More than Just Length of Stay: With Proactive and Integrated Consultation-Liaison Psychiatry (PICLP)’s Innovative Approach and Demonstrated Benefits, Everyone Wins

Thursday, November 7, 2024

3:05 PM – 4:20 PM EST

Location: Miami Lecture Hall

Speaker(s)

Beth Heaney, DNP, PMHNP-BC

Clinical Director PRIME in Medicine, Assistant Professor of Clinical Nursing
University of Rochester Medical Center
Rochester, New York

PDF
Jorge Aguilar-Zanatta, MD

Chief of Psychiatry: Danbury and New Milford Hospitals
Nuvance Health and Yale School of Medicine Department of Psychiatry
New Fairfield, Connecticut

PDF
Patrick Ho, MD

Attending Psychiatrist
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire

Lead Speaker(s)

Patrick Triplett, MD

Clinical Director and Physician Advisor
Johns Hopkins University School of Medicine
Baltimore, Maryland

Abstract: Many studies of the effectiveness of proactive and integrated psychiatric consultation (PICLP) have focused on length of stay improvements, especially the positive financial effects of shorter inpatient stays. There are settings where the financial impact of length of stay are limited and shorter stay is not always a reliable marker of quality care. Since the initial studies of PICLP, providers in a variety of settings have found that there are additional positive effects of proactive psychiatric interventions that go far beyond the length of stay benefits. This interactive seminar, sponsored by the Proactive C-L SIG, will reveal an array of other measures that demonstrate improvements in the quality of care and staff satisfaction delivered through PICLP.

Programs represented in the session cover a spectrum spanning from those in relatively early stages of development and implementation to more established, mature programs assessing impact and attempting to show value. The panel Q&A periods will allow attendees to delve further into topics related to staff satisfaction, mitigation of risk for readmission, innovative models to care for patients with comorbid substance use disorders, and attempting to address challenges to quality and equity brought on by social determinants of health.

Learning Objectives:

Participants will be able to describe the fundamental differences in approach between proactive integrated consultation-liaison psychiatry (PICLP) and traditional C-L models and how these differences may impact care delivery.
Participants will be able to differentiate outcomes in staff satisfaction, 30-day readmissions, and case-finding of patients needing inpatient psychiatric care when comparing PICLP with traditional C-L models.