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

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Presentation on theme: "South Carolina Retreat on Telemedicine Friday, November 19, 2010 North Charleston Embassy Suites."— Presentation transcript:

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 Wouldn’t it be nice to be able to get a psychiatric consultation 24/7/365? Achieving Tomorrow, Today DMH Telepsychiatry Consultation Program Funded by The Duke Endowment, Charlotte, NC

4 Polycom© HDX 4000 Series Desktop Polycom© HDX Practitioner Cart Equipment: Clinical Offices & EDs DMH Telepsychiatry Consultation Program Funded by The Duke Endowment, Charlotte, NC Anderson Aiken Columbia Charleston Conway

5 BaptistBarnwellClarendonConway George- town Laurens Marion McLeod Dillon Oconee RSF Berkeley SeacoastSprings Summer- ville Trident Loris Tuomey Wacc- amaw Carolinas Chester Fairfield Hampton Mount Pleasant tRMCWallace Williams- burg RNS42 / 09/10/2010 / file report dmh telepsych powerpoint partnership diagram.ppt SC DHHS Partnership Diagram: Supporting Local Hospital ED’s DMH Telepsychiatry Consultation Program Funded by The Duke Endowment, Charlotte, NC

6 Map: Phases I & II (Deployment) DMH Telepsychiatry Consultation Program Funded by The Duke Endowment, Charlotte, NC

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

8 SC Hospital Association SC Dept Health & Human Services SC Dept of Mental Health Integrated Triangle DMH Telepsychiatry Consultation Program Funded by The Duke Endowment, Charlotte, NC

9 Map: Palmetto State Providers Network (PSPN) DMH Telepsychiatry Consultation Program Funded by The Duke Endowment, Charlotte, NC

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

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

12 Data: Calendar Year 2010 (Consults/Kept) DMH Telepsychiatry Consultation Program Funded by The Duke Endowment, Charlotte, NC

13 Staff Satisfaction Survey DMH Telepsychiatry Consultation Program Funded by The Duke Endowment, Charlotte, NC

14 Staff Perceptions of Telepsychiatry Program Survey Data January 2010 through October 2010 (n=177)

15 Patient Perceptions of Telepsychiatry Program Survey Data January 2010 through October 2010 (n=50)

16 Physician Perceptions of Telepsychiatry Program Survey Data January 2010 through October 2010 (n=44)

17 "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 Quotes: Consultation Times DMH Telepsychiatry Consultation Program Funded by The Duke Endowment, Charlotte, NC

18 “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 Quotes: Lengths of Stay DMH Telepsychiatry Consultation Program Funded by The Duke Endowment, Charlotte, NC

19 “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 Quotes: Overall Satisfaction DMH Telepsychiatry Consultation Program Funded by The Duke Endowment, Charlotte, NC “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 DMH Telepsychiatry Consultation Program Funded by The Duke Endowment, Charlotte, NC START LINE

21 Case of Springs Memorial Hospital: Patient Days DMH Telepsychiatry Consultation Program Funded by The Duke Endowment, Charlotte, NC START LINE

22 Website: Home Page DMH Telepsychiatry Consultation Program Funded by The Duke Endowment, Charlotte, NC

23 Website: County Resource Page DMH Telepsychiatry Consultation Program Funded by The Duke Endowment, Charlotte, NC

24 Questions & Answers


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