Date of Award

2016

Document Type

Dissertation

Degree Name

Doctor of Health Administration

College

College of Health Professions

First Advisor

Abby Kazley

Second Advisor

Annie Simpson

Third Advisor

Gwyndolan Swain

Abstract

The purpose of this study is to test if the implementation of the Tele-Psychiatric Consultation Process (built within the FirstNet (Cerner/EMR) application, which pulls the patient’s current EMR encounter from multiple facility locations to a different physical facility location for consultation) provided increased quality by decreasing in total length of stay. The coordination of virtual care consultations allows for inter-practice data exchange for multi-provider clinical decision support. Documentation of medications and treatment regimens, which may be unfamiliar to the acute care provider, are provided through virtual tele-psychiatric consultations. An eTracking queue within FirstNet was built in-house by Carolinas Healthcare System to bridge the gap by integrating separate dual processes from fourteen emergency departments and behavioral health centers to better coordinate the flow of patient care. This study will examine if the transaction of data and information by this FirstNet (EMR) enhancement of system processes results in a decrease in patient length of stay as an indicator of improvement in quality of care.

Rights

All rights reserved. Copyright is held by the author.

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