follow-up,
- 10:39- shifts in documentation needs, or other indicators that
- 10:42- a person's care journey may be moving off
- 10:44- track.
- 10:45- And so the important point here is that
- 10:47- these insights should guide outreach and clinical consideration,
- 10:51- but they should not label the person or
- 10:53- make
- 10:55- automatic determination of care.
- 10:57- Personalization
- 10:58- also means understanding the whole person, which is
- 11:01- a a huge topic in behavioral health. Right?
- 11:03- We've made a shift towards integrated care and
- 11:06- full person care.
- 11:08- Behavioral health outcomes can be influenced by physical
- 11:11- health, social needs, access barriers, family circumstances,
- 11:15- and then ultimately the person's individual phone calls
- 11:18- that are laid out in a treatment plan.
- 11:21- So when technology helps bring that broader context
- 11:24- together,
- 11:25- care teams can actually have a more informed
- 11:28- conversation and intervene
- 11:30- in a way that
- 11:32- relevant that's really relevant to the person that's
- 11:34- sitting in front of you. And if you
- 11:36- take that kind of a level up at
- 11:38- an organizational
- 11:39- level,
- 11:40- those insights
- 11:41- can help leaders understand where populations are experiencing
- 11:45- gaps,
- 11:46- who's not engaging, where transitions are breaking down,
- 11:49- and where and which interventions.
- 11:52- So it seems like med management or medication,
- 11:55- you know, administration,
- 11:57- where those interventions
- 11:59- appear to be having
- 12:00- the most significant impact.
- 12:02- So, ultimately, the the value is not the
- 12:05- prediction itself.
- 12:07- The value is in the action that follows.
- 12:10- So whether that is an earlier outreach, a
- 12:13- change in the treatment plan,
- 12:15- or additional capacity or resources to that person.
- 12:19- Also or simply just being more the more
- 12:22- informed conversation.
- 12:23- And so an insight only has value if
- 12:26- it reaches the right person at the right
- 12:28- time
- 12:29- and leads to the right action. And I
- 12:31- think that's what we're really focused on in
- 12:34- some of these AI use cases is
- 12:37- is exactly just that. It's making sure we're
- 12:39- surfacing information and insights
- 12:42- at the right time for the right person
- 12:44- and then ultimately leading to the right action.
- 12:47- This is all
- 12:48- interconnected.
- 12:49- You've described it perfectly just now in your
- 12:52- answer. It it's all it all has it
- 12:54- it all connects together. We haven't touched on
- 12:57- the burnout piece in this at all, and
- 13:00- I do wanna do that because, again, especially
- 13:02- in behavioral health,
- 13:03- it's it's large. It looms large. It's all
- 13:06- of health care, but especially in behavioral health.
- 13:08- When we're thinking about burnout, when we're thinking
- 13:10- about clinicians, where do you see the greatest
- 13:12- opportunities there for AI to help? Right? We
- 13:16- think about documentation,
- 13:17- but, also, you've highlighted other operational tasks there.
- 13:20- And, again, how does that then when we're
- 13:23- helping the clinician ultimately translate into better experiences
- 13:28- for patients but also for providers?
- 13:31- Well, documentation,
- 13:32- ambiance,
- 13:33- you know, ambiance documentation is obviously a starting
- 13:36- point because it's been one of the most
- 13:38- visible sources of burden for the clinician.
- 13:41- But the opportunity is so much broader than
- 13:43- simply producing a note.
- 13:46- Augmented intelligence
- 13:47- AI, you hear me say that word over
- 13:49- and over,
- 13:50- can ultimately help capture and organize relevant information
- 13:54- from the encounter, create an initial documentation
- 13:58- draft.
- 13:59- But I think reducing some of the repetitive
- 14:02- administrative
- 14:04- some of the tasks
- 14:05- that occurs before and after the visit are
- 14:08- also really great use cases in in AI.
- 14:12- The clinician still ultimately I'm gonna circle back
- 14:15- to the scoop human in the loop. The
- 14:16- clinician still must review and validate everything
- 14:19- and take responsibility
- 14:21- for the ultimate clinical record, but the starting
- 14:24- point becomes more efficient. And I think that's
- 14:26- where we should be having the conversation.
