Informatics have transformed society, but barely touched mental health care. Other areas of health care have seen transformation. The Veterans Health Administration (VHA) implemented a fully electronic medical record. In disorders such as diabetes, the VHA uses electronic data on patient characteristics, laboratory tests, prescriptions, and procedures to assess treatment quality. By using these assessments within a quality improvement infrastructure, the VHA has become a national leader in the provision of high-quality care. In mental health, however, a comparable process has been stymied because data on clients' symptoms, side effects, and functioning are not reliably documented. If mental health care is to catch up, managers need to have the will to implement informatics tools. At clinics, clients could be using computer kiosks that evaluate their clinical status and preferences and provide education. Clinicians could be using electronic medical records that provide access to client information, graphs of client change over time, reminders when treatments are overlooked, and educational updates—all at the point of care. Policy makers could be using client data to identify when access to care is poor and to demonstrate the value of improving treatment.