The project described was supported by Funding Opportunity Number CMS-1c1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies. ………………..…………………………………………………………………………………………………………………………………….. NCH HCIA Tele-Behavioral Health Update Dr. Becky Baum, Nationwide Children’s Hospital 6/28/2013
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
The project described was supported by Funding Opportunity Number CMS-1c1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation.
Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.
………………..……………………………………………………………………………………………………………………………………..
NCH HCIA Tele-Behavioral Health Update
Dr. Becky Baum, Nationwide Children’s Hospital 6/28/2013
The project described was supported by Funding Opportunity Number CMS-1c1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation.
Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.
………………..……………………………………………………………………………………………………………………………………..
Overview
• Triple-P Online (TPOL) E-therapy
• Lync • MyChart • Duet
Engagement
• HealthSpot • Creating Opportunities for Personal
Empowerment (COPE) Direct Care
The project described was supported by Funding Opportunity Number CMS-1c1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation.
Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.
………………..……………………………………………………………………………………………………………………………………..
TPOL Pilot Background • Evidence-based intervention for parents of children ages
2-12 with disruptive behavior
Goal • Provide access to psychosocial intervention for families
otherwise unable to access non-pharmacologic treatment
Progress • Began 4/2013 with 9 providers in NCH clinic with large
percentage of patients from non-contiguous counties
The project described was supported by Funding Opportunity Number CMS-1c1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation.
Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.
………………..……………………………………………………………………………………………………………………………………..
TPOL Weekly Code Assignment Go Live: April 15, 2013
Assigned 1 1 4 3 0 4 8 2 0 3 0
# of weeks 1 1 1 1 1 1 1 1 1 1 1
**Control Limits deviate from standard because data dispersion (i.e., variation) in one or more baselines is too large (or too small) to meet usual u-Chart statistical assumptions.
0
1
2
3
4
5
6
7
8
9
Wee
k 1
Wee
k 2
Wee
k 3
Wee
k 4
Wee
k 5
Wee
k 6
Wee
k 7
Wee
k 8
Wee
k 9
Wee
k 10
Wee
k 11
Cod
es A
ssig
ned
Triple P Access Codes Assigned per week
Baseline Mean(s) Baseline Period Control Limits Goal(s)
Week
Chart Type: u-Chart (modified)**
Triple P Access Codes Assigned per week
Wee
k 11
Wee
k 10
Wee
k 1
Wee
k 2
Wee
k 3
Wee
k 4
Wee
k 5
Wee
k 6
Wee
k 7
Wee
k 8
Wee
k 9
The project described was supported by Funding Opportunity Number CMS-1c1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation.
Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.
………………..……………………………………………………………………………………………………………………………………..
TPOL Weekly Activation
Activated 1 1 0 1 0 0 2 0 0 2 2
# of weeks 1 1 1 1 1 1 1 1 1 1 1
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
Wee
k 1
Wee
k 2
Wee
k 3
Wee
k 4
Wee
k 5
Wee
k 6
Wee
k 7
Wee
k 8
Wee
k 9
Wee
k 10
Wee
k 11
Activ
ated
Triple P Access Codes Activated per week
Baseline Mean(s) Baseline Period Control Limits Goal(s)
Week
Chart Type: u-Chart
Triple P Access Codes Activated per week
Wee
k 11
Wee
k 10
Wee
k 1
Wee
k 2
Wee
k 3
Wee
k 4
Wee
k 5
Wee
k 6
Wee
k 7
Wee
k 8
Wee
k 9
The project described was supported by Funding Opportunity Number CMS-1c1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation.
Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.
………………..……………………………………………………………………………………………………………………………………..
Next Steps Potential solutions • Incentives • Enrollment during
office visit
Challenges • Internet Access • Check-in Calls • Web Browser Issues • Low activation rates
The project described was supported by Funding Opportunity Number CMS-1c1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation.
Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.
………………..……………………………………………………………………………………………………………………………………..
Lync Background • Videoconferencing program to connect families with Parent
Partner post-discharge
Goal • Improve 30 day mental health follow up rate after discharge • Improve CIS scores
Progress • Go-live 7/2013
The project described was supported by Funding Opportunity Number CMS-1c1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation.
Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.
………………..……………………………………………………………………………………………………………………………………..
MyChart Background • Patient portal that provides communication with NCH providers
and survey completion
Goal • Improve 30 day mental health follow up rate • Improve CIS scores
Progress • Go-live 7/2013
The project described was supported by Funding Opportunity Number CMS-1c1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation.
Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.
………………..……………………………………………………………………………………………………………………………………..
HealthSpot Background • Telemedicine platform to increase access to behavioral health
services
Goal • Reduce behavioral health readmissions • Improve 30 day mental health follow up • Improve CIS scores
Progress • Go live 10/2013
The project described was supported by Funding Opportunity Number CMS-1c1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation.
Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.
………………..……………………………………………………………………………………………………………………………………..
COPE Background • Brief Cognitive Behavioral Therapy (CBT) intervention to reduce
depression, anxiety and disruptive behavior symptoms in children
Goal • Increase 30 day mental health follow up rate after behavioral
health admission
Progress • Investigating partnership with OSU College of Nursing to provide
services via telehealth • Go-live 12/2013
The project described was supported by Funding Opportunity Number CMS-1c1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation.
Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.
………………..……………………………………………………………………………………………………………………………………..
Duet Background • Smartphone application to improve care for children and
adolescents after behavioral health admission
Goal • TBD
Progress • Development pending arrival of new faculty member
summer 2013
Related Documents
