University Health System/Duke Endowment Telepsychiatry Project

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University Health System/Duke EndowmentTelepsychi
atry Project

• Sheila Davies
• Albemarle Hospital Foundation
• sdavies_at_albemarlhealth.org
• [phone]

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UHS/DE Telepsychiatry Project

• The Albemarle Hospital Foundation received a
  grant from the Duke Endowment (DE) to implement
  telepsychiatry in University Health System (UHS)
  Hospital Emergency Departments.

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Telepsychiatry

• Telepsychiatry is the use of two-way real
  time-interactive audio and video, run on a secure
  network with encryption, meeting all
  confidentiality standards, between places of
  lesser and greater psychiatric expertise to
  provide and support psychiatric care. This is
  especially useful in rural areas where access to
  specialty care is limited or non-existent.

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Project Partners

• The Albemarle Hospital Foundation
• University Health System Hospitals
• East Carolina Behavioral Health--LME
• Beacon Center--LME
• Eastpointe --LME
• ECU, Brody School of Medicine Psychiatry
  Department and MTS Department
• Coastal Carolina Neuropsychiatric Center

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Project Model
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Project Model (continued)
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Telepsychiatry

• Telepsychiatry services available in 7 UHS
  hospitals in 2011 and potential of additional 14
  non UHS hospitals in 2012
• Services are available 7 days a week from 8 am
  6 pm.

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Hospital Implementation Schedule

• May Albemarle
• August Chowan and Bertie Memorial
• September Albemarle Inpatient,
• Duplin General and Roanoke Chowan
• October Heritage and Outer Banks
• 2012 non-UHS hospitals

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Implementation Map
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Aftercare Component

• Reduce barriers to behavioral health aftercare
  services and increase the number of completed
  aftercare referrals/services to change the entry
  point of care from the ED to the Local Service
  Provider.
• Increase collaboration between the hospital ED
  and the local mental health service providers to
  link patients to essential follow-up and
  aftercare services (Stakeholder Meetings)
• Assure that the uninsured and underinsured with
  behavioral health care diagnoses have access to
  all services in the continuum of care (Hospital
  specific resource guides)
• Patient post discharge follow up phone calls

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Beyond Telepsychiatry

• Other applications
• Teleaudiology -2 pediatric hearing tests
  conducted already at AH
• ECU connection expanding possibilities
• 2012 and Beyond
• Potential of adding telepsychiatry in 12-14
  additional hospitals
• Implement teleneurology and telestroke at AH
• Explore other telemedicine applications

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