Expanding the Child Psychiatry Fellowship Dr. Cecilia DeVargas Region 15 RHP Meeting El Paso First Healthplan, 1145 Westmoreland Drive July 24, 2013 1:00pm

Description of the Project Synopsis Increase the capacity to provide Child & Adolescent Psychiatry Services and increase the availability of providers to better accommodate the demand in the El Paso Region. Department Involved: Texas Tech Department of Psychiatry Milestones DY2: Expand the training program – hire fellow(s) Participate in Bi-Weekly Interactions to promote Collaborative Learning Increase Clinic Volumes – patient encounters

Benefits to the Community Behavioral health is in a state of crisis in our region. Most of Texas is designated as a Health Professions Shortage Area (HPSA) for mental health; however, the ratio of child psychiatrists to population in our region is less than 20% of the statewide average.

Progress Milestones: Risk Areas: Expand training program – hire fellow(s) 100% Participate in Bi-Weekly Interactions to promote Collaborative Learning 80% Increase Clinic Volumes – patient encounters 50% Risk Areas: Anticipated outcomes: Milestones will be met

Innovations Improvements to processes: Educated team on CQI/Rapid Cycle Improvement Formulated Action Plan

Child and Adolescent Fellowship Cecilia DeVargas, M.D. – Program Director Octavio Gutierrez, M.D. – Assistant Program Director Leonora Petty, M.D. – Associate Professor Juan Zavala, M.D. – Assistant Professor Mercedes Ramirez, M.D. – Assistant Professor Rebecca Pasillas, Ph.D. – Assistant Professor Amelia Leony-Carrete, LCSW – Faculty Associate

Rotation Sites El Paso Children’s Hospital Emergence Health Network Ysleta Independent School District El Paso Psychiatric Center Juvenile Justice Center EPCGC (El Paso Child Guidance Center) If grant approved in September 2013

Clinical Services Consultation Liaison at EPCH and outpatient Pediatrics Department Outpatient and Inpatient Psychiatric Assessments/Crisis Stabilization Medication Management and monitoring Psychotherapy Psychotherapy modalities Family Therapy Child and Adolescents individual therapy Group therapy

Baseline Encounters 2012-2013 Unique Patients Encounters Inpatient Units – EPPC Child/ Adol (CAD) 62 128 Consultation Liaison: El Paso Children’s Hospital 419 620 Outpatient Clinics: Children 364 1037 EHN 14

Goals To increase number of Faculty members To increase number of non-salary Faculty affiliations To search for other sources of income (Grants and Contracts) To expand services to the community To increase research and scholastic activities in the area of Child and Adolescent Psychiatry To increase collaboration between primary care and psychiatric services

Challenges Small number of Core Faculty/Faculty turnover Financial constraints Reporting accuracy IT Software barriers Community needs

Milestones Hire new Fellow 100% Bi-weekly meetings 100% Increase clinic volume 50%

Questions? Comments?