Welcome to MH² Portal

Where Mental Health Meets Metabolic Health

Use the menu for Home, Leadership, Operations, Provider, and any additional areas granted to you. Admins can open Admin to manage roles.

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Source	Title	Related	Due	Actions

Leadership

Reporting and documentation quality.

Open Record Audit, Sales, Aurora-Hrs, or Provider Retention in the Leadership menu.

Launch

Template Patient ID (optional) Start date Complete date (optional)

Assign users to each role used by this template. Roles with one user are filled automatically; roles with multiple users require a selection.

No roles needed for this template (or steps have no role set yet).

Title	Assignee	Due	Requires	Offset (biz days)

Edit template

Name Description Shared project

Order	Title	Requires	Roles	Biz days	Active	Actions

Recent runs

When	Template	Patient	Start	Tasks	By

Edit role names and the portal users eligible for each role.

Role	Users	Active	Actions

Patient ID

Patient dates

Filled automatically when you load lab data; edit and reload to recalculate.

Birth date Lab test date

Chronological age: —

1. Biological age (PhenoAge2)

Adjusted corrected PhenoAge2 (Levine / Liu et al.) from nine standard blood biomarkers and chronological age. Lab values are entered in US units (g/dL, mg/dL, mg/L); the formula converts internally before calculation.

Albumin (g/dL) Alkaline phosphatase (U/L) Creatinine (mg/dL) CRP (mg/L) Glucose, fasting (mg/dL) Lymphocyte % MCV (fL) RDW (%) WBC (K/µL)

2. FIB-4 (liver fibrosis index)

Sterling formula: (Age × AST) / (Platelets × √ALT). Uses chronological age from dates above. Less reliable under age 35 or over 65.

AST (U/L) ALT (U/L) Platelet count (×10⁹/L)

3. HOMA-IR (insulin resistance)

(Fasting insulin [µU/mL] × fasting glucose [mmol/L]) / 22.5. Insulin in pmol/L is converted using 1 µU/mL = 6.945 pmol/L (MDCalc).

Fasting insulin (pmol/L) Fasting glucose (mmol/L)

Superbill

Generate a review table of checked-in/out and confirmed appointments for one patient and date range. CPT codes come from cerbo_cpt_map for the provider used on each appointment. When an appointment lists more than one provider, choose which one to use before the CPT review. One set of diagnoses is chosen for the patient and copied onto every appointment. Edits below are for the upcoming PDF step only — they are not saved to the database.

1. Patient & period

Patient ID Start date End date

3. Choose a provider

These appointments list more than one provider. Pick the provider to use for CPT codes and the superbill. The count is signed encounter notes that match the visit: same day, or within 5 days when no later appointment for that provider falls in between.

Date	Appt type	Providers

Select a provider for each appointment.

3. Check CPT codes & diagnoses

Only appointment types in the CPT map are listed; anything else is omitted. Flagged rows need review (multiple notes, missing CPT, no matching encounter, or assumed later note). Each row starts with the diagnoses from step 2. CPT codes are the map row for the provider on that appointment. Diagnosis and CPT fields stay editable for the PDF/Word step.

Date	Appt type	Provider	Notes	Diagnoses	CPT code / description	Units	Mod	Flags

PDF/Word use the current edited values. These review-table changes are not saved.

CPT catalog (dropdown options)

Source table cerbo_sync.cpt_code_catalog. These options drive the review-table CPT dropdown (code + description linked).

CPT	Description	Category	Active

Provider credentials (PDF/Word name)

Source table cerbo_sync.provider_superbill_profile. Provider Name on PDF/Word becomes First Last, credentials. Credentials also appear after the cursive signature. NPI here overrides Cerbo when present. Include former providers so historical superbills still resolve.

Provider name	Credentials	NPI	Active

CPT map (editable lookup)

Source table cerbo_sync.cerbo_cpt_map. Edits here are saved to the database and affect future Superbill loads. Use “Seed from CSV” once after migration (or to refresh from the Excel export).

Filter appt type

Appt type	Provider	Type	Loc	CPT	Description	Units	Mod

Record Audit

Summary by provider (all eligible patients): only patients with at least one past patient-treatment appointment are included (current or former treatment patients). Each percentage is the share of that provider’s encounters in scope where the check passed (intake is patient-level: any encounter title contains “intake”; other checks use assessments, date of service, created date, and signed date).

