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ePoster Presentations

EP-108 - Getting to Zero: Leveraging Telemedicine to Drive down Suicide Rates and Reintegrate Behavioral Health

Tuesday, May 1
9:55 AM - 10:10 AM
Location: Education Zone, Booth 2416, Screen 1

With over 30 hospitals, 200 clinics, and 40 long term care facilities, Avera Health is one of the largest care networks in the upper Midwest. Moreover, with a footprint that spans six states and 72,000 square miles, telemedicine is an indispensable tool for delivering care to the organization's remote rural communities. Launched more than 20 years ago, Avera's eCare telemedicine program links specialists, pharmacists, nurses, and other care team members in Avera's Sioux Falls-based "virtual hospital" with local care teams in remote rural communities. The program won Hospital & Health Network's 2012 Innovator Award for its use providing emergency services and served as the model for a NATO multinational telemedicine initiative.

Avera is now leveraging their advanced telemedicine platform to reintegrate behavioral healthcare into all aspects of their care delivery system. Recognizing that suicidal individuals can fall through the cracks in an often fragmented healthcare system, their eBehavioral Health program links primary care providers in the field with pharmacopsychiatry specialists and "triage therapists" to improve screening, early intervention, and access to specialists. The new program, based on the Zero Suicide framework, is helping Avera deliver more responsive, convenient and personalized patient care while avoiding high acuity/high cost emergency visits and associated admissions. It's also leading to greater physician satisfaction by helping non-behavioral health providers have confidence that specialists will support them and their patients if they reach a point where they cannot provide care. The results of the program thus far have been impressive, including a 13% decrease in suicide attempts, nearly 50% reduction in associated ED visits, and over 20% reduction in admissions.

In this hands-on Learning Lab session, attendees will see how they can reintegrate behavioral health into their own care systems using telemedicine to save lives, save money, and provide more effective patient-centered care. Following an overview of the Avera program and its results, the speakers will walk through the Zero Suicide framework's "7 Essential Elements of Suicide Care" -- Lead, Train, Identify, Engage, Treat, Transition, and Improve -- and show how they can be supported through telemedicine. Throughout, they'll discuss best practices for the use of telemedicine for behavioral health and how to avoid pitfalls during the design and implementation of a program.

Suicide prevention is the ultimate expression of patient safety and one of the most fundamental responsibilities of the health care system, making this session relevant to care organizations of all kinds.

Learning Objectives:

Matthew Stanley

Clinical Vice President, Behavioral Health Service Line; Medical Director, Avera McKennan Behavioral Health Center; Medical Director, Avera Marshall Behavioral Health Center
Avera Health

Matthew Stanley, DO, serves as the Vice President of the Behavioral Health Clinical Service Line and as the Medical Director of the Avera McKennan Behavioral Health Center, Sioux Falls, SD and the Avera Marshall Behavioral Health Center, Marshall, MN. He has more than 20 years of experience as a psychiatrist at Avera and is Board Certified by the American Board of Psychiatry and Neurology and by the American Board of Addiction Medicine. He is also a Distinguished Fellow of the American Psychiatric Association. Dr. Stanley is an attending Psychiatrist for Avera McKennan Behavioral Health Services and is an Investigator at the Avera Research Institute. Among his many roles, Dr. Stanley continues to pursue his interest in chemical dependency through training residents in the field and supervising the clinical chemical dependency team at the Avera McKennan Behavioral Health Center. In addition, he is an Assistant Professor for the Department of Psychiatry at the Sanford School of Medicine at the University of South Dakota, Vermillion, SD. He received his doctorate in osteopathic medicine from the University of Osteopathic Medicine and Health Sciences, Des Moines, IA. Dr. Stanley completed his residency at Western Missouri Mental Health Center, Kansas City, MO and at the University of South Dakota in General Psychiatry. Dr. Stanley also has leadership experience, including serving as President of the South Dakota State Psychiatric Medical Association. He is a member of the American Medical Association, American Psychiatric Association, South Dakota Medical Association, South Dakota State Psychiatric Medical Association, American Society of Addiction Medicine and American Academy of Addiction Psychiatry and is a Board Member of the SD Foundation for Medical Care and Tallgrass Recovery Center. He serves as the Chairman of the Avera McKennan Credentials Committee and the Avera System Formulary Committee.

Presentation(s):

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EP-108 - Getting to Zero: Leveraging Telemedicine to Drive down Suicide Rates and Reintegrate Behavioral Health



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