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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
    November 2007 – TDE 1st Award
    May 2009 – Presented at APA Conv.
    August 2009 – EMR Operational
    June 2010 – TDE 2nd Award; Finalist in
     Computerworld Honors Awards
    October 2011 – Silver Award at APA
    February 2012 – 10,000 Consults
    May 2012 – Presenting at APA Conv.
    June 2012 – 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
 Timely Psychiatric Assessment & Rapid
     Initiation of Treatment
    Increase Quality of Care
    Reduction in Length of Stay (LOS)
    Comprehensive Discharge Planning
    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
 Lengths of Stay
       50% reduction
 Discharges, Same Day
       42% (Feb 2012)
 CIS and EMR Utilization
       75-80% Known Across Both Databases



LAST UPDATE: 02/22/2012   SOURCE: ED SPENCER / RALPH STRICKLAND   8
Telepsychiatry Turn-Around
 5.5 hours (CY 2011)
 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
Collateral Effect: 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 $1,000 in BH inpatient
settings per care episode.
Equals 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  November 2007 – TDE 1st Award  May 2009 – Presented at APA Conv.  August 2009 – EMR Operational  June 2010 – TDE 2nd Award; Finalist in Computerworld Honors Awards  October 2011 – Silver Award at APA  February 2012 – 10,000 Consults  May 2012 – Presenting at APA Conv.  June 2012 – 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  Timely Psychiatric Assessment & Rapid Initiation of Treatment  Increase Quality of Care  Reduction in Length of Stay (LOS)  Comprehensive Discharge Planning  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  Lengths of Stay  50% reduction  Discharges, Same Day  42% (Feb 2012)  CIS and EMR Utilization  75-80% Known Across Both Databases LAST UPDATE: 02/22/2012 SOURCE: ED SPENCER / RALPH STRICKLAND 8
  • 9. Telepsychiatry Turn-Around  5.5 hours (CY 2011)  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 Collateral Effect: 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 $1,000 in BH inpatient settings per care episode. Equals 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