Provider	Encounters	Intake note	Diagnosis code	Date of service	Created on DOS	Signed on DOS

Patient ID	Encounter ID	Created	Intake note	Diagnosis code	Date of service	Created on DOS	Signed on DOS

Eligible patients	CORE-OM	DSM-5-TR Self-Rated	OQ-45	All three

Patient ID	CORE-OM	DSM-5-TR Self-Rated	OQ-45

Provider Retention

One row per provider, patient, and program (from appointments_key) with a patient-treatment appointment on or after July 1, 2025. Statuses included: confirmed, checked-in, and checked-out. Programs Group, Lab, None, and DXA are excluded. Total days seen is last appointment date minus first, plus one (a single-day visit counts as 1). Has future appt is true when that provider and patient have an appointment on or after today (Eastern) in that program, or a future visit in program All (TRM). Summary counts each patient once per provider (multiple programs do not double-count); a patient is retained if any remaining program row with that provider has a future appointment. Avg appt count and avg days seen also use unique patients as the denominator: with Program = Any, each patient’s visits across programs are combined first; with a program filter, only that program’s visits are used.

Provider summary

Provider	Patient count	Has future appt count	Retained %	Avg appt count	Avg days seen

Detail

Provider	Patient ID	Program	First appt	Last appt	Total days seen	Appt count	Has future appt

AI Summarizer

Enter a Cerbo patient ID, choose chart sources, and send them to Gemini for a clinical summary. The summary is not saved.

1. Patient

Enter a Cerbo patient ID, choose what to pull, then load chart sources.

Include

Encounter notes Questionnaires Documents Labs Rx Supplements Vitals

Document folders

Find the patient to list folders. Contracts, releases, consents, insurance, and billing start unchecked.

Date range (optional) From To

Leave the dates blank to include every date. Labs have no chart date, so a range leaves labs out.

2. Data to send

This list is limited to the types, folders, and dates chosen above. Preview opens the original file when Cerbo has one, or the full chart text. PDF and common images are sent as the original file. TIFF is converted to PDF, and Word is sent as the document text. Other rows without synced text cannot be sent.

Load a patient to see chart sources.

Send	Type	File type	Title	Date	Preview

3. Summary

Choose a prompt or write your own. You can edit the text before sending. Name and date of birth from the chart are added to every Gemini request. This is decision support, not orders.

Prompt

You are a clinical documentation assistant for a mental health practice (MH²).
Write a clinician summary from the patient demographics and the source payloads only. Do not invent diagnoses, medications, dates of birth, history, or treatment results.
Include the patient's name and date of birth. Calculate age only from the date of birth and the as-of date supplied with the patient. Do not use ages written in notes or files.
Put every citation in parentheses immediately after the claim. Include the source_key and, when the file has pages, the page number, for example (document:7590, p. 3). If there is no page number, cite the source_key only, for example (encounter:121). Demographics do not need a citation.

Return JSON only, no markdown fences, with this shape:
{
  "patient_summary": {"markdown": "...", "citations": []},
  "treatment_advice": {"markdown": "...", "citations": []},
  "warnings": []
}

- patient_summary markdown, in this order:
  1. The patient's name, date of birth, and calculated age.
  2. Two or three short summary paragraphs of the overall clinical picture.
  3. Detailed sections below the paragraphs. Each section is a markdown heading followed only by bullets (one item per bullet, no paragraphs inside a section):
     - Symptoms: when symptoms started, and what the patient has dealt with.
     - Medications tried: the full list of every medication tried. For each, include the result when the data states one (same, better, worse, or the source's own similar wording). If the result is not in the data, say it is not recorded. Do not guess.
     - Other interventions: every non-medication intervention tried, and the result of each when the data states one, using the same result rule. If the result is not recorded, say so.
     - Diagnoses: every diagnosis recorded in the sources. Do not invent diagnoses.
  Also include the citations array of source_key values used in this section.
- treatment_advice: treatment-strategy considerations grounded ONLY in the demographics and sources (what to continue, watch, consider next; sequencing if the record supports it). Label uncertainty. This is decision support for clinicians, not orders. Do not invent modalities, diagnoses, or medications that are not supported by the sources. Use the same parenthesis citations.

Select sources, then get a summary.

