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Sentara Healthcare Committee of 100 Behavioral Health Discussion February 20, 2014

Sentara Healthcare Committee of 100 Behavioral Health Discussion February 20, 2014. Overview. Sentara Healthcare                                         Sentara Healthcare/Potomac Merger                   Sentara Behavioral Health Programs 24/7 Behavioral Health Liaison program

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Sentara Healthcare Committee of 100 Behavioral Health Discussion February 20, 2014

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  1. Sentara HealthcareCommittee of 100 Behavioral Health DiscussionFebruary 20, 2014

  2. Overview • Sentara Healthcare                                         • Sentara Healthcare/Potomac Merger                   • Sentara Behavioral Health Programs • 24/7 Behavioral Health Liaison program • Potomac Health Foundation Highlights • Community Health Needs Assessment Findings and Next Steps

  3. Sentara Healthcare is the Largest Not-For-Profit Healthcare Provider in Virginia • 125-year commitment to community • 11 hospitals; 2,572 beds • 3,825 physicians on staff • 8 ambulatory campuses • 12 long-term care/assisted living centers • Extended stay hospital • 4 Medical Groups (650+ Providers) • Optima Health Plan • Sentara College of Health Sciences • $4.9B total operating revenues • $5.4B total assets • 25,000+ members of the team • Behavioral Health • Home Health • Hospice • Telehealth (MDLive) • Financial Services • Medicaid Managed Care • Sentara Quality Care Network 3

  4. Sentara’s Mission, Vision and Imperatives We improve health everyday Be the healthcare choice of the community we serve Always Improving Caring for Populations Growth

  5. Meeting Community Need in Prince William County • Potomac Hospital merged with Sentara Healthcare in December 2009 • $92 million to create Potomac Health Foundation (PHF) • Benefit area residents, community health organizations and the hospital • Bring comprehensive electronic medical record in 2011 (shared medical record for patients and physicians) 5

  6. Sentara Behavioral Health Services Today • Sentara Behavioral Health Coordinators • Emergency Department-based providers • Cadre of Behavioral Health Liaisons • Masters prepared professionals • Available 24 / 7 /365 • Once patients medically cleared • Behavioral Health Evaluations • Admissions – Voluntarily Patients • Novant, Inova, Snowden, Dominion • Admissions: Involuntary Patients • Collaborate with Community Services Board • Rita Romeno • Doris Miller

  7. Sentara Behavioral Health Services Today • Behavioral Health Coordinator • Outpatient Services • Crisis Appointments • Call to Community Services • Access: Appointments same day/next day • Resources: 7 licensed professionals • Non-Crisis Appointments • Access: Appointment made 2 – 3 days • Resources: 25 licensed professionals • Counselors, Social Workers, and Clinical Psychologists

  8. Potomac Health FoundationLegacy Foundation Potomac Heath Foundation, is a private, independent organization devoted to wellness and continues to work with many not for profit organizations dedicated to the health of our community. “A Life is Reason Enough”

  9. Potomac Health FoundationOrganizational Mission To improve the health of the community by increasing access to health care for the medically underserved, reducing the prevalence of preventable diseases and supporting innovation around emerging health needs.

  10. Potomac Health Foundation Highlights

  11. Potomac Health Foundation Highlights

  12. Potomac Health Foundation Highlights

  13. Potomac Health Foundation Highlights

  14. Potomac Health Foundation Highlights

  15. Community Health Needs Assessment • Opportunities • Explore and develop relationships with key community partners in the area of mental health/emotional wellbeing for outpatient program development • Greater Prince William Area Community Heath Improvement Plan • Faith-Based Health Ministries • Community Services Board • Prince William County School System • Support COPN efforts to introduce additional Behavioral Health beds to Northern Virginia • Explore behavioral health curriculum development opportunities with George Mason University and Walden University • Explore Mobile Crisis Behavioral Health Team • Explore Telemedicine – Teleconsultation via MDLive

  16. Potomac Hospital Behavioral Health History • Services Offered • Observation for adolescents and adults • Short term stays for adults and adolescents • Outpatient day treatment programs for adults • Emergency evaluation of adults and adolescents in the Emergency Department • Temporary Detention Order admissions for adults • Inpatient substance abuse services (patients who have a primary mental health diagnosis)

  17. Potomac Hospital Behavioral Health History • From 1998 to 2004, Potomac Hospital administration evaluated the behavioral health service annually based on several criteria • Quality of Care • Limited availability of psychiatrists in Prince William • Limited number of community-based psychiatrists willing to perform hospital-based consultations • Average Daily Census equal to three (3) or fewer patients • Low census precluded ability to effectively involve patients in evidence-based group therapies vital to recovery • Care Delivery • Historical patient data confirmed that most patients required stabilization and referral to outpatient services

  18. Potomac Hospital Behavioral Health History • Community Need • Competing community need for acute care beds • Market demographics and emergency department patient boarder hours validated that more medical/surgical beds required • Decision was made to close the inpatient unit in December 2004 • Continue emergency-based behavioral health liaison program

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