TY - JOUR
KW - Case Management
KW - Depression
KW - Nurse practitioner
KW - Primary Health Care
KW - Quality Improvement
AU - S. Stalder
AU - A. Techau
AU - J. Hamilton
AU - C. Caballero
AU - M. Weber
AU - M. Roberts
AU - A. J. Barton
A1 - 
AB - BACKGROUND: The specific aims of this project were to create a fully integrated, nurse-led model of a psychiatric nurse practitioner and behavioral health care team within primary care to facilitate (1) patients receiving an appropriate level of care and (2) care team members performing at the top of their scope of practice. METHOD: The guiding model for process implementation was Rapid Cycle Quality Improvement. Three task forces were established to develop interventions in the areas of Roles and Responsibilities, Training and Implementation, and the electronic health record. INTERVENTION: The four interventions that emerged from these task forces were (1) the establishment of patient tiers based on diagnosis, medications, and risk assessment; (2) the creation of process maps to engage care team members; (3) just-in-time education regarding psychiatric medication management for primary care providers; and (4) use of a registry to track patients. RESULTS: The process measures of referrals to the psychiatric care team and psychiatric assessment intakes performed as expected. Both measures were higher at the onset of the project and lower 1 year later. The outcome indicator, number of case reviews, increased dramatically over time. CONCLUSIONS: For psychiatric nurse practitioners, this quality improvement effort provides evidence that a consultative role can be effective in supporting primary care providers. Through providing education, establishing patient tiers, and establishing an effective workflow, more patients may have access to psychiatric services.
AD - Sarah Stalder, MS, PMHNP-BC, University of Colorado College of Nursing, Aurora, CO, USA.; Aimee Techau, MS, PMHNP-BC, University of Colorado College of Nursing, Aurora, CO, USA.; Jenny Hamilton, BSN, RN, University of Colorado College of Nursing, Aurora, CO, USA.; Carlo Caballero, LPC, University of Colorado Cancer Center, Aurora, CO, USA.; Mary Weber, PhD, PMHNP-BC, FAANP, FAAN, University of Colorado College of Nursing, Aurora, CO, USA.; Mia Roberts, MS, PNP-BC, University of Colorado College of Nursing, Aurora, CO, USA.; Amy J. Barton, PhD, RN, FAAN, ANEF, University of Colorado College of Nursing, Aurora, CO, USA.
BT - Journal of the American Psychiatric Nurses Association
C5 - Education & Workforce
DO - 10.1177/1078390321994165
JF - Journal of the American Psychiatric Nurses Association
LA - eng
M1 - Journal Article
N2 - BACKGROUND: The specific aims of this project were to create a fully integrated, nurse-led model of a psychiatric nurse practitioner and behavioral health care team within primary care to facilitate (1) patients receiving an appropriate level of care and (2) care team members performing at the top of their scope of practice. METHOD: The guiding model for process implementation was Rapid Cycle Quality Improvement. Three task forces were established to develop interventions in the areas of Roles and Responsibilities, Training and Implementation, and the electronic health record. INTERVENTION: The four interventions that emerged from these task forces were (1) the establishment of patient tiers based on diagnosis, medications, and risk assessment; (2) the creation of process maps to engage care team members; (3) just-in-time education regarding psychiatric medication management for primary care providers; and (4) use of a registry to track patients. RESULTS: The process measures of referrals to the psychiatric care team and psychiatric assessment intakes performed as expected. Both measures were higher at the onset of the project and lower 1 year later. The outcome indicator, number of case reviews, increased dramatically over time. CONCLUSIONS: For psychiatric nurse practitioners, this quality improvement effort provides evidence that a consultative role can be effective in supporting primary care providers. Through providing education, establishing patient tiers, and establishing an effective workflow, more patients may have access to psychiatric services.
PY - 2021
SN - 1532-5725; 1078-3903
SP - 1078390321994165
T1 - Improving Access to Integrated Behavioral Health in a Nurse-Led Federally Qualified Health Center
T2 - Journal of the American Psychiatric Nurses Association
TI - Improving Access to Integrated Behavioral Health in a Nurse-Led Federally Qualified Health Center
U1 - Education & Workforce
U2 - 33615857
U3 - 10.1177/1078390321994165
VO - 1532-5725; 1078-3903
Y1 - 2021
Y2 - Feb 22
ER -