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  1. David
    September 26, 2023 @ 5:05 pm

    Thank you SO MUCH, Keely, for providing this extremely important information in such an
    exceedingly articulate and thorough manner!

    I’m luckily still using a very old non-EHR

    The concerns you raise are, however, vital to us all – therapists, clients, (and even those few in our culture!) who are neither!

    Many thanks for precipitating this important discussion!

    David Bullard, PhD
    San Francisco Psychological Association


  2. Miranda Palmer
    September 28, 2023 @ 7:55 pm

    Keely I have always deeply appreciated your transparency and the commitment you have to your client’s privacy! this was beautifully explained. I too was really let down by the professional associations not stepping up and definitely noted some possible conflicts of interest. I am hopeful that there will be enough of an exodus to 1. Create some monetary motivation for companies to better behave. 2. Create some additional income for some other programs to improve their user experience to reduce the click fatigue.


  3. Susan C. Litton, Ph.D.
    October 7, 2023 @ 3:41 am

    Keely, I LOVE your post and thank you for it. I knew what Simple Practice was doing was unethical but I hadn’t taken the time to do the research to back it all up like you did. Nor would I have been able to present it so convincingly, since I own the EHR you switched to. 🙂 When I try to point out the problems with the new Simple Practice Terms, it can look like I’m just nay-saying the competition, which is not a fundamental piece of who I am.

    I certainly AM happy for the new subscribers PSYBooks is getting, though. There’s been a steady stream since Simple Practice first announced their new terms. And Miranda, YES, the new subscribers come with fresh ideas and additional income for PSYBooks, which I’m plowing right back into the program. I don’t want Keely’s wrists to hurt either! I also have a goal of making PSYBooks the BEST EHR for behavioral health on the market. So it’s a win-win all the way around.

    I, too, have been disappointed by APA’s stance. I’m sure they have their reasons, but it feels a bit disingenuous for them to behave in ways that to me, seem unethical, while providing the ethical guidelines that I, as a psychologist, am expected to follow. I haven’t seen what the other professional organizations are doing but I’m guessing many are still waiting to see where the chips may fall – if this is even on their radar. We are all so used to just agreeing to whatever new Terms are put in front of us – especially when it’s from a company we’ve grown to love and trust – that I think a huge number of people just click “Agree” but don’t have a clue what they’ve just given permission for.

    For my part, people tell me that PSYBooks is becoming known as “the ethical EHR” which couldn’t please me more! For those of you who know the Myers-Briggs, I’m an INFJ, so my values are more important to me than anything else. I will wear the “ethical EHR” badge proudly and do my utmost to make sure Keely doesn’t have to come banging on my door to question one of my decisions. 🙂

    Susan C. Litton, Ph.D.
    Founder, CEO & President
    PSYBooks EHR & Portal


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