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Georgia Partnership for Telehealth Annual Spring Conference
                                Lake Oconee, GA
                               March 14-16, 2012




                                    A Story of Clinical
                                            Success:
                                      the DMH Telepsychiatry
                                        Consultation Program



LAST UPDATE: 02/22/2012    SOURCE: ED SPENCER / RALPH STRICKLAND        1
LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   2
Benchmarks
๏‚ง    November 2007 โ€“ TDE 1st Award
๏‚ง    May 2009 โ€“ Presented at APA Conv.
๏‚ง    August 2009 โ€“ EMR Operational
๏‚ง    June 2010 โ€“ TDE 2nd Award; Finalist in
     Computerworld Honors Awards
๏‚ง    October 2011 โ€“ Silver Award at APA
๏‚ง    February 2012 โ€“ 10,000 Consults
๏‚ง    May 2012 โ€“ Presenting at APA Conv.
๏‚ง    June 2012 โ€“ TDE 3rd Award

LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   3
LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   4
Primary Goals
๏‚ง Timely Psychiatric Assessment & Rapid
     Initiation of Treatment
๏‚ง    Increase Quality of Care
๏‚ง    Reduction in Length of Stay (LOS)
๏‚ง    Comprehensive Discharge Planning
๏‚ง    Savings to the Hospital and Community


LAST UPDATE: 02/22/2012    SOURCE: ED SPENCER / RALPH STRICKLAND   5
LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   6
24/7/365 Operations




LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   7
Measures
๏‚ง Lengths of Stay
      ๏‚ง 50% reduction
๏‚ง Discharges, Same Day
      ๏‚ง 42% (Feb 2012)
๏‚ง CIS and EMR Utilization
      ๏‚ง 75-80% Known Across Both Databases



LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   8
Telepsychiatry Turn-Around
๏‚ง 5.5 hours (CY 2011)
๏‚ง 13.5 consults every 24 hours (CY 2012)




LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   9
LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   10
RO1 Grant Research
๏‚งCollateral Effect: Reallocation of
Resources by EDโ€™s to ED-appropriate care.
๏‚งReduced Commitment Rate to BH inpatient
beds
๏‚งReduction in Average Inpatient LOS
๏‚งProduced savings of $1,000 in BH inpatient
settings per care episode.
๏‚งEquals approximately $9.8 million in BH
inpatient savings
LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   11
Satisfaction Surveys




LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   12
LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   13
LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   14
LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   15
LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   16
SC Uniform Credentialing
                Application for Physicians




LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   17
LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   18
Website




LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   19
How It Works



Columbia, SC                                                       Charleston, SC




 Aiken, SC
                                                                    Conway, SC

 LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND                 20
For more information, or for
         questions, please visit our
                 website:

                   www.scdmh.org/telepsychiatry



LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   21

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The DMH Telepsychiatry Consultation Program

  • 1. Georgia Partnership for Telehealth Annual Spring Conference Lake Oconee, GA March 14-16, 2012 A Story of Clinical Success: the DMH Telepsychiatry Consultation Program LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 1
  • 2. LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 2
  • 3. Benchmarks ๏‚ง November 2007 โ€“ TDE 1st Award ๏‚ง May 2009 โ€“ Presented at APA Conv. ๏‚ง August 2009 โ€“ EMR Operational ๏‚ง June 2010 โ€“ TDE 2nd Award; Finalist in Computerworld Honors Awards ๏‚ง October 2011 โ€“ Silver Award at APA ๏‚ง February 2012 โ€“ 10,000 Consults ๏‚ง May 2012 โ€“ Presenting at APA Conv. ๏‚ง June 2012 โ€“ TDE 3rd Award LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 3
  • 4. LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 4
  • 5. Primary Goals ๏‚ง Timely Psychiatric Assessment & Rapid Initiation of Treatment ๏‚ง Increase Quality of Care ๏‚ง Reduction in Length of Stay (LOS) ๏‚ง Comprehensive Discharge Planning ๏‚ง Savings to the Hospital and Community LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 5
  • 6. LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 6
  • 7. 24/7/365 Operations LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 7
  • 8. Measures ๏‚ง Lengths of Stay ๏‚ง 50% reduction ๏‚ง Discharges, Same Day ๏‚ง 42% (Feb 2012) ๏‚ง CIS and EMR Utilization ๏‚ง 75-80% Known Across Both Databases LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 8
  • 9. Telepsychiatry Turn-Around ๏‚ง 5.5 hours (CY 2011) ๏‚ง 13.5 consults every 24 hours (CY 2012) LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 9
  • 10. LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 10
  • 11. RO1 Grant Research ๏‚งCollateral Effect: Reallocation of Resources by EDโ€™s to ED-appropriate care. ๏‚งReduced Commitment Rate to BH inpatient beds ๏‚งReduction in Average Inpatient LOS ๏‚งProduced savings of $1,000 in BH inpatient settings per care episode. ๏‚งEquals approximately $9.8 million in BH inpatient savings LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 11
  • 12. Satisfaction Surveys LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 12
  • 13. LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 13
  • 14. LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 14
  • 15. LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 15
  • 16. LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 16
  • 17. SC Uniform Credentialing Application for Physicians LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 17
  • 18. LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 18
  • 19. Website LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 19
  • 20. How It Works Columbia, SC Charleston, SC Aiken, SC Conway, SC LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 20
  • 21. For more information, or for questions, please visit our website: www.scdmh.org/telepsychiatry LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 21