TY - JOUR
KW - behavioral health
KW - Cost-Benefit Analysis
KW - Emergency care
KW - Emergency Services, Psychiatric/economics/organization & administration/standards
KW - Georgia
KW - Humans
KW - integrated care
KW - Length of Stay/economics/statistics & numerical data/trends
KW - Psychiatric fast track service
KW - Quality Improvement/economics/organization & administration
KW - Quality Indicators, Health Care/economics/statistics & numerical data/trends
KW - Triage/economics/statistics & numerical data/trends
AU - M. Okafor
AU - G. Wrenn
AU - V. Ede
AU - N. Wilson
AU - W. Custer
AU - E. Risby
AU - M. Claeys
AU - F. E. Shelp
AU - H. Atallah
AU - G. Mattox
AU - D. Satcher
A1 - 
AB - The goal of this study was to better integrate emergency medical and psychiatric care at a large urban public hospital, identify impact on quality improvement metrics, and reduce healthcare cost. A psychiatric fast track service was implemented as a quality improvement initiative. Data on disposition from the emergency department from January 2011 to May 2012 for patients impacted by the pilot were analyzed. 4329 patients from January 2011 to August 2011 (pre-intervention) were compared with 4867 patients from September 2011 to May 2012 (intervention). There was a trend of decline on overall quality metrics of time to triage and time from disposition to discharge. The trend analysis of the psychiatric length of stay and use of restraints showed significant reductions. Integrated emergency care models are evidence-based approach to ensuring that patients with mental health needs receive proper and efficient treatment. Results suggest that this may also improve overall emergency department's throughput.
BT - Community mental health journal
C5 - Financing & Sustainability
CP - 3
CY - United States
DO - 10.3310/hsdr04130
IS - 3
JF - Community mental health journal
N2 - The goal of this study was to better integrate emergency medical and psychiatric care at a large urban public hospital, identify impact on quality improvement metrics, and reduce healthcare cost. A psychiatric fast track service was implemented as a quality improvement initiative. Data on disposition from the emergency department from January 2011 to May 2012 for patients impacted by the pilot were analyzed. 4329 patients from January 2011 to August 2011 (pre-intervention) were compared with 4867 patients from September 2011 to May 2012 (intervention). There was a trend of decline on overall quality metrics of time to triage and time from disposition to discharge. The trend analysis of the psychiatric length of stay and use of restraints showed significant reductions. Integrated emergency care models are evidence-based approach to ensuring that patients with mental health needs receive proper and efficient treatment. Results suggest that this may also improve overall emergency department's throughput.
PP - United States
PY - 2016
SN - 1573-2789; 0010-3853
SP - 332
EP - 342
EP - 
T1 - Improving Quality of Emergency Care Through Integration of Mental Health
T2 - Community mental health journal
TI - Improving Quality of Emergency Care Through Integration of Mental Health
U1 - Financing & Sustainability
U2 - 26711094
U3 - 10.3310/hsdr04130
VL - 52
VO - 1573-2789; 0010-3853
Y1 - 2016
ER -