Behavioral Health JPS Health Network Wayne Young, MBA, LPC, FACHE

JPS Behavioral Health JPS Health Network offers robust Behavioral Health services. 2016 Behavioral Health volumes: 20,000 psychiatric emergency visits 39,000 psychiatric inpatient days 2,800 psychiatric observation days 5,900 partial hospitalization days 28,500 psychiatric outpatient visits 80,000 depression screenings in primary care Four partial hospitalization programs Psychiatric Emergency Center Two psychiatric hospitals (96 and 36 beds) Day rehab for the homeless Virtual Behavioral Health Clinical Guidance Integrated Medical Unit Psychiatric Emergency Center Visits Eight primary care clinics with embedded behavioral health specialists Six behavioral health clinics Walk-in behavioral health clinic Eight Peer Support Specialists One behavioral health school- based clinic Psychiatry residency program

Risk for Readmission Phase 1: Patient Interviews (10) using standardized format Phase 2: Chart Reviews (250) using standardized tool Phase 3: 30 Day Readmission Calculation Phase 4: Reviewed Observed : Expected Ratios for insights Phase 5: Predictive Model analysis process Phase 6: Created Risk Assessment Tool with predictors weighted based on degree of correlation COLUMN CRITERIA POINT VALUE DiagClass Bipolar Disorder 2 DiagClass Psychosis 2 DiagClass Schizophrenia 2 DiagClass Substance Abuse 2 AgeRange 56 - 60 1 Race_Name BLACK OR AFRICAN AMERICAN 1 Race_Name ASIAN 4 Ethnic_Name NOT HISPANIC OR LATINO 2 patientzip 76116 1 patientzip 76010 1

Developing Intervention Menu Series of 45 Rapid Cycle Improvement Tests: 2013 - 2016 Discharge Scripting (2 cycles) AIDET to improve DIScharge Communication (4 cycles) MHMR/PEC Follow-up Appointments (4 cycles) Improve the electronic reporting of readmission data. (5 cycles) Multi-disciplinary Treatment Team Meeting & Documentation (2 cycles) Discharge Planning Checklist /Script (3 cycles) Injections: Transition from Inpatient to Outpatient Care (3 cycles) JPS Connections Access Improvement (4 cycles) Behavioral Health Follow Up Appt Reminders: Survey Patient Preference Text or Email (1 cycle) Behavioral Health Follow Up Appt Reminders by texting or email (2 cycles) Behavioral Health Follow Up Appt: Provide a incentive for attendance (2 cycles) BH Follow Up Appt: Bridge Visit provided by Transition Coordinators for High Risk Patients (1 cycle) BH Follow Up Appt: Peer Support Specialist will f/u w/ patient regarding follow up reminders and provide group (3 cycles) After Care Services focus group: Increase adherence to PHP/IOP (2 cycles) After Care Services Group Facilitated by Peer (patient selection regardless of unit) (2 cycles) Psychiatric Emergency Center Discharged : Transition Aftercare Information Sheet (3 cycles) Post F/U 1:1 visit w/SW & I am Wellness After Care Transition Sheet (+ provider visit) (2 cycles) My Passport Recovery folder: Guide to inpatient care through outpatient services (1 cycle)  

Care Transition Interventions Appointment with an Embedded Behavioral Health Specialist (EBHS) Group Therapy with an EBHS Appointment for counseling Appointment with psychologist Telephone Supportive/ Mentoring 20-30 min. Attend 1st appointment w/ patient and psychiatrist Med Navigation & assistance programs Referral to IST Team Collaborate with community case manager Family Education/Consultation Support Disease Management Education Recovery Messages sent by mail or email Setup appointment for home visit Consultation w/Pharm D regarding meds Assistance with establishing a PCP appointment Assistance with JPS Connection Programs Facilitate aftercare at a (non-JPS) Substance Abuse Treatment Center Facilitate engagement with other community support groups Referral to Partial Hospitalization Program Engagement with Peer Support Specialist

2014 Bill Aston Quality Award Impact 2014 Bill Aston Quality Award Data analyzed from statewide admission set obtained from DSHS