AI Chat

Enter a Cerbo patient ID, choose chart sources, and ask questions about that chart. Gemini reads the chart once. Ending the chat deletes that context cache.

1. Patient

Enter a Cerbo patient ID, choose what to pull, then load chart sources.

Include

Encounter notes Questionnaires Documents Labs Rx Supplements Vitals

Document folders

Find the patient to list folders. Contracts, releases, consents, insurance, and billing start unchecked.

Date range (optional) From To

Leave the dates blank to include every date. Labs have no chart date, so a range leaves labs out.

2. Data to send

This list is limited to the types, folders, and dates chosen above. Preview opens the original file when Cerbo has one, or the full chart text. PDF and common images are sent as the original file. TIFF is converted to PDF, and Word is sent as the document text. Other rows without synced text cannot be sent.

Load a patient to see chart sources.

Send	Type	File type	Title	Date	Preview

3. Chat

Model: …

Instructions are sent with the chart when the chat starts. A chat that is already open keeps the instructions it started with. End chat deletes the context cache.

Instructions

You are a clinical assistant for a mental health practice (MH²), answering a clinician's questions about one patient.
Use the patient demographics and the chart sources in this context. You may recommend treatments, medications, and other interventions. The clinician is asking for those recommendations.
Ground each recommendation in the chart and say why you recommend it. When you suggest something the chart does not already list as tried, label it as a recommendation.
Do not invent the patient's history, recorded diagnoses, medications already tried, dates of birth, or treatment results. If a fact about the patient is not in the selected records, say it is not recorded, then continue with what the records do support.
Put every citation in parentheses immediately after the claim. Include the source_key and, when the file has pages, the page number, for example (document:7590, p. 3). If there is no page number, cite the source_key only, for example (encounter:121). Demographics do not need a citation.
Calculate age only from date_of_birth and as_of_date. Do not use ages written in notes or files.
Answer in plain prose or short bullets the clinician can read during a visit.

Status:

Select sources, then start the chat.

Operations

Utilization and CRM for operations.

Open Utilization, Lab Calculations, CRM, Tasks, or Task Templates from the submenu.

Utilization

Ave Patient Hrs % (T13 WKs) —

Ave Meeting Hrs % (T13 WKs) —

Ave Total Hrs % (T13 WKs) —

Capacity by Provider

Capacity by Provider Type

Patient Hours by Provider Type

Provider by month

July 2025 through the current month plus two months. Patient count is distinct patients per provider per month.

Program hours by provider

Last week, this week, and the next 13 weeks (same window as Utilization). Patient Hours is the sum of Utilization patient hours. Program columns are raw appointment hours plus intake admin time for that program.

Summary Data

Provider Month

Provider	Patient ID	Month	Appt Count by Month

Detailed Data

Provider Program Month

Provider	Patient ID	Appointment Type	Program	Month	Appt Count by Month	Total Duration by Month

Follow-up Appt

Shows, for completed patient-treatment visits, how many have a follow-up appointment scheduled within one business day (and how many do not). A program All visit, such as TRM, counts as that follow-up for the same provider and patient. Use the program filter to switch between programs, and the period filter to switch the summary window (same presets as CRM Reporting).

Program

Period

Showing this month.

Summary Data

Provider	Completed	Has follow-up	Rate

Detailed Data

Provider

Provider	Program	Patient ID	Appointment Type	Date	Has Follow-up Appt

Programs

One row per program. Provider-type columns are appointment hours only. Team meeting hours are not included in those columns.

Patients

Assign named providers to each role on the program when you add a patient.

Patient ID	Monthly program	Start date	End date	Providers	Actions

Hourly rates

Used to recommend a monthly program price from appointment hours. Team meetings are not included in the recommendation.

Provider type	Hourly rate

Program name	Price

Recommended price uses appointment hours × hourly rates. You can change it.

Appointments

One row per visit. Travel adds 60 minutes for an at-home visit and is included in the hours tally.

Team meetings

One row per meeting. Check each role that attends. Named people are chosen when a patient is enrolled.

Patient ID	Program	Start date	End date

End date fills in 30 days after the start date. You can change it.

Providers

Required Huddle Time per Week

Minimum weekly recurring meeting time to cycle every patient through a care-team huddle at the required cadence:

Monthly programs (ECP, FSP, WP): 15 min/patient, once per month.
IND: 10 min/patient, once per 3 months.
Aurora (AU): 15 min/patient, once per week (2 patients per 30-min meeting).

