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South Carolina Department of Mental Health (DMH) Division of Medical Affairs

South Carolina Department of Mental Health (DMH) Division of Medical Affairs. Innovative Trends In Healthcare: Telepsychiatry Services in Hospital Emergency Departments, A Behavioral Health Solution. Telepsychiatry Consultation Program Achieving Tomorrow, Today. Overview.

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South Carolina Department of Mental Health (DMH) Division of Medical Affairs

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  1. South Carolina Department of Mental Health (DMH)Division of Medical Affairs Innovative Trends In Healthcare:Telepsychiatry Services in Hospital Emergency Departments, A Behavioral Health Solution Telepsychiatry Consultation ProgramAchieving Tomorrow, Today Last Update: 1/11/2016

  2. Overview • the Problem – Patient Back-up in the Hospital Emergency Departments (EDs) • the Partnerships – • The Duke Endowment, SC Department of Health and Human Services, USC School of Medicine, and the SC Hospital Association • the Proposal – Video Consults to Hospital EDs • the Purpose – Increased Access to MH care Last Update: 12/11/2016

  3. Primary Goals • Increase the Quality of Care • Provide Timely Psychiatric Assessment • Rapid Initiation of Treatment • Reduction in Length of Stay (LOS) • Comprehensive Discharge Planning • Savings to the Hospital and Community Last Update: 12/11/2016

  4. Remote Site Locations Last Update: 07/22/2015

  5. Clinical Office Locations Columbia, SC (2) Anderson, SC N. Charleston, SC (8) * Aiken, SC (2) * FUTURE Spartanburg, SC * Charleston, SC (4) Last Update: 12/11/2016

  6. Consultation Process • Patient Presents in ED • ED Case Physician Requests Consult • Psychiatrist Reviews CIS, SCHIEx, EMR • Patient Consulted via Two-Way Video Cart • Video Encounter is Completed • Psychiatrist Electronically Signs Consult • Recommendations Sent to ED and Local Mental Health Center or Substance Abuse • Hospital Dispositions the Patient Last Update: 12/18/2015

  7. Dashboard - Time • Comparing end of March 2009 (pre-Telepsychiatry) to end of March 2015 for Mental Health Patients in Hospital ED’s: • 85% Reduction in Patient Wait Times for MH Assessment (2.5 days to 9.3 hours) Last Update: 07/29/2015

  8. Turn-Around • 13-15 consults every 17 hour day (December 2016) • Current program results: 34% recommended for discharge the same day (24-48 hours) of consultation Last Update: 12/18/2015

  9. Satisfaction Surveys Last Update: 2/20/16

  10. Survey Results – Patients • Positive Impact on Patients… • 100% of ED Staff state Telepsychiatry is an efficient use of Patient’s time • 92% state Patients appear comfortable during consultations • 84% state Patients are cooperative during the consultation Last Update: 07/2015

  11. Survey Results – ED Doctors • Benefits to the Emergency Departments… • 83.4% of ED Physicians state Telepsychiatry is an efficient use of ED Staff’s time; • 100% of ED Physicians state they are satisfied with the availability of Telepsychiatry; • 100% of ED Physicians state they are satisfied with the thoroughness of consults; and, • 83.3% of ED Physicians state they are satisfied with disposition recommendations Last Update: 07/2015

  12. Survey Results - Administration • Efficient Use of Hospital Resources… • 70% of Hospital Administrators state the program is an efficient use of hospital funds • 80% would recommend the program to other Hospitals • 60% would be interested in additional uses of the platform for other medical specialties Last Update: 07/2015

  13. R01 Grant Research • Collateral Impact: Reallocation of Resources by ED’s to ED-appropriate care • Reduced Commitment Rate to BH Inpatient Beds • Reduction in Average Inpatient LOS • Produced Savings of $3,006 in BH Inpatient Settings per Care Episode • Equals (approx.) $35+ M in BH Inpatient and Community Medical Savings Last Update: 12/18/2015

  14. Website Last Update:2/1/16

  15. CommunitySite Locations Last Update: 2/28/2016

  16. For more information, please visit: www.scdmh.org/telepsychiatryContact: Ed Spencer, M.Ed., MSW 803 898-8579 ed.spencer@scdmh.orgTracy Turner 803 898-8503 tracy.turner@scdmh.org Last Update: 12/18/2015

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