South Carolina Retreat on Telemedicine Friday, November 19, 2010 North Charleston Embassy Suites

Transcription

1 South Carolina Retreat on Telemedicine Friday, November 19, 2010 North Charleston Embassy Suites

2 South Carolina Department of Mental Health Telepsychiatry Consultation Program Partners in Behavioral Health Emergency Services Achieving Tomorrow, Today Ed Spencer, M.Ed., MSW

3 Achieving Tomorrow, Today Wouldn t it be nice to be able to get a psychiatric consultation 24/7/365?

4 Equipment: Clinical Offices & EDs Anderson Conway Columbia Aiken Charleston Polycom HDX 4000 Series Desktop Polycom HDX Practitioner Cart

5 Partnership Diagram: Supporting Local Hospital ED s Mount Pleasant trmc Wallace Williamsburg Baptist Barnwell Clarendon Conway Georgetown Hampton Laurens Fairfield Loris Chester SC DHHS Marion Carolinas McLeod Dillon Waccamaw Tuomey Trident Summerville Springs Seacoast RSF Berkeley Oconee RNS42 / 09/10/2010 / file report dmh telepsych powerpoint partnership diagram.ppt

6 Map: Phases I & II (Deployment)

7 Center of Excellence: Model of Protocol Interagency Collaboration Participating Hospital Networking Patient / Hospital Satisfaction Surveys Innovative Equipment Design Reduction In LOS Local Hospital Participation Electronic Health Record Enhanced Discharge Planning Increased Access to Assessments Process Evaluation Electronic Medical Record Other Medical Specialty Consultations Internet Web Site Program Development Start Initial Treatment Early Web Fact Sheets County Resource Summary Partner Agency Mutual Support

8 Integrated Triangle SC Dept of Mental Health SC Hospital Association SC Dept Health & Human Services

9 Map: Palmetto State Providers Network (PSPN) Primary Route 3, 10G Lambdas Secondary Route 1, 10G Lambda

10 Office of Research & Statistics (ORS) Multi-Agency Diagram Elder Services & Assessments Disease Registries Disabilities & Special Needs Vocational Rehabilitation Law Enforcement Juvenile Justice LEGEND Legal/Safety Services Education Public Safety Social Services Health Department Environmental Conditions Alcohol & Drug Services Mental Health Integrated Data System Probation, Pardon & Parole Corrections Child Care Social Services Medicare Claims Systems All Payer Health Care Databases Behavioral Health Health Department Education Hospitalizations Free Clinic Visits Medicaid Services State Employee Health Services Other State Support Agencies Disease Registries Emergency Room Visits Outpatient Surgeries Community Health Centers Home Health Care W. David Patterson, Ph.D. Chief, Health & Demographics SC Office of Research and Statistics

11 clinical notes and multiple documents from ED psychiatrist reviews clinical notes & EMR data Electronic Medical Record (EMR) Workflow psychiatrist conducts video interview with patient psychiatrist manually enters consultation recommendations psychiatrist applies electronic signature DMH EMR available for direct access storage patient EMR data stored updated or new patient EMR data PMA and billing data transmitted patient EMR data & recommendations sent to ED patient EMR data & recommendations sent to local mental health center

12 Data: Calendar Year 2010 (Consults/Kept)

13 Staff Satisfaction Survey

14 Staff Perceptions of Telepsychiatry Program Survey Data January 2010 through October 2010 (n=177) 100% 90% 84.3% 89.5% 84.1% 80% 77.1% 70% 60% 50% 40% Satisfaction with Technology Efficient Use of Time Comfort with Telepsychiatry Improved Patient Care and Services

15 Patient Perceptions of Telepsychiatry Program Survey Data January 2010 through October 2010 (n=50) 100% 90% 80% 80.4% 81.8% 70% 60% 50% 40% Satisfaction with Services Satisfaction with Process

16 Physician Perceptions of Telepsychiatry Program Survey Data January 2010 through October 2010 (n=44) 100% 90% 80% 70% 90.9% 78.1% 60% 50% 47.8% 40% Satisfaction Increases Productivity Increases Awareness of Community Resources

17 Quotes: Consultation Times "We are excited to be the first hospital to join the S.C. Department of Mental Health and The Duke Endowment in this important patient care issue. Since we started using this innovative service, we have seen our consultation waiting period go down from days per patient to hours. Our emergency medicine physicians are very pleased with this project and the level of support they have received from psychiatric consultation. It s important that mental health patients receive the right treatment in a timely manner. This program is helping make that happen." Scott Parker, MD Medical Director Palmetto Health Baptist Easley

18 Quotes: Lengths of Stay I can't thank you enough for getting us off to a wonderful start with Telepsychiatry for our Berkeley County patients... The feedback from patients, staff and ED Physicians has been very positive ~ reduction of length of stay being the most rewarding benefit of your services. Jamee A. Miller RN Clinical Manager ~ Emergency Services Roper St. Francis Healthcare ~ Berkeley

19 Quotes: Overall Satisfaction Just wanted to let you know this is everything you said it would be. Our ER Physicians are extremely pleased with how [telepsychiatry] is going... Janice Dabney ACEO Springs Memorial Hospital The DMH Telepsychiatry program has exceeded my expectations for being a pivotal intervention for the evaluation of psychiatric patients. Edward King Medical Director, ED Conway Medical Center

20 Case of Springs Memorial Hospital: Lengths of Stay Average Length of Stay 7 START LINE Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09

21 Case of Springs Memorial Hospital: Patient Days Total Patient Days 140 START LINE Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09

22 Website: Home Page

23 Website: County Resource Page

24 Questions & Answers