Quality Care Metrics (www.QCM.ai) is developing a SaaS that integrates item response theory, computer adaptive and affective computing to obtain a profile of the patient. We combine that data with the patient's EHR and population data to create a data lake in the cloud. Advanced data analytics and machine learning algorithms are applied to create a dashboard alerting the physician with areas of concern and clinical decision support. We call it a comprehensive objective psychophysiology assessment and it will transform how patients are assessed and treated for improved outcomes.