1. Oregon Telepsychiatry into PCPCH A Conceptual Proposal Michael A. May, MD VP/MD Samaritan Mental Health

10. Current Video Platform Internet Cloud-based servers Simple user friendly interface Recording and annotation capabilities – consultant can leave a video consultation for the PCP to view Three way interactive ability from three different sites Generic platform can be used on existing computers without needing to purchase proprietary equipment HIPAA compliant and able to attach video and info to EMR

11. Potential Videoconference Psychiatric Services Chart Review As needed Consult with PCPCH Providers Scheduled Consult with PCPCH Tx Team Consult with Pt (PCPCH Staff Present) Consult with Pt (w/o PCPCH Staff Present Refer to Psychiatrist

12. OPA PCPCH Task Force Integration of psychiatric services into the PCPCH model of care Value to the patient Value to PCP Value to the Psychiatrist Logistics Payment Model Medical Records/Documentation

13. Basic Model

14. Psychiatrist Training Psychiatrists in the pool contract for services with the CCOs Psychiatrists provided CME on how to provide consultation to PCPCH (what the PCP/behavioral specialist wants and needs for an effective consultation)

15. Discussion