- 14:29- The larger opportunity is supporting the workflow around
- 14:32- the encounter. That includes helping prepare the clinician
- 14:35- with relevant context about the visit,
- 14:38- supporting documentation or ambient documentation during the visit,
- 14:42- and then identifying
- 14:43- follow-up
- 14:44- activities that need attention. And then what in
- 14:46- those
- 14:47- follow-up activities can we automate? Right? Is there
- 14:50- a referral that needs to go out the
- 14:51- door?
- 14:53- If you're a psychiatrist or psych nurse practitioner,
- 14:55- can we automate the processing of the medication,
- 14:59- the labs, some of those very cumbersome tasks
- 15:02- that, ultimately can be,
- 15:04- you know,
- 15:05- still have the human in the loop in
- 15:07- that whole process, but but automate some of
- 15:09- those,
- 15:11- administrative tasks.
- 15:12- And this matters because administrative burden has accumulated
- 15:16- cumulative
- 15:17- effect. So you take five minutes, say, from
- 15:19- one workflow,
- 15:21- that doesn't sound
- 15:22- transformational
- 15:23- by itself.
- 15:24- But when you apply that across every encounter,
- 15:27- every provider,
- 15:28- every day, it ultimately can return meaningful capacity
- 15:32- to the organization.
- 15:33- And for providers, that means
- 15:35- probably the best use case or the best
- 15:37- proof points that we've seen is after hours
- 15:39- documentation.
- 15:41- Some of our use cases we've seen, on
- 15:43- an average, providers in behavioral health and our
- 15:46- federally qualified health centers and tribal organizations, they're
- 15:48- spending about two hours of after hour documentation.
- 15:52- And in in leveraging
- 15:55- AI, an AI enabled platform, not just documentation,
- 15:58- we've seen that, you know, over a twelve
- 16:01- month case study, that reduced down to six
- 16:03- minutes, right, after hours. That's a significant
- 16:06- impact to providers.
- 16:08- I want also wanna be real careful about
- 16:10- the capacity
- 16:11- in producing more conversation, which seems to be
- 16:14- like a CFO favorite conversation. And I can
- 16:16- say that because I was a former behavioral
- 16:18- home CFO.
- 16:20- I think the conversation should start with more
- 16:22- happy providers,
- 16:24- retention strategies, because that ultimately down the road
- 16:27- means more capacity, means better productivity,
- 16:30- but that focus should really be centered around
- 16:33- happier providers and and better patient satisfaction.
- 16:37- And then if you dig into patient satisfaction,
- 16:39- right, so patients, it means the clinician
- 16:41- is more present. They're more informed.
- 16:44- They're better able to spend time with that
- 16:46- person listening rather than navigating, which we see
- 16:49- in the traditional
- 16:50- EHR. They're navigating the EHR with the person
- 16:53- sitting in front of them. And so we
- 16:55- get more to that what clinicians really love
- 16:58- to do, and that's being working with the
- 17:00- patients and looking face to face with them
- 17:02- and having a really good understanding to to
- 17:05- better enable, you know, to enable better care.
- 17:09- When you look at operations, operational efficiency and
- 17:12- patient experience
- 17:13- are not competing objectives here. When we remove
- 17:17- that unnecessary
- 17:18- friction from the provider,
- 17:20- we frequently improve the experience for the patient
- 17:23- as well. Right? And I think that's super
- 17:25- important.
- 17:26- The best technology, in my opinion, becomes less
- 17:29- visible in the encounter so the clinician can
- 17:31- be more present and visible to the patient.
- 17:35- Javier, I know you work with a lot
- 17:38- of organizations
- 17:39- across the country. I know that you've probably
- 17:42- seen your fair share of fail failed pilots
- 17:45- Oh, yeah. And your your share of failed,
- 17:48- initiatives here.
- 17:50- From, again, from your perspective, implementation,
- 17:52- etcetera,
- 17:54- what separates technologies
- 17:56- that really deliver value for organizations
- 18:00- beyond just adding another technology to the stack?
- 18:03- Right?
