35 hours ago DATE OF PSYCHIATRIC CONSULTATION: MM/DD/YYYY IDENTIFICATION: The patient is a (XX)-year-old Hispanic female. SOURCE: Information obtained from medical records and the patient, who appears to be a fairly reliable source. CHIEF COMPLAINT: Medication refill. HISTORY OF PRESENT ILLNESS: The patient is a (XX)-year-old female with polysubstance abuse and … >> Go To The Portal
There is a lack of consensus between psychiatrists and ED physicians regarding standard protocols for the evaluation of psychiatric patients.
Why Follow Up After Psychiatric Hospitalization Matters Hospitalization for a mental illness stabilizes the patient. This is a crucial element of care because it quickly transitions a patient from an unhealthy, potentially dangerous state to one that is more manageable.
Parents can play a big role in ensuring their adult son or daughter receives follow-up care following stabilization in a hospital or psychiatric unit. They should take the necessary steps to get follow-up appointments scheduled immediately. First, it is essential to open discussions about aftercare right away.
Ideally, mentation should be assessed with a brief cognitive exam that includes assessment of attention, executive function, orientation, and recent memory. While this cognitive exam may be conducted by mental health or allied health providers, the emergency physician should ultimately decide whether further evaluation is warranted.
Conditions of Participation promulgated by CMS are mandatory measures, directly or indirectly addressing patient safety and well-being, that must be met by health care entities to participate in the Medicare and Medicaid programs and receive reimbursement.
The duty to warn arises when a patient has communicated an explicit threat of imminent serious physical harm or death to a clearly identified or identifiable victim or victims, and the patient has the apparent intent and ability to carry out such a threat.
HEDIS FUH examines two rates relating to follow-up visits following discharge from an inpatient stay. If a member. has more than one discharge from a behavioral health acute hospitalization in the measurement period, each may. qualify as a HEDIS FUH discharge for measurement.
The Interpretive Guidelines serve to interpret and clarify the Conditions (or Requirements for SNFs and NFs). The Interpretive Guidelines merely define or explain the relevant statute and regulations and do not impose any requirements that are not otherwise set forth in statute or regulation.
“If a therapist is aware or believes that someone is going to do something like that, they will need to report. This would also extend to secondary reporting in the case of a client [saying] they are aware that someone else is planning something.”
In 1985, the California legislature codified the Tarasoff rule: California law now provides that a psychotherapist has a duty to protect or warn a third party only if the therapist actually believed or predicted that the patient posed a serious risk of inflicting serious bodily injury upon a reasonably identifiable ...
HEDIS measures clinical quality and customer service, requiring standardized reporting under 5 domains of care:Effectiveness of Care.Access/Availability of Care.Experience of Care.Utilization and Risk Adjusted Utilization.Health Plan Descriptive Information.Measures collected using Electronic clinical data Systems.
A follow-up visit is important because: Good follow-up care helps lower the risk of repeat trips to the hospital. You may need extra support right after leaving the hospital. If you're on medication, it allows your doctor to evaluate and adjust your medication.
Assesses the percentage of inpatient discharges for a diagnosis of mental illness or intentional self-harm among patients age 6 years and older that resulted in follow-up care with a mental health provider within 7 and 30 days.
CMS develops Conditions of Participation (CoPs) and Conditions for Coverage (CfCs) that health care organizations must meet in order to begin and continue participating in the Medicare and Medicaid programs.
QA is a process used to ensure services are meeting quality standards and assuring care reaches a certain level. PI is a pro-active approach that continuously studies processes with the goal to prevent or decrease the likelihood of problems in care delivery.
Historical Background. The current federal standards for hospitals participating in Medicare are presented in the Code of Federal Regulations as 24 “Conditions of Participation,” containing 75 specific standards (Table 5.1).
What to Do After a Mental Health Hospitalization: A Parent’s Guide. Immediate stabilization for a mental health crisis is an important step in recovery from acute symptoms, but without ongoing care rehospitalization is likely. Inpatient care that begins as soon as possible after stabilization and engaging the patient in making decisions about his ...
A follow-up after hospitalization for mental illness and ongoing treatment is essential for several reasons: Follow-up care helps patients maintain stable functioning. Gains made during inpatient care are more likely to be kept with follow-up treatment. Ongoing treatments and follow-up care reduce and delay hospitalizations in the future.
Parents should be aware if their son or daughter falls into a higher risk group—that is, patients who are at the greatest risk of failing to go to follow-up appointments or to disengage to any degree with treatment. These include patients with both mental illness and a substance use disorder and those with more severe mental illnesses, like schizophrenia.
Hospitalization for a mental illness stabilizes the patient. This is a crucial element of care because it quickly transitions a patient from an unhealthy, potentially dangerous state to one that is more manageable. It takes away much of the risk that the individual will harm himself or someone else.
Getting a follow-up after mental health hospitalization is essential for the long-term health and wellness of patients. For parents, watching an adult child go through stabilization in the hospital can be distressing, and it’s easy to assume that, once stable, he or she is well again and can go home and resume life as normal.
Residential treatment is one of the best options for long-term wellness because it allows patients to focus on and learn good self-care, coping strategies, and life skills.
Not receiving ongoing care can also increase the risk of related negative outcomes, like substance abuse, homelessness, violence, and suicide.
Recommendation 1: Medical evaluation should be conducted with the aim of identifying potential medical etiology (medical mimics such as infection, encephalopathy, and substance abuse intoxication or withdrawal) and medical comorbidities requiring care but not directly related to the current psychiatric complaint (such as diabetes or chronic obstructive pulmonary disease).
The minimum components to be included in the screening of these patients are: vital signs, history, physical examination, and assessment of mentation. Ideally, mentation should be assessed with a brief cognitive exam that includes assessment of attention, executive function, orientation, and recent memory.
EDs and psychiatric receiving facilities should collaborate in the creation of protocols identifying low-risk and high-risk categories, as well as appropriate procedures to be followed for each. Laboratory tests, neuroimaging, and other assessments may be required for certain categories and deferred for others.
In addition, various studies show that 19% to 80% of psychiatric patients have comorbid medical illness, which may cause, contribute to, or worsen psychiatric symptoms. ED physicians must often provide “medical clearance” of these patients before they can be transferred to psychiatric care, and these exams have become more intensive as ...