Preconference Skills Course
.jpg "Mark Oldham, MD photo")
Mark Oldham, MD
Assistant Professor of Psychiatry
University of Rochester Medical Center
Rochester, New York
Christine Finn, MD
Medical Director
Dartmouth Hitchcock Medical Center
Lebanon, NH
.jpg "Patrick Triplett, MD, DFAPA photo")
Patrick Triplett, MD, DFAPA
Clinical Director, Psychiatry
Johns Hopkins University School of Medicine
Baltimore, Maryland
Eleanor Anderson, MD
Medical Director, Consultation-Liaison Psychiatry Services
University of Pennsylvania
Philadelphia, PA
.jpg "Joseph Kugler, MD photo")
Joseph Kugler, MD
Assistant Professor of Psychiatry, Training Director of C-L Psychiatry
University of Texas
Austin, Texas
.jpg "Brian Bronson, MD, FACLP photo")
Brian Bronson, MD, FACLP
Vice Chair for Clinical Affairs in Psychiatry
Stony Brook University
Stony Brook, New York
.jpg "Cecilia Livesey, MD photo")
Cecilia Livesey, MD
Chief of Integrated Psychiatric Services
University of Pennsylvania
Philadelphia, Pennsylvania
Alexander Horvath, BA
Director - Psychiatry Administration
Dartmouth-Hitchcock
Enfield, NH
Hochang Lee, MD, FACLP
John Romano Professor and Chair
University of Rochester Medical Center
Rochester, NY
The future of healthcare is projected to be personalized, team-based, and collaborative across specialties and levels of care. Additionally, value-based care continue to eclipse fee-for-service models. Modern consultation-liaison (C-L) psychiatry would do well to learn from the evolving health systems in which it operates and incorporate these advances in how it delivers care as the healthcare systems of tomorrow are quickly becoming the healthcare systems of today.
Team-based proactive C-L psychiatry capitalizes on these trends. Its three distinctive elements are (1) proactive case identification through systematic screening, (2) multidisciplinary team-based approach that addresses needs of individual patients, and (3) collaborative care through clinical partnership with primary medical teams. This model offers a range of potential benefits including reduced overall costs and improved staff satisfaction along with medical unit culture change. To coincide with a proposal for a new special interest group this year through the Academy for those pursuing proactive C-L psychiatry, we aim to provide a ground-level review of this model of care and review the steps in piloting a proactive C-L service.
This session will consist of two portions:
Large-group presentations: After we provide a brief overview of the distinctive elements of proactive C-L psychiatry, the medical directors and clinicians from seven different proactive C-L services will each focus on how a specific structural factor (e.g., setting, resources) or clinical need (e.g., population, service lines) at their institution has informed strategic decisions and influenced the day-to-day functioning of a proactive C-L service in their setting. Our last large-group presentation will review how to develop an effective business plan and is intended to provide a natural segue into the small-group portion.
Small-groups: Participants will be divided into small groups, and each of the speakers will rotate among the groups for personalized consultation and discussion. These consultations will be tailored to participants’ questions. In the break-out groups, we will help participants think through what implementing this model of care may look like at their home institutions. We anticipate reviewing the logistics of piloting a proactive C-L service, how a proactive pilot may align with medical center goals and on creating tailored business plans, return-on-investment (ROI) forms, and preliminary budgets.
Overall, the goal of this pre-conference skills session is to emphasize how the elements of proactive C-L psychiatry can be applied to a diversity of settings, to review the hurdles that have been overcome with creative solutions, and to provide personalized consultation to participants. Participants will be equipped with a practical overview of proactive C-L psychiatry and leave with the tools necessary to make a business case to hospital administration for a pilot proactive service at their home institution.