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

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
Conway
Columbia
Aiken
Charleston
Polycom© HDX 4000 Series Desktop
Polycom© HDX Practitioner Cart

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

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

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

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

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

10. Office of Research & Statistics (ORS) Multi-Agency Diagram DMH Telepsychiatry Consultation Program Funded by The Duke Endowment, Charlotte, NC
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
Claims Systems
All Payer Health Care Databases
Behavioral Health
Other State Support Agencies
Disease
Registries
LEGEND
W. David Patterson, Ph.D.
Chief, Health & Demographics
SC Office of Research and Statistics

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

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

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

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