Virna Little, PsyD, LCSW-r, SAP The Institute for Family Health · 2017-03-28 · Virna Little,...
Transcript of Virna Little, PsyD, LCSW-r, SAP The Institute for Family Health · 2017-03-28 · Virna Little,...
Mission Provide care to those who need it most
Use the family practice model of care
Train students and health professionals
Promote diversity in the healthcare workforce
Participate in health services research and policy development
Staff and Budget Over 900 staff members (Manhattan, Bronx and Upstate)
A budget of approximately 92 million dollars
450,000 visits yearly
Equal numbers of behavioral health staff
Medical, dental, pharmacy and mental health programs Special programs/population Educational programs Research Health Information Technology
6 Manhattan Centers
5 Bronx Centers
6 Mid-Hudson Centers
2 Free Clinics
8 Care for the Homeless
sites
5 Ryan White HIV/AIDS
programs
7 Mental Health Centers
• Diverse economic and social backgrounds
• Latino, African-American, Caribbean-American, or recent immigrants
Roughly 100,000 patients make about 600,000 visits per year
Senior leadership
CEO Zero Suicide Pledge
Medical Director – first meeting agenda always meeting agenda
Director of Suicide Prevention
EPIC
RCA’s
Better tracking and reporting
Mandatory training for ALL agency staff
Provided free for our staff through
community training initiatives
To date almost 1,000 trained
SAFETALK , AMSR
Training plan for all staff in the organization by job title
Electronic health record implementation in 2003
EPIC electronic health record system
Decided to use technology to help in identification and prevention of suicide in primary care patients throughout system
“Blows” into all encounters
Readily seen by providers of all disciplines
Able to be reported on ( number of patients)
My Safety Plan document ◦ Allows safety plan information to be available to all
providers during all visits for review and/or modification
◦ Patients can access the document via patient portal for reference
◦ Community providers can see patients at risk through physician portals
◦ Provided in print to patients as part of after visit summary
◦ Signed by patient and provider
A patient portal is a healthcare related online application that allows patients to interact with their healthcare providers.
What is a Patient Portal?
Physician portal as link to community
Almost 200 organizations and specialty providers on “Institute Link”
Foster care, mental health residences, DD programs
Pharmacy providers
Seamless care system
By-pass admissions
Expedited services
Decreased admissions
Review of all patients completed and attempts –analysis
Review of all deceased patients
Hard stop for patients who are considered high risk
Participation in local, state and national initiatives
Learning to look to system to “solve problems”
Training, training and more training
Continued “buy in” from primary care providers
Lethal means- system alerts for risk tied to interventions such as medications or gun locks
Better data tracking and reporting from external sources
Be prepared better reporting means higher rates