1) Creation of a 24/7 call roster to provide support for the crisis team and guide decision-making in client disposition and divert to a lesser restrictive level of care, when appropriate (Triaging).
a) Met with all prescribers (Doctors, Nurse Practitioners, and a Physician Assistant) to identify those interested and qualified in participating.
b) Developed criteria and guidelines to facilitate decision-making on a uniform basis.
c) Set regular (at least monthly) meeting with roster participants to ensure uniformity and consensus about best practices in the fulfillment of our roles.
d) One on one meetings with roster participants to discuss and address individual concerns and issues of quality of care.
2) Monthly meetings with extended providers and quarterly meetings with doctors (more often if necessary). a) Collaboration with Telemedicine Services (JSA) to fill in gaps at the different clinics, to include the EOU and ACT. b) Personal participation in both call-rosters. 3) Collaborate in the development of a 48 hour Extended Observation Unit (EOU) to conduct triaging of clients on acute crisis, to determine appropriate levels of care. Priority was placed in the movement to a lesser-restricted level of care, although a higher level of care might be necessary. a) Assisted in the creation of policy and procedures as well as the guidelines to deliver these services. b) Developed a separate call roster to provide 24/7 coverage at the EOU. Face to face daily rounding on client’s admitted with a two-day rotation established. c) Met and identified interested and qualified providers to participate in the roster. d) Regular meetings (at least monthly) to enhance communication and create uniformity in the services being delivered. e) Creation and coordination of the actual call roster to be distributed timely to all of those involved. f) Created a mechanism to coordinate any changes necessary to the call roster, as the need would arise. g) Collaborated in the utilization of telemedicine services ( JSA ) to provide 24/7 coverage for Psychiatric evaluations. 4) Collaborated in the change of conducting initial evaluations (intakes), directly at each one of the clinics to facilitate access as well as efficiency in the delivery of services. a) Met regularly with clinic managers and division chiefs to ensure implementation. b) Assisted in the development of guidelines and criteria for admission to services. 5) Recruitment of prescribers to fill the gaps in the clinics, as well to ensure adequate coverage in the call rosters. a) A total of seven new prescribers recruited. b) Regular meeting with all prescribers to facilitate communication, develop guidelines, and ensure consistency in the delivery of services. Identify concerns and address them accordingly. 6) Chaired a weekly capacity staff meeting to provide input/feedback and direction in the management of difficult at risk cases. This was done in all clinics to include EOU and ACT. a) Preventive measures were taken to address the high recidivist population and deter hospitalization 1) Collaborated in instituting direct assessments at each clinic to improve access and decrease waiting time to obtain services. …show more content…
2) Recruitment of seven new practitioners to fill prescribers gaps at the different clinics and improve accessibility.
a) Met with providers individually and in-group settings to discuss issues related to quality, efficacy, and efficiency in the delivery of care.
b) Assisted in the development of criteria to prioritize the delivery of services, as well as, guidelines to facilitate consensus on diagnostic criteria and encourage evidence-based best practices.
c) Personally provided services at all clinics whenever necessary (ie; provider unexpectedly out, second opinions for diagnosis and management, as well as to address issues of unsatisfied clients and families).
• Additionally conducted specialized evaluations (ie; Forensic, Disability, Fit for Duty), as well as standard Psychiatric evaluations and follow-ups.
These included making hospitals and clinic rounds.
d) Collaborated in coordinating telemedicine services at clinics with needs to facilitate access and delivery of services. e) Collaborated in the development of the Extended Observation Unit (EOU) clinical services to include identifying interested and qualified providers to provide social services. 3) Meeting regularly with these providers to discuss issues related to the call rotation, delivery of services and guidelines for appropriate disposition. a) Personal participation in both call rosters (EOU and Crisis). 4) Provided direct backup and supervision for all extended providers as required and expected
a) Met with all prescribers (Doctors, Nurse Practitioners, and a Physician Assistant) to identify those interested and qualified in participating.
b) Developed criteria and guidelines to facilitate decision-making on a uniform basis.
c) Set regular (at least monthly) meeting with roster participants to ensure uniformity and consensus about best practices in the fulfillment of our roles.
d) One on one meetings with roster participants to discuss and address individual concerns and issues of quality of care.
2) Monthly meetings with extended providers and quarterly meetings with doctors (more often if necessary). a) Collaboration with Telemedicine Services (JSA) to fill in gaps at the different clinics, to include the EOU and ACT. b) Personal participation in both call-rosters. 3) Collaborate in the development of a 48 hour Extended Observation Unit (EOU) to conduct triaging of clients on acute crisis, to determine appropriate levels of care. Priority was placed in the movement to a lesser-restricted level of care, although a higher level of care might be necessary. a) Assisted in the creation of policy and procedures as well as the guidelines to deliver these services. b) Developed a separate call roster to provide 24/7 coverage at the EOU. Face to face daily rounding on client’s admitted with a two-day rotation established. c) Met and identified interested and qualified providers to participate in the roster. d) Regular meetings (at least monthly) to enhance communication and create uniformity in the services being delivered. e) Creation and coordination of the actual call roster to be distributed timely to all of those involved. f) Created a mechanism to coordinate any changes necessary to the call roster, as the need would arise. g) Collaborated in the utilization of telemedicine services ( JSA ) to provide 24/7 coverage for Psychiatric evaluations. 4) Collaborated in the change of conducting initial evaluations (intakes), directly at each one of the clinics to facilitate access as well as efficiency in the delivery of services. a) Met regularly with clinic managers and division chiefs to ensure implementation. b) Assisted in the development of guidelines and criteria for admission to services. 5) Recruitment of prescribers to fill the gaps in the clinics, as well to ensure adequate coverage in the call rosters. a) A total of seven new prescribers recruited. b) Regular meeting with all prescribers to facilitate communication, develop guidelines, and ensure consistency in the delivery of services. Identify concerns and address them accordingly. 6) Chaired a weekly capacity staff meeting to provide input/feedback and direction in the management of difficult at risk cases. This was done in all clinics to include EOU and ACT. a) Preventive measures were taken to address the high recidivist population and deter hospitalization 1) Collaborated in instituting direct assessments at each clinic to improve access and decrease waiting time to obtain services. …show more content…
2) Recruitment of seven new practitioners to fill prescribers gaps at the different clinics and improve accessibility.
a) Met with providers individually and in-group settings to discuss issues related to quality, efficacy, and efficiency in the delivery of care.
b) Assisted in the development of criteria to prioritize the delivery of services, as well as, guidelines to facilitate consensus on diagnostic criteria and encourage evidence-based best practices.
c) Personally provided services at all clinics whenever necessary (ie; provider unexpectedly out, second opinions for diagnosis and management, as well as to address issues of unsatisfied clients and families).
• Additionally conducted specialized evaluations (ie; Forensic, Disability, Fit for Duty), as well as standard Psychiatric evaluations and follow-ups.
These included making hospitals and clinic rounds.
d) Collaborated in coordinating telemedicine services at clinics with needs to facilitate access and delivery of services. e) Collaborated in the development of the Extended Observation Unit (EOU) clinical services to include identifying interested and qualified providers to provide social services. 3) Meeting regularly with these providers to discuss issues related to the call rotation, delivery of services and guidelines for appropriate disposition. a) Personal participation in both call rosters (EOU and Crisis). 4) Provided direct backup and supervision for all extended providers as required and expected