How to Write BIRP Notes with AI

How Using AI to Write BIRP Notes Helps Clinicians

As a healthcare professional, the importance of documentation is often drilled into you from the earliest days of your education. Writing BIRP notes gives you a way to track your clients’ progress while also having a defined way to share information with other healthcare providers when it’s necessary for someone’s care.

While note-taking is essential, it can take up a good portion of your day. Considering that 22.8% of all adults in the U.S. have a mental health condition, you might be looking for ways to add more time to see clients into your schedule. Figuring out how to shorten the amount of time that you spend creating notes can help you open up space for new clients.

Fortunately, new advancements in AI provide you with options that can streamline BIRP writing while also making your notes more professional. Taking a look at how to write BIRP notes with AI gives you insight into how you can use this new technology in your practice.

What Are the Benefits of Using AI to Write BIRP Notes?

By now, the benefits of writing BIRP notes may already be clear to the clinicians in your practice. Being able to see at a glance what your client is working on and the progress they’ve made helps you get right to the heart of important discussions. Also, taking and storing detailed therapy notes is required by law if your practice takes Medicare or Medicaid.

Using AI to write these notes offers several benefits that enhance the clarity of each entry and allow you to save more time in each day. Exploring the benefits of BIRP note-writing programs that incorporate AI makes it clear why it’s worth considering using this new technology.

Use Prompts to Streamline Note Writing

Figuring out the right wording to use during note writing can take up large amounts of time in your day. Or, you might grow frustrated with writing similar notes on a repetitive basis. Either way, AutoNotes offers writing prompts and statements that are categorized to fit common scenarios.

You can simply click on the section labeled with anxiety responses to scroll to the one that fits your client’s experience. Once you find the prompt, you’ll then copy and paste it into the session summary section of your notes document. You can also edit these prompts to customize the final note while still saving time.

Reduce Stress as a Care Provider

With an increasing caseload that’s continuing to rise since the pandemic, 46% of mental health professionals reported feeling burned out in a recent survey. While you may be seeing more clients than ever before, you do have some control over how you manage your stress.

Using AI for note-taking helps to relieve the mental strain of documenting your sessions. Having the ability to quickly create notes also allows you to gain precious extra minutes where you can mentally prepare for seeing your next client. Instead of feeling like a machine churning out paperwork, you can allow AI technology to manage the more tedious aspects of writing BIRP notes.

Improve Continuity of Care

The primary purpose of BIRP notes is to be able to track your client’s progress over time. However, putting off writing the notes can lead to lapses in progress tracking, or you might forget an essential element if you put off completing the notes until later in the day. The efficiency that AI provides means that you can put together BIRP notes within minutes. 

Being able to write out notes quickly means that you can finish the work between sessions, which improves the continuity of care. Plus, you can also quickly locate a note before a session to refresh your memory on what a client is working on.

Maintain HIPAA Compliance

As a healthcare provider, you must comply with the HIPAA Privacy Rule that protects clients’ private health information. Naturally, you may have concerns about using any new method for BIRP writing since patient confidentiality is always a priority.

Using AI can offer benefits for HIPAA compliance that you might not receive with other programs. For instance, AutoNotes de-identifies protected health information, or PHI, such as client names, addresses, and medical record numbers. Our software also stores all data on a HIPAA-compliant Google Cloud Platform that is protected by Cloudflare so that maintaining confidentiality isn’t an issue for healthcare practitioners.

Demonstrate Greater Professionalism

Creating clear, concise notes is not only a source of pride for healthcare professionals, but you may also need to ensure clarity when you work with other care providers.

By combining your observations from a session with the streamlined writing power offered by AI, you’ll never have to second guess what you meant in a note. You’ll also find that having a defined format in place makes it easier to access the information that you need when you receive a question or request regarding a client’s care.

What’s Included On a BIRP Notes Template?

Our AI-powered note-taking software is meant specifically for healthcare providers, which means that you’ll find designated spaces for each essential part of a professionally written BIRP note. 

Behavioral Observations

As you’ve likely learned in your education and training, this is where you’ll include both your subjective and objective observations of a client’s condition. You might include a direct quotation from your client here or write in your observations of the behavioral mechanisms that they displayed during your session.

Intervention Strategies

This section is meant to provide you with a space to write down the strategies that you are using with your client to help them achieve their goals. You can also include any exercises or treatments that they are currently using or are working on between sessions. 

Responses

Once a strategy or intervention is put into action, you’ll use this section to record your client’s response. You might write down their actual words regarding how they felt after using a strategy. This is also a good place to record your personal observation of their physical, mental, or behavioral health that indicates a positive or negative response to an intervention strategy.

Plan for the Future

This section is where many healthcare practitioners refer back to before they begin a session with a client. Taking note of what you plan to work on in the future provides you with a road map to follow during client assessments and behavioral health sessions. 

How Do You Create a BIRP Note With AI?

The process of creating a BIRP note using AI technology is similar to what you might do now, but you’ll find that it is much more efficient. With AI, you’ll have a clear outline already in place with the repetitive aspects of note-taking already handled. Once you open up your AI program, you’ll work through these easy steps to complete your BIRP notes.

Choose the Template

AutoNotes offers several types of AI progress note templates that you can choose from to meet the needs of your practice. To make your job even easier, you’ll find a clear template available that is specifically created for writing BIRP notes. Simply click on the template you prefer, and you’ll be ready to start writing.

Fill In the Relevant Details

The user-friendly platform allows you to quickly add pertinent information about your client, practice, and session date. Here, you’ll put in the essential details that you need to properly document the session to refer back to later. Once again, you can feel comfortable adding session times and other critical information on this template because it is all stored in a secure browser environment.

Provide a Summary of the Session

Creating a summary is fast and simple when you have the option of using either text or dictation software. You can also choose to use pre-written prompts in this section to further streamline your note-taking process. 

Add Information to the BIRP Sections

The BIRP template provides clearly defined sections for each component that make it easier to remember to include all of the essential elements. If you get stuck on a section, you can easily get back on track by reviewing the pre-written statements that healthcare practitioners commonly include in each one.

Finish With a Signature and Date

As with any official record, you’ll want to sign and date the note to finalize your documentation. AI software can store your electronic signature and add the date with a fast click of a button, which means that you can move on to the next part of your day faster.

Select a Safe Storage Option

As you may already know, the U.S. Department of Health and Human Services outlines specific data storage requirements to ensure HIPAA compliance. This includes using HIPAA-compliant cloud-based services, which AutoNotes provides. 

Our software also provides an easy way to transfer and store your notes in your office’s designated electronic health records. Simply click the copy button at the bottom of your template and paste the note into your record-keeping software to create a professional file that only takes a few minutes or less to complete.

Improve Your Behavioral Health Practice With AI Notes

When it comes to using AI, healthcare practitioners tend to fall within two categories. Some people embrace the use of technology to enhance their practice while others might be a little more hesitant. Whichever side you fall on, you can trust that AI technology can improve your behavioral health practice by providing you with more time to see clients and less stress from the tedious act of note-taking. 

Considering the importance of BIRP notes for managing your clients’ care, it simply makes sense to do everything you can to make sure they are clear, concise, and written in a timely manner. Giving AutoNotes a try can be all it takes to turn one of the more challenging aspects of your day into one of the most efficient and productive.

Say Goodbye to Manual Notes with AutoNotes