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Psychiatry Update
Presented at
Stone Institute of Psychiatry
Employee Open Forums
November 8, 2007
By
Maureen Slade and Ronald Krasner, MD
Northwestern Memorial
Hospital
Agenda
• Welcome
• New Chairman – Department of Psychiatry
• Inpatient Psychiatric Services
• Enhanced Outpatient Services
• Questions and Answers
Chairman Selection
•
John G. Csernansky, MD
– Washington University School of Medicine, St. Louis