Huddle Type	Patients	Min Weekly Meeting Time	Required Care Team Members

Huddle Cohorts & Meeting Times

Schedule of patient reviews by cohort (one 30-minute meeting = up to two 15-minute or three 10-minute reviews). Meetings use weeks 1–13. Non-Aurora huddles are capped at 60 minutes/week; Aurora (labeled AU) is uncapped but clinicians are never double-booked across meetings. Standard meetings need >50% care-team overlap (full when possible). Aurora requires psychiatrist(s) plus at least one psychologist/therapist; times are chosen to maximize those roles first, then other care-team members as tiebreakers. Missing Huddle lists members not available for that slot.

Huddle Calendar

Scheduled huddles placed on their actual dates. Week 1 is next week from today, extending across the full 13-week window.

Patients with Multiple Providers

Payment Audit

Billable program patients (Aurora, WP, ECP, FSP, IND, Foundations, AA, EA, CA) with completed appointments in the trailing 60 days or scheduled appointments in the next 30 days. Last appt is the most recent completed visit for that program; next appt is the earliest scheduled visit. Upcoming starts with no payment are highlighted — patients should pay before starting.

Patient ID	Program	Pay frequency	Timing	Last appt	Next appt	Days since payment	Last payment	Last payment amount

Group Attendance

Distinct patient attendees per Group program appointment type for the trailing 13 completed weeks. Columns are Monday week-start dates, oldest week first. Attendance includes only checked-in and checked-out patient-treatment appointments. Active is True when that appointment type is scheduled for anyone at a future time. Provider lists each unique person who has that type on a future calendar. Rooms and other resources are omitted.

Provider Availability

Half-hour slots from 9:00 AM–4:30 PM (Eastern). Providers come from cerbo_sync.provider_key (active start_date / end_date only). Gray cells are outside that provider’s scheduled days or hours. Other cells: open, booked, or admin. Default range: today plus the next five business days (weekends skipped).

Retention

Completed patient-treatment appointments only (checked-in / checked-out), with program from cerbo_sync.appointments_key. Appointments in programs Group, Lab, None, All, or DXA are excluded. Months run from July 2025 through the current calendar month. 1st and 2nd program use each program’s earliest qualifying appointment (ties by name). Retained is true if the patient had a different program after their first program started, or had the same first program in a later calendar month than their first month in that program.

Summary by days in practice

Measure	< 60 days	60–180 days	180–365 days	> 365 days	Total

Patient ID	Status	First appt	Last appt	Next appt

Summary by days in practice

Measure	< 60 days	60–180 days	180–365 days	> 365 days	Total

Patient ID	Status	First appt	Last appt

Summary by first program

Program	Count (1st program)	Count (retained)	% retained

Active patients (patient_status_description in cerbo_sync.patients) with at least one completed patient-treatment visit in the past and no future patient-treatment appointment scheduled. Visits with program LAB, NONE, ALL, or DXA are excluded; GROUP is included.

Patient ID	Last completed appt	Last provider	Last appt type	All programs	All providers	Outreach owner

Summary

Measure	< 60 days	60 days	90 days	180 days	365 days

Patient ID	Start date	1st program	2nd program	60 days	90 days	180 days	365 days

Owner	Related	Type	Task source	Due	Description	Status

No pending actions.

	Name	Status	Source	Qualified lead	Home state	Hear about	Referrals	Tags	Last engagement	Created Date

Referrers engaged

Period

Name	Engagement

		Name	Email	Phone	Website	Status	Tags	Contact count

No organizations yet.

First name	Last name	Source	Patient is my	Hear about	Submitted	First response	Method	Response time

Patients

	Count	% of total

Referrers

	Count	% of total

Patients by state

Metric	MA state	FL and VT	Non-licensed state	No state found	Total	% to Total

Patients – Closed Reasons

	Count	% of total

Patient count by source

	Count	% of total

New deposits

Summary

Service name	Count	% of total

Detailed

Patient ID	Service name	CRM created	Deposit date	Date of service

Portal access overview

Assign roles to users, then set which primary views each role can see. Portal Lite staff typically need home and operations.

