For Clinical Social Workers ·
What you'll accomplish
By the end of this guide, you'll understand what makes BastionGPT different from consumer ChatGPT and have it configured for use with real patient data in your clinical documentation workflow — something regular ChatGPT explicitly cannot do safely.
What you'll need
BastionGPT is a HIPAA-compliant version of ChatGPT built specifically for US healthcare professionals. The key difference: standard ChatGPT (even Plus) uses your conversations to improve OpenAI's models and isn't covered under a HIPAA Business Associate Agreement. BastionGPT has BAA coverage, data isolation, and healthcare-specific safeguards.
This means you can:
What you should see: A ChatGPT-like interface with BastionGPT's healthcare compliance overlay — similar feel to ChatGPT but with data handling protections in place.
Before your first note, tell BastionGPT about your role and preferences. Unlike Consumer ChatGPT, BastionGPT may have saved context options.
In a new conversation, start with:
I am a licensed clinical social worker (LCSW) working in a hospital setting. I will be using you to help draft progress notes, discharge summaries, referral letters, and safety plans. My preferred note format is [SOAP/DAP/narrative]. Please respond in professional clinical language appropriate for hospital medical record documentation.
This sets the context for the entire session.
Since you're in a HIPAA-compliant environment, you can include specific patient details.
Type your note request with the patient's actual situation: "Write a SOAP progress note for Jane Smith, 67-year-old female admitted 3/15 following CABG surgery. S: Patient reports significant anxiety about discharge, worried about managing medications alone at home. O: Alert and oriented x3, cooperative, appropriate affect. Husband passed 2 years ago; lives alone; adult son lives out of state. A: Discharge anxiety with limited social support. Complex discharge planning needs. P: Arrange home health evaluation, contact son re: support availability, assess for Lifeline/medical alert eligibility."
Review the generated note
Copy to Epic exactly as generated or with minor edits
What you should see: A professionally formatted 200-250 word SOAP note ready for chart entry.
Once you're comfortable, establish a routine: