WIHI - A Podcast from the Institute for Healthcare Improvement
Health & Fitness:Medicine
Scott Zeller, MD, Vice President of Acute Psychiatry, Vituity
Robin Henderson, PsyD, Chief Executive, Behavioral Health, Providence Medical Group Oregon and Clinical Liaison, Well Being Trust
Vera Feuer, MD, Director of Pediatric Emergency Psychiatry, Northwell Health
Mara Laderman, MPH, Director for Innovation, Institute for Healthcare Improvement (IHI)
For all that emergency departments (EDs) do to stabilize individuals and save lives, they’ve never been the ideal place for patients whose crises are related to behavioral health. EDs are designed to address the most urgent, sometimes life-threatening problems, and then discharge or transfer patients to the appropriate next level of care. If a psychiatric or addiction-related admission is needed, however, there may not be any beds. This often leads to boarding patients in the ED or adjacent hallways for hours, sometimes days.
In the US, many blame an underfunded mental health system for the shortage of inpatient beds and an inadequate supply of outpatient services that might help patients avoid going to the hospital altogether. Emergency department staff aren't any happier with the status quo. They have begun to look at how EDs might improve the overall care experience for behavioral health patients and contribute to continuity of care.
Promising new practices are being tested in nine hospitals participating in Integrating Behavioral Health in the Emergency Department and Upstream, an initiative led by IHI in partnership with Well Being Trust. Improvements these hospital EDs are testing include creating new lines of communication and care coordination, including post-discharge follow-up, with community-based services; standardizing and streamlining processes from intake to discharge for a range of mental health and substance abuse issues; working with both patients and their family members on self-management skills; and educating ED staff on behaviors consistent with a trauma-informed and empathetic culture.
We dicsussed these tests and innovations on the July 12 episode of WIHI: How to Build a Better Behavioral Health in the Emergency Department
WIHI: Innovation and Improvement in Times of Crisis
WIHI: How to Navigate Power and Enhance Psychological Safety
WIHI: Which Way is North? Setting Your Compass for Population Health
WIHI: Workload, Stress, and Patient Safety: How Human Factors Can Help
WIHI: Special Edition Podcast: Creating a Culture of Continuous Improvement that Outlasts Your Leaders
WIHI: The Benefits of Behavioral Health in the ED
WIHI: Increasing Joy in Work: Notes from a Cardiac ICU Team
WIHI: Let’s Get to Work on Waste in Health Care
WIHI: NO LET UP ON SAFETY
WIHI: Black Women and and Maternal Care: Redesigning for Safety, Dignity, and Respect
WIHI: Aim High For Equity in the Health Care Workforce
WIHI: Assessing the Value of Age-Friendly Health Care
WIHI: Taking Acute Pain Seriously, Treating it Safely
WIHI: What’s an Apology Worth? The Case for Communication and Resolution
WIHI: How to Make Patient Safety Easier to Explain and to Champion
WIHI: How to Speak So Leaders Will Listen
WIHI: New Guidance for Governance of Health System Quality - What Trustees Should Know and Do
Special Edition WIHI - Women in Action: Paving the Way for Better Care
WIHI: BUILDING THE WILL AND SKILL TO BE A CLINICAL IMPROVER
WIHI: Lowering Readmissions, Reducing Disparities
Create your
podcast in
minutes
It is Free
The Relaxback UK Show
Good Nurse Bad Nurse
On Call With Dr. Anselm Anyoha
The Peter Attia Drive
The Doctor’s Farmacy with Mark Hyman, M.D.