Air Traffic Control Demonstration 2015-06-29
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The document discusses a live demonstration of a behavioral health crisis access system called Crisis Access Live. It notes challenges like psychiatric boarding and lack of control over the system's front door. The demonstration shows how the system uses technology to track intensive referrals, schedule appointments 24/7, inventory bed availability, enable high-tech mobile dispatch, and provide outcomes dashboards to more effectively move people out of emergency departments and into appropriate treatment.
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Air Traffic Control Demonstration 2015-06-29
- 1. CRISIS ACCESS LIVE DEMONSTRATION 6/29/2015
- 2. Presenting Challenges and Potential Solution Psychiatric boarding issues in AZ? Opportunity to head-off/mitigate class action lawsuit? The urgent need more effectively move people out of the ED and into appropriate treatment settings How to address this in an environment with lack of or diffuse controls over of the system’s “front door.” The tremendous opportunities presented by modern technologies to address these needs
- 3. EXCELLENCE IN HEALTH INFORMATION TECHNOLOGY Supported by Qualifacts, Inc. Behavioral Health Link Atlanta, GA
- 5. LIVE SCREEN CAPTURE URGENT APPOINTMENT AVAILABILITY FOR TOMORROW
- 6. LIVE SCREEN CAPTURE MOBILE CRISIS DISPATCH MONITOR
- 8. Screen Shot Open Beds
- 9. MOBILE CRISIS DISPATCH MONITOR- REFERRAL TO ER FOR MEDICAL CLEARANCE
- 10. LIVE SCREENSHOT REFERRALS STATUS BOARD
- 12. LIVE SUMMARY PAGE (how many beds available in region)
- 13. DATA MANAGEMENT
- 14. #1 – Intensive Referral Tracking Level 5 Crisis Intensive Referral Status 24/7 Outpatient Scheduling Bed Inventory Tracking High-tech, Mobile Dispatch Outcomes Dashboards
- 15. #2 – 24/7 Scheduling Level 5 Crisis Intensive Referral Status 24/7 Outpatient Scheduling Bed Inventory Tracking High-tech, Mobile Dispatch Outcomes Dashboards
- 16. #3 – Bed Inventory Census Level 5 Crisis Intensive Referral Status 24/7 Outpatient Scheduling Bed Inventory Tracking High-tech, Mobile Dispatch Outcomes Dashboards
- 17. #4 – High Tech Mobile Dispatch Level 5 Crisis Intensive Referral Status 24/7 Outpatient Scheduling Bed Inventory Tracking High-tech, Mobile Dispatch Outcomes Dashboards
- 18. #5 – Outcomes Dashboards Level 5 Crisis Intensive Referral Status 24/7 Outpatient Scheduling Bed Inventory Tracking High-tech, Mobile Dispatch Outcomes Dashboards
- 19. #1 – Intensive Referral Tracking Level 5 Crisis Intensive Referral Status 24/7 Outpatient Scheduling Bed Inventory Tracking High-tech, Mobile Dispatch Outcomes Dashboards
- 20. #2 – 24/7 Scheduling Level 5 Crisis Intensive Referral Status 24/7 Outpatient Scheduling Bed Inventory Tracking High-tech, Mobile Dispatch Outcomes Dashboards
- 21. #3 – Bed Inventory Census Level 5 Crisis Intensive Referral Status 24/7 Outpatient Scheduling Bed Inventory Tracking High-tech, Mobile Dispatch Outcomes Dashboards
- 22. #4 – High Tech Mobile Dispatch Level 5 Crisis Intensive Referral Status 24/7 Outpatient Scheduling Bed Inventory Tracking High-tech, Mobile Dispatch Outcomes Dashboards
- 23. #5 – Outcomes Dashboards Level 5 Crisis Intensive Referral Status 24/7 Outpatient Scheduling Bed Inventory Tracking High-tech, Mobile Dispatch Outcomes Dashboards
Editor's Notes
- SCRIPT: When the Crisis and Access Line is notified about an individual in need of crisis services, our Clinicians immediately enlist our proprietary electronic tracking system to ensure that we maintain contact with that individual and those caring for them until he or she is safely in the hands of ongoing care. The result is a member focused system with the safety and wellbeing of the member at the forefront. Mark to show CCID Choice Tab
- Crisis Access works to ensure that individuals receive the right level of care at the right time. Urgent outpatient appointments scheduled electronically 24/7 are favorable when appropriate. Mark show Outpatient Urgent Appts from Scheduler list view from production all agencies all sites sorted oldest to newest
