D.B.A. Baker College (Michigan), 2020.
Specialization: Health care management; Mental health; Public health
Telepsychiatry: An alternative to traditional face-to-face psychiatric consults; A clinical perspective
181 pages. UMI #: 2429052834
Citation, Abstract & Full text in ProQuest Dissertations & Theses Database
There is an opportunity to increase the quality of care for mental health patients in emergency departments (EDs) across the United States. EDs are increasingly overcrowding due to a variety of forces including the structure of insurance coverage and an aging population. This is further intensified due to a lack of access to mental health care. At the same time, psychiatry resources are declining, technology is advancing exponentially allowing for rapid growth in telehealth. This qualitative case study explores physician perception of a pilot telepsychiatry program in the Northeast implemented by a multi-hospital system. The goal of the Office of Mental Health’s (OMH) pilot is to assist in time-sensitive psychiatry care while improving coordination of care. The research questions are related to the OMH’s focus and explore physician communication and turnaround time. The theoretical framework is derived from quality theories such as Plan Do Study Act (PDSA) and features research questions around the application of Situation, Background, Assessment, Recommendation (SBAR), a communication model. Sixteen interviews will be completed involving the two primary clinical stakeholders, emergency medicine physicians, and psychiatrists. The findings will compare and contrast the perspectives of the two specialties from a process standpoint related to physician communication and timely care. A summary of the physician findings will be shared with leadership of the healthcare system for performance improvement purposes. With approval, a report will be submitted to the OMH as decision-support for the future of telepsychiatry across New York State.