Unity PES Care Model Session 2, November 20, 2015.

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Presentation transcript:

Unity PES Care Model Session 2, November 20, 2015

Agenda Introductions Define Desired Outcomes Scope of Living Room vs. PES Milieu Patient Profile Breakout ED Data Review Review big buckets Activity: Fill the buckets with subtasks Define Next Steps Pressures/ priorities Required resource

Brainstorming Activity Break into small groups Brainstorm a list of responses to the question: What do we want to achieve with a patient by the time they are leaving the unit? Identify a recorder and a reporter Each group to report back to the group in 30 minutes

Six goals of emergency psychiatric care (Zeller, 2010) Exclude medical etiologies and ensure medical stability Rapidly stabilize the acute crisis Avoid coercion Treat in the least restrictive setting Form a therapeutic alliance Formulate an appropriate disposition and transition of care plan

ED Average LOS non-Admitted ED Patients Not Admitted Legacy Adventist OHSU Total ED stay < 3 hours 2,742 2,901 441 6,084 Total ED visits 8,180 5,547 1,902 15,629 % under 3 hours 33.5% 52.3% 23.2% 38.9%

ED Patients non-Admitted (n 5617, Legacy, Adventist, OHSU)

ED non-Admitted LOS beyond 24 hours (n 15,629 Legacy, Adventist, OHSU)

Top Dx for ED non-Admitted LOS >24 Hours (n 1210 Legacy, Adventist, OHSU)

The “Big Buckets” of the Care Model Work plan Define desired outcomes UM Intake/admissions Peer Support Direct Patient Care Access Care Management - D/C Planning Safety & Security Treatment Team Formal Governance Programming Pharmacy Shared Governance Policy & Procedure MD Psych Eval/ Medical Model Family

Brainstorming Activity Break into small groups Brainstorm what needs to be considered/answered/designed as subtasks in each category. Identify a recorder and a reporter Each group to report back to the group in 25 minutes

Scope Definition: Living Room vs. Milieu

Patient Criteria for Living Room and PES Milieu Share patient scenarios

Next Steps

Thank you!