Webinar: Behavioral Health Collaborative in the Emergency Department
Recognizing the impact of patients placed on involuntary psychiatric holds being sent to the emergency department, Adventist Health Rideout came up with a new innovative way to care for the behavioral health patient waiting in their emergency department. The goal was to deliver the highest quality care for the psychiatric patient while they were in the emergency department. Realizing the county would be closing their involuntary psychiatric services, Rideout worked collaboratively with their county and agreed to imbed county paid crisis counselors in the emergency department 24 hours a day. Using tele-psychiatry services and clear clinical pathways the team work together to see 100 percent of the patients with a behavioral health diagnosis. Medications are started or resumed, safety plans designed, and follow up appointments are arranged by the team.
In 2018 the Emergency Department saw 2148 patients with behavioral health complaints. Working collaboratively with their county partners, 50% of all behavioral health patients were rescinded and sent back out in to the community. By decreasing the patients being sent to inpatient beds by 50% the impact for bed availability would increase. With increased psychiatric bed capacity and with quality of care being delivered in our emergency departments the replication of this collaborative could impact the care across the behavioral health spectrum as well as the throughput in emergency departments across California.
Upon completion, participant will be able to examine how the county paid crisis worker can impact the care of the mental health patient in their emergency department
Upon completion, participant will be able to create their own practice guidelines for the workflow of the psychiatric patient utilizing the emergency department team, county crisis workers, and tele-psychiatry services.
Upon completion, participants will be able to describe how the emergency tele-psychiatry services could impact the treatment and throughput of the mental health patient in their emergency department.
Theresa Hyer, MSN, PHN, TNS
Director, Emergency Services
Adventist Health and Rideout Health
Theresa Hyer is the Director of Emergency Services at Adventist Health Rideout in Marysville, California. Adventist Health Rideout is a rural Level III Trauma Center, Stemi receiving center, and Primary Stroke Center serving 74,000 patients annually. Theresa has 30 years of Emergency Department experience; fourteen of which have been spent in leadership roles within the Emergency Department. Theresa has her Master’s Degree in Nursing Leadership and Management. The last two hospitals she managed were both awarded the California Emergency Physicians’ Distinguished Site Award for Process Improvement. This year, for their county mental health collaborative, Theresa and her team won the Chamber of Commerce Innovation and Rising Star Award, the state-wide and national County Behavioral Health Care Challenge Award, the American College of Emergency Physicians Innovation Honorable mention award, and the California Hospital Association Summit Award for Innovation.
Susan Redford, MA, LMFT, LPC, LISAC
Psychiatric Emergency Supervisor
Sutter-Yuba Mental Health Services
Susan is presently the Psychiatric Emergency Services Supervisor for Sutter-Yuba Behavioral Health (SYBH). Susan has almost three decades of experience working as a licensed clinician in mostly rural communities in California and Arizona as a direct care clinician and various clinical supervisor positions. Susan has been instrumental in developing and implementing new and innovative clinical paradigms and programs such as a walk-in open access services clinic and partnering with Adventist Rideout Memorial Hospital Emergency Department and SYBH’s innovative psychiatric emergency collaborative. The heart and focus of her work is improving and elevating the level of client treatment and care. She is the recipient of several awards and recognitions including the first Nurtured Heart Approach annual “Innovations” award for her work with individuals with co-occurring substance use and psychiatric disorders
Continuing Education Credit
One complimentary CE unit will be provided to dues-paying member hospitals of the Hospital Quality Institute, CHPSO Patient Safety Organization, the California Hospital Association or the regional hospital associations in CA.
HQI is an approved continuing education (CE) provider by the California Board of Registered Nursing and will provide CHPSO members an opportunity to earn CEs. Provider Number CEP16793 for 1.0 contact hour.
HQI does not currently offer ACPE approved Pharmacy CE, but the State of California will accept CE from courses which have been approved for continuing education by the Medical Board of California, the California Board of Podiatric Medicine, the California Board of Registered Nursing or the Dental Board of California towards their California continuing education requirement (Section 1732.2(b) of the California Code of Regulations). Pharmacists need to keep track of CE from these sources on their own as they are not submitted to NAPB.