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Presenters Disclosure
Source
Consultant Advisory
Board
Stock
Equity
>$10,000
Qunitiles
(past 3 years)
Speakers Research
Bureau
Contract
Shire
Noven
Iron
Shore
NIH
(Heath 2013)
Level 3 Basic Onsite: same facility but may not share same
practice space or records; still separate systems
Outcomes
(AACAP 2010)
Program Expansion
September 2014
December 2014
Two Clinics per
month focus
Internalizing
Disorders ages
8+ (1 BHC)
Added phone
consults 5
days a week
February 2015
Four clinics per
month with Int
and Ext focus;
ages 4+; added
brief psych
transfer
May 2015
Added therapy
services in
specialty peds,
joint initiatives, GI
clinic (4 BHCs)
Easier to refer
Scheduling on site makes a differences
Knowing the people scheduling makes it easier
E-messaging is much easier than making phone call or filling out forms
Very easy
Acceptable
unchecked
10%
30%
40%
20%
Hard
0%
Very Hard
0%
Shorter than
expected
40.00%
What I expected
35.00%
30.00%
unchecked
25.00%
20.00%
15.00%
10.00%
5.00%
0.00%
Went from 12 weeks + to under 4 weeks for BH clinic
Show rates for PC visits were 90%+
Longer than
expected
Much longer
Solution: ?? Psych bills brought back to psych admin staff vs having peds submit them (level 3)
Solution: Peds clinic to expand with new therapy rooms (move towards level 6)
Solution (pending): sign out PCC that psychiatrist meets with that clinic day
Workspace limitations
Solution: in house PC champions for the program, institutional push that mental health starts in PC
Solution: point person at PC clinic quit; identified new one and started IC EHR review team
Resistant PCCs
Solution: EHR review by BHC teams and expansion of groups as initial treatment options
Solution: Dropped for 2-3 line EMR based consult with inclusion of completed screeners and verification
that not emergent or in clear need of long term BH care; BHC reviews last note in EHR
Solution: increased phone consult services; add more consult slots; care managers in primary care
Conclusion
Penn State Hershey Experience
Department of Pediatrics