Core roles: adminleadershipoperationsprovider
Primary views: homeleadershipoperationsprovideradmin

Users

Add first and last name (optional), assign roles, and set the Tasks board initials color. Use Edit to change an existing user.

Add user

First name

Last name

User email

Task circle color

Color of this person’s initials on the Tasks board.

Roles

Check every role this user should have (you can select more than one).

Role Views

Control which primary pages each role can access.

Provider

Clinical tools for providers.

Open Treatment Plans, Meeting, AI Summarizer, or AI Chat in the Provider menu.

Live meetings are available Monday–Friday, 8:30 AM – 5:30 PM Eastern. Outside those hours the video server is offline — start/join will not work until the next scheduled window.

Meeting room & record

Create a room, open it as host, then start recording (audio to GCS for transcription).

Room name	Link	Action

Select file to transcribe

Upload an audio file, or select a past recording from a room in step 1.

Upload audio file

Or select a past recording

Recording	Started	Status	Action

Transcribe

Select a recording or upload a file in step 2 to enable transcription.

Transcript

Clinical note

Complete transcription first, then generate a SOAP note or visit summary.

Output is temporary — edit, copy, or send to Cerbo as an encounter note. Nothing is saved in the portal database.

Product SOAP note Visit summary

Prompt (editable)

Use {transcript} where the session transcript should be inserted.

Subjective Objective Assessment Plan

Treatment Plans require a configured database (DATABASE_URL).

Submitted plans

Filter by who created the plan or by patient ID. Open PDFs for signed plans; drafts can be reopened from the table.

Created by Patient ID

Start a new plan

Enter a patient ID and click Load plan to pull Cerbo reference data. The plan fields below are always visible; they update after a successful load.

Patient ID

Background information

Cerbo sync and reference data — confirm in chart before documenting.

Treatment plan inputs

Dates, diagnoses, and long-term goals for this review cycle.

Active plan

Document problems, short-term goals, and interventions for concerns you are actively treating during this plan period—targets you expect to move during this review cycle.

Problems & short-term goals

Select problems that have ever applied for this patient (History) and which are actively treated on this plan (Active). Only Active problems get short-term goals underneath.

Active interventions

Assign each intervention to one or more numbered short-term goals.

Maintenance plan

List ongoing treatments that maintain clinical gains and support stability—e.g. medications or supports continued after acute improvement. These are not tied to short-term goals.

Each maintenance intervention must be linked to an initial problem from the standard list (required before signing), even when that problem is not on your active problem/goal list for this plan.

Care team

Use Save changes to store plan edits only. When your review is done, check your box and click Route plan (checking alone does not route). The plan owner routes first to open a 7-day window for other clinicians. Only the plan owner may Sign plan, which locks the document and generates the PDF.

Keto Tracker requires a configured database (DATABASE_URL).

Active keto summary

Among patients in the list below who are Active Keto: a non-cancelled, non-no-show patient-treatment appointment in the last 15 days or scheduled in the future. Last-week ketosis counts use blood ketones (highest numeric reading in the last 7 days). Nutritional ≥ 0.5, therapeutic ≥ 1.0, negative = had a blood reading and max < 0.5. “Keto tag, no reading” is tagged Active Keto patients with no ketone reading of any type in that week.

Active patients	Keto tag	N-ketosis last week (≥0.5)	T-ketosis last week (≥1.0)	Negative ketosis last week (<0.5)	Keto tag, no reading last week

Ketone type

Patient ID	Keto tag?	Active Keto	First reading date	Last reading date	Last reading value	Glucose	Height	Weight

Ketosis Analysis

Rules

Uses blood ketones only (highest reading per calendar day). Patients need at least one blood ketone reading.
Nutritional ketosis: daily max ≥ 0.5 mmol/L. Therapeutic ketosis: daily max ≥ 1.0 mmol/L.
% of readings: share of days (with a blood ketone reading) that meet each threshold. Readings is the number of days with a blood ketone reading (the denominator).
Longest streak: longest run of days meeting the threshold, measured as calendar days from first to last day of the run (end − start) + 1. A day below threshold breaks the streak; gaps with no reading do not. Readings counts daily readings whose dates fall in that streak window (N / T).
Current streak: only if the most recent reading day meets the threshold and is within the last 7 days; then the day-span of that ongoing run. Otherwise blank. Readings counts daily readings in that current streak window (N / T).

