Who is Voi?
Voi was created when successful technology entrepreneurs partnered with leading behavioral health experts to help those suffering with thoughts of suicide and mental health disorders. Our team leverages significant experience in provider-patient communication, patient care and suicide research and combines it with technology in a state-of-the-art software delivery platform. This learning platform provides hospitals with a streamlined process to solve many of their complex challenges.
What is Voi Detect?
Voi Detect can generate a real-time risk score and provide a customized analytic dashboard to monitor and track operational and compliance metrics. Clinics and hospitals can manage deployment and track patients’ progress through their EHR, or the Voi team can provide that service. The suicide risk assessments on Voi Detect can be completed without internet connectivity; once connectivity is reestablished, the results stored by Voi Detect can be automatically posted back to your EHR and uploaded to the dashboard.
What suicide risk assessments does Voi Detect use?
Our Voi Detect technology platform can deliver any suicide risk assessment that can be digitized. Such assessments can include your own proprietary measures or standardized assessments such as the Columbia Suicide Severity Rating Scale (C-SSRS), the PHQ-9 Patient Depression Questionnaire or the Systematic Expert Risk Assessment for Suicide (SERAS™) tool.
What is Seras™?
SERAS™ is the only validated, patient or clinician-administered suicide risk assessment designed to detect near-term risk (within the next 72 hours). SERAS™ has been shown to replicate the decision making of a psychiatrist. SERAS™ takes less than 2 minutes to complete with high user satisfaction.1
What is the difference between SERAS™ and C-SSRS and PHQ-9?
Unlike the C-SSRS, SERAS™ can be rapidly patient-administered and is specifically designed to detect near-term (next 72 hours) suicide risk. Unlike either the C-SSRS or the PHQ-9, SERAS™ replicates the suicide risk assessment of expert assessors.
Are the Voi Detect suicide risk assessments reimbursable?
Yes. Using CPT code 96127, Brief Emotional-Behavioral Assessments can be reimbursed at approximately $6.50/assessment (up to 4 such assessments per date of service).
How can Voi Detect be deployed in my clinical setting?
Voi can install Voi Detect on your own hand-held devices or we can provide the devices that you specify. If desired, we can also install Voi Detect on your desktop computers and mobile workstations. The assessments can be administered by a nurse or medical assistant.
Why should we assess our patients for suicide risk?
The rate of suicide is increasing – it is the 10th leading cause of death in the U.S. and claims more lives than traffic accidents and more than twice as many as homicides. It is estimated that for every suicide there are 25 attempts. Providers often do not detect the suicidal ideations of their patients who eventually attempt or die by suicide, even though most of these patients receive health care services in the year prior to the attempt or suicide, usually for care unrelated to suicide or mental health. Two percent of ED patients have been found to be at high risk of suicide while 5% have been assessed at medium risk. For these reasons, in 2015, the Joint Commission mandated that suicide risk assessments be completed in all Joint Commission-accredited inpatient and outpatient settings (see Sentinel Event Alert #56). Just as important, identifying those patients at risk will mitigate legal liability (typical settlements for a suicide are about $1,500,000 and many settlements for attempts are much higher), reduce readmission rates, lower medical expenses, generate revenue, and improve patient and provider satisfaction.
Does Voi Detect integrate with my EHR?
Yes, Voi Detect can post back to your EHR. We will work with your organization to decide what information you want posted back to your EHR and complete the interface.
Where are data stored and is it secure?
Voi Detect is HIPAA compliant. Please see our Voi Detect Security document for specifics.
How long to implement a new client?
The standard implementation of Voi Detect is quick and requires few resources on your end. The hand-held devices are configured prior to delivery, unless clients use their own. All EHR and workflow integration discussions can be done remotely. Final implementation, training and go-live can be accomplished typically within 4 weeks.
Where has Voi Detect been used?
Voi Detect has been deployed successfully in the ED at Billings Clinic in Montana. Voi Detect has been instrumental to identifying several high-risk patients who presented with non-psychiatric issues.
What does Voi Detect cost to deploy in my ED?
We will work with your team to determine your specific needs and design an optimal solution for a customized price. While the price will depend on your specific clinical environment (number of ED visits, size of your in-patient population, etc.), a typical deployment is approximately $170,000/year for a small ED (20,000 visits/year), $315,000/year for a medium-sized ED (40,000 visits/year), and $425,000/year for a large ED (60,000 visits/year). A one-time set up fee is about $20,000. This expense will be significantly offset by reimbursements and reduced medical and liability costs.
- See Isabelle Desjardins et al. (2016) “Suicide Risk Assessment in Hospitals: An Expert System Based Triage Tool.” Journal of Clinical Psychiatry 77(7): 874-82.