- 18:04- And where do you see the greatest opportunity
- 18:06- here in the next couple of years? Yeah.
- 18:08- This is probably one of my favorite
- 18:11- parts of the conversation.
- 18:12- And in fact, I'm doing this week, I'm
- 18:14- doing a presentation at the Florida Behavioral Health
- 18:17- Conference
- 18:18- specifically on this topic.
- 18:20- What we've learned and MIT put out a
- 18:22- study,
- 18:23- you know, 95%
- 18:25- of
- 18:26- of these pilots have failed.
- 18:28- These AI pilots have failed and and and
- 18:31- most of the cases of zero return on
- 18:34- investment.
- 18:35- And what we've learned is that the difference
- 18:37- ultimately comes down to intentional adoption.
- 18:41- Technology creates value when it begins
- 18:43- with a defined problem,
- 18:46- and then fits naturally into the workflow and
- 18:49- produces an outcome that an organization can ultimately
- 18:52- measure.
- 18:54- It adds complexity when organizations
- 18:56- deploy it because it's relatively new
- 18:59- without being clear about who will use it,
- 19:02- what decision it will improve,
- 19:04- how success will be evaluated.
- 19:07- So I would look at five things. First,
- 19:09- does it solve a meaningful clinical or operational
- 19:12- problem?
- 19:13- Second,
- 19:14- does it fit into the clinician's existing workflow,
- 19:17- or does it create another destination
- 19:20- or another task?
- 19:22- Third, is the information transparent
- 19:25- and reviewable so clinicians can validate it
- 19:28- rather than simply trust an output?
- 19:31- Fourth,
- 19:32- is that if an organization must have clear
- 19:35- governance
- 19:36- around privacy, security,
- 19:38- quality. Is is the technology
- 19:40- they're using unbiased?
- 19:43- Is it trustworthy?
- 19:44- Is there,
- 19:45- the right policies around accountability and most importantly,
- 19:48- appropriate views?
- 19:50- And then fifth, probably one of the most
- 19:52- important, can the organization
- 19:54- measure whether the technology
- 19:56- is actually improving capacity,
- 19:59- improving the experience, improving patient access, quality, and
- 20:02- outcomes? Probably the most important conversation.
- 20:05- So looking ahead, I believe the greatest opportunity
- 20:08- is connecting these capabilities across the full character.
- 20:12- A lot of times what we see, they're
- 20:13- they're very isolated
- 20:15- use cases or isolated
- 20:18- AI features, almost like widget.
- 20:21- But an intelligent workflow
- 20:23- helps
- 20:24- the care team understand the whole person
- 20:26- and then ultimately reduce the administrative
- 20:29- burden that we see in behavioral health, especially
- 20:31- within the compliance and regulations that we deal
- 20:33- with and recognize
- 20:35- in the patient's care where attention is needed
- 20:38- and coordinate the best action.
- 20:40- The winners that we see, right, the best
- 20:43- use cases
- 20:44- and and and my probably recommendation
- 20:47- to anybody listening, the winners will not necessarily
- 20:50- be organizations
- 20:51- that have the most AI technology or who
- 20:54- adopt it the most.
- 20:56- They will be the organizations that adopt it
- 20:58- the most intentionally. Right? Where's the highest friction?
- 21:02- Where is the best value that they can
- 21:04- bring to to the journey?
- 21:06- And then, ultimately, with clinicians involved, patients protected,
- 21:10- outcomes defined,
- 21:12- and the human relationship
- 21:14- is kept at the center, that's where we
- 21:16- see the most success. And so the goal
- 21:18- shouldn't be more AI. The goal should be
- 21:21- better care
- 21:22- enabled by the right technology in AI.
- 21:25- Avi, so great to have you. Thanks for
- 21:26- taking some time for us.
- 21:28- Yes. Thank you for having me, and, look
- 21:31- forward to the next one.
- 21:32- Absolutely. And we also want to thank our
- 21:34- podcast sponsor, NextGen Healthcare. You can tune in
- 21:37- to more podcasts from Becker's Healthcare by visiting
- 21:39- our podcast page at beckershospitalreview.com.