Oregon Telepsychiatry into PCPCH

A Conceptual Proposal

Michael A. May, MDVP/MD Samaritan Mental Health

Current Video Platform Internet Cloud-based servers

Simple user friendly interface

Recording and annotation capabilities – consultant can leave a video consultation for the PCP to view

Three way interactive ability from three different sites

Generic platform can be used on existing computers without needing to purchase proprietary equipment

HIPAA compliant and able to attach video and info to EMR

Potential Videoconference Psychiatric Services

Chart Review

As needed Consult with PCPCH Providers

Scheduled Consult with PCPCH Tx Team

Consult with Pt (PCPCH Staff Present)

Consult with Pt (w/o PCPCH Staff Present

Refer to Psychiatrist

OPA PCPCH Task Force

Integration of psychiatric services into the PCPCH model of careValue to the patientValue to PCPValue to the PsychiatristLogisticsPayment ModelMedical Records/Documentation

Basic Model CCO

PCPCH

Telephone

Consult

Video Consul

t

PCPCH

Urgent Assessment

Contracts for Services

Local Psychiatrist

Statewide Psychiatrist Pool

Psychiatrist Training

Psychiatrists in the pool contract for services with the CCOs

Psychiatrists provided CME on how to provide consultation to PCPCH (what the PCP/behavioral specialist wants and needs for an effective consultation)

Discussion