“By creating a clear, efficient process, modeled after an existing one for teleneurology, staff were educated on the flow and steps to accomplish a consistent experience and expectation for patients.”

Sarah Seabrook-DeJong, RN, Inspira Health Network

The telepsychiatry system is a separate, HIPAA-compliant app with the telepsychiatrists documenting directly into Inspira’s EHR. The telepsychiatry service is integrated with Inspira’s Cerner EHR. InSight’s telepsychiatrists document into Cerner, improving workflow efficiencies and allowing information to be shared in near-real time, she said.

“By creating a clear, efficient process, modeled after an existing one for teleneurology, staff were educated on the flow and steps to accomplish a consistent experience and expectation for patients,” she explained. “Having a designated liaison between Inspira Health Network and InSight telepsychiatry was critical to the success of the innovative technology and new process.”

 

RESULTS

Inspira Health has seen response times around two hours from request of consult to completion of the assessment. It is able to secure a disposition from a specialist, enabling the hospital attendings to determine treatment care directives, consideration of psychiatric admission, discharge, initiation of effective psychotropics, and more.

“Nearly 100 percent of behavioral health consults are now completed through the telepsychiatry provider,” said Seabrook-de Jong. “Only in rare cases are alternative options employed. For instance, a face-to-face consult was ordered for a deaf patient who used a hearing device. This new technology-enabled approach to care processes has allowed us to substantially reduce wait times and improve throughput.”

Notably, pushback from medical staff has been minimal, she added.

“Hospital physicians appreciate having near-real-time access to psychiatric consult information and the fact that patients receive interventions in a timelier fashion,” she said. “The fact that all staff are agreeable to this change speaks to the initiative’s success.”

This model was so successful in its initial implementations that Inspira Health Network has selected it for their newest hospital, to open in November 2019, as it fits the future needs and use of technology perfectly, she said.