- At their fingertips, GCAL Clinicians can see where mobile crisis assessments are in process statewide. When an urgent appointment is not sufficient to respond to the acuity of the crisis and Mobile Crisis is determined to be the most appropriate response, GCAL Clinicians triage the case and use real time data entry to prepare a document that is immediately submitted electronically to the appropriate mobile crisis vendor and simultaneously notifies the vendor that a new mobile crisis case is pending in their zone. This becomes the dispatch time and the clock begins ticking We could work with the health information network to ensure we are working with a current provider….. Mark show MCRs Dispatch Monitor from production with names hidden
- The Mobile Crisis Dispatch Monitor data is available in aggregate form on the Mobile Crisis Dashboard. Funders and Mobile Crisis Vendors can log in 24/7 and review the status of Mobile Crisis teams statewide. The dashboard gives information on statistics for the day and aggregate stats month to date by region/vendor. Data is tracked based on location of assessment as well. How many assessments happen in the ER vs. how many in the community for example. Mark shows Live MCRS Dashboard from the production sites
- Once an individual is assessed by Mobile Crisis, the goal is to secure ongoing services in the least restrictive level of care. Whether Mobile Crisis evaluates the individual in the community or in an emergency department, the goal is to divert the individual from an unnecessary hospital admission and to secure the most appropriate level of care possible. At this point, an urgent appointment may be scheduled with a provider with a slot available. If a Mobile Crisis team determines that an individual needs to be further evaluated at a crisis unit or needs admission to a psychiatric hospital, the goal is to take the most direct route to the admission possible and secure care as close to home as possible and the system allows the clinicians to see where beds are available statewide. Mark Show beds Inventory from test website
- An attempt is made using all information available to refer the individual to a facility directly from his or her living room if that is where the mobile assessment took place. If the receiving facility will not accept the individual directly without medical clearance, the Mobile Clinician can arrange transport to an ER. However, GCAL does not let go of that individual’s hand while this clearance takes place. The “clock” actually stops ticking at this time as the crisis system cannot control how long this process takes.
- The individual is now placed on an electronic, web based referral status board that is immediately available to the receiving facility. The facility receives an alert email to let them know that a new referral is available for their review and the clock starts ticking again. If there are multiple contracted facilities, the referral information is available to all of them at the same time and the clinical information can be immediately downloaded from the web based application. Depending on the county of presentation, there may be a facility designated to receive individuals from that county. That facility is responsible to put the individual into review status within 30 minutes. Mark show test BHL web CSU Inventory Status Board
- In the background, the facilities are required to update their beds inventory status which is a live, electronic census that tracks how many beds are occupied. It is LIVE and tells us where beds are available. This is especially important if an individual is waiting a long time. GCAL Clinicians or Funders can contact and facility and inquire about someone waiting an excessive period of time while there is a bed available. Mark will leave screen on Inventory Status Board
- At any given time a funder can see how many individuals are waiting, where they are waiting, how long they have been waiting and how many beds are available in any particular region. Customizable email alerts are sent to whomever the funders identify when individuals have been waiting excessive amounts of time. A funder can see that individuals are waiting but there are open beds. This can be the basis of a dialogue with a contracted facility regarding expectations for occupancy and timeliness of admissions.
- All fields are downloadable to excel. Funders and facilities can see their denial rates, average length of stay, how long it takes for them to accept/deny individuals etc. This is an example on an excel graph we have done with the data, we can do this in excel or in the form of a dashboard as you saw earlier on the MCRS Real Time Dashboard.