BACKGROUND Pam Douglas, program director of FOCUS Behavioral Health, oversees a staff of more than 90 clinicians, healthcare providers, and other support personnel across a four-county system in the foothills of North Carolina. FOCUS Behavioral Health provides 24/7 residential, outpatient, and day treatment services for children and their families. Federal mandates and the Commission on Accreditation of Rehabilitation Facilities (CARF), a national accrediting body, require the implementation of an electronic health record (EHR) system for paperless records and transparent billing lifecycle. In order to meet federal funding requirements and receive full CARF accreditation, Douglas and her leadership team had to n d an affordable EHR solution that would also ultimately improve bill

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