Electronic Health Record

CalMHSA has brought 26 counties together to implement a semi-statewide electronic health record (EHR) — a step toward creating a vision of wholistic county behavioral health data aggregation and interoperability. The EHR has, at its center, the primary purpose of improving the lives of Californians who turn to county behavioral health departments for their care. This semi-statewide system:

CalMHSA’s EHR Team

  • Extends to 35% of the state’s Medi-Cal beneficiaries
  • Allows clinicians to spend more time caring, less time on screens
  • Tells a complete story about the individuals in their care
  • Eases the process for clients by allowing record-sharing between counties

Together, the 25 participating counties are enhancing delivery of care with a system that:

  • Leverages deep technical expertise for a scaled solution with greater reach
  • Creates cross-county innovation and shared outcomes
  • Builds efficiencies that alleviate workforce shortages
  • Integrates CalAIM payment reform changes

Program Details

Lead Staff:

John Fitzgerald

Chief Informatics Officer

Email: [email protected]

Participating Counties:

Colusa, Contra Costa, Fresno, Glenn, Humboldt, Imperial, Kern, Kings, Lake, Madera, Marin, Mono, Nevada, Placer, Sacramento, San Benito, San Diego, San Joaquin, San Luis Obispo, Santa Barbara, Siskiyou, Sonoma, Stanislaus, Tulare, Ventura


The EHR also includes a set of recommendations for a Centers for Medicare & Medicaid Services (CMS) interoperability work plan that each county behavioral health agency can use to guide short and long-term priorities, as well as submit the 2023-24 work plan to the Department of Health Care Services. It remains at the forefront of facilitating state and federal interoperability mandates, such as Assembly Bill 133, the California Data Exchange Framework, and the CMS Interoperability and Patient Access rule.

For more information about, contact [email protected].