Patient ID	% of readings			Longest streak			Current streak
	% nutritional ketosis	% therapeutic ketosis	Readings	Nutritional ketosis	Therapeutic ketosis	Readings (N / T)	Nutritional ketosis	Therapeutic ketosis	Readings (N / T)

Keto recovery

Patients who had a blood ketone daily max ≥ 0.5, then later a daily max < 0.5. Recovery reading is the next daily max ≥ 0.5 after that drop (blank if they have not returned yet). Days to recover is calendar days from the first below-0.5 day to that recovery day. A patient can appear more than once if they dropped more than once.

Patient ID	Dropped below 0.5	Drop reading	Recovery date	Recovery reading	Days to recover

Vitals over time

Enter a patient ID to chart ketone, glucose, and weight readings. Toggle the series below the chart.

Patient ID

Drag rows to reorder within the same priority.

	Rank	Project	Labels	Owner	Due date	Priority	Open tasks

Aurora-Hrs

Paid Aurora months from aurora.xlsx (patient, program month, tier, start/end). Patient hours are Patient-Treatment and Patient-Info appointment duration whose date falls in that row’s start–end range. Weekly average is those hours ÷ 4.33. Total charges are Aurora program charges (amount > 0): first month is all such charges on or before the first start date; later months are after the prior month’s start and before this month’s start. Months whose start date is not in 2026, or is in the future, are omitted. The period filter keeps months whose start date falls in the selected range.

Period

Showing all dates.

Paid months

Patient ID	Program month	Tier	Start date	End date	Patient hrs	Weekly avg	Total charges

Hours by provider type

One row per paid month. Patient-Treatment and Patient-Info hours by primary provider type from provider_key (unmatched = Other).

Appointments

Patient-Treatment and Patient-Info appointments whose date falls in a paid month’s start–end range.

Patient ID Provider Program month

Patient ID	Program month	Date	Provider	Provider type	Appointment type	Hours

Sales by program and month

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Charges by name (per program)

Program

Type	Use for	Effect
Engagement	Real outreach touches (calls, emails you document, meetings, follow-ups)	Counts toward Last engagement; can auto-move a Patient from New → Engaging
Informational	Context that should not count as outreach (Jotform intake text, referral clinical details, internal reminders)	Does not update Last engagement or trigger New→Engaging

Type	Links	What it does
Referral	Contact ↔ contact (typically Patient ↔ Referrer)	Drives Referral count on referrers and Reporting
Relative/Friend	Contact ↔ contact	Family/friend relationship
Employment	Contact → Organization	Shows as employer on the contact (e.g. referrer misc)
Parent org / Sub org	Organization ↔ organization	Hierarchy (stored on the org)

MH² Portal

Welcome to MH² Portal

Pending tasks

Leadership

Task Templates

Launch

Define roles

Templates

Steps

Recent runs

Lab Calculations

Patient dates

1. Biological age (PhenoAge2)

2. FIB-4 (liver fibrosis index)

3. HOMA-IR (insulin resistance)

Superbill

1. Patient & period

2. Choose diagnoses

3. Choose a provider

3. Check CPT codes & diagnoses

Record Audit

Summary by provider

Encounter detail

Outcome questionnaires — summary

Outcome questionnaires — detail

Provider Retention

Provider summary

Detail

AI Summarizer

1. Patient

2. Data to send

3. Summary

AI Chat

1. Patient

2. Data to send

3. Chat

Operations

Utilization

Capacity by Provider

Capacity by Provider Type

Patient Hours by Provider Type

Case Loads

Provider by month

Program hours by provider

Summary Data

Detailed Data

Follow-up Appt

Summary Data

Detailed Data

Monthly Plans

Programs

Patients

Hourly rates

Team Huddles

Required Huddle Time per Week

Huddle Cohorts & Meeting Times

Huddle Calendar

Patients with Multiple Providers

Payment Audit

Group Attendance

Provider Availability

Retention

Active patients w/ future appts

Summary by days in practice

Past patients w/ no future appts

Summary by days in practice

Summary by first program

Patient detail

Active without future treatment

Retention by time from first treatment

Summary

CRM

Referrers engaged

Patients

Referrers

Patients by state

Patients – Closed Reasons

Patient count by source

New deposits

Summary