One Behavioral Health-Research Agreement

I agree to participate in progress monitoring research designed to improve the effectiveness of the treatment I receive during the time I am enrolled at One Behavioral Health (One BH). This monitoring will include information about potential mental health conditions, current and previous drug and alcohol use, and satisfaction with treatment. I understand that this monitoring will be conducted by Vista Research Group, Inc. (“Vista”) using online surveys, and that all information I provide while I’m attending this treatment program will be immediately shared with the clinician(s) and/or the leadership of One BH so that it can be used to improve my treatment. I agree that Vista may use email or text messaging to send me links to the surveys as well as a copy of this consent form.

Vista will keep my post-treatment survey responses confidential unless otherwise required by law or permitted under this agreement.

Additionally, I agree that Vista may contact One BH and appropriate law enforcement agencies if Vista reasonably believes, based on my communications with Vista, that I have made a serious threat to physically harm myself or others. I understand that Vista is NOT my healthcare provider or a crisis line; Vista does not assume any duty to warn or protect me or others from harm.

I also agree that One BH may share with Vista my name, medical record number, birthdate, gender, phone number(s), email address, the name and type of my health plan, the name(s) of my primary clinicians, and the dates and reasons why I am admitted, transferred and discharged from One BH’s program(s).

I understand that health information that may be used to identify me is protected under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and 45 C.F.R. Parts 160 and 164. The confidentiality of my health information may also be protected under 42 C.F.R. Part 2. I understand that my personally-identifiable health information and/or substance use disorder records cannot be disclosed without my written consent unless otherwise provided for by federal law or regulation.

I understand that this authorization expires immediately upon my discharge from One BH and that I have the right to revoke this authorization at any time by emailing research@vista-research-group.net. I understand that my enrollment at One BH is not contingent upon my involvement in this research.

Do you want to join a community of treatment professionals who are fervently committed to providing every patient with the best possible chance of recovering from addiction and/or mental illness? Members of the Vista Research Network use state-of-the-art software to monitor patients during treatment and follow up with them afterwards to learn how effective their treatment was in helping them recover. Not only are clinicians able to use to easily personalize the treatment they provide, but Vista’s trailblazing data analytics platform and comprehensive research reports help owners and managers continually monitor and improve their center’s effectiveness.

Vista Research Group monitors your patients during treatment and follows up with them afterwards so you can help more of your patients recover from addiction.

Once Vista’s research agreement is signed, a 30-minute Implementation Meeting will be scheduled with your leadership team to understand how your center is structured and what data you want to collect. After this meeting, the only additional information Vista will need is a list of users needing access to the software. Vista is usually able to customize the software for a new center within 24 hours of receiving this patient list.

During online training sessions, Vista will explain why progress monitoring helps patients get better faster, demonstrate the key features of the software, discuss best practices, and answer any questions your team has.

Training videos and step-by-step instructions are available in Vista’s private community as well as in a searchable Knowledge Base. Vista also provides live phone and email support seven days a week to answer any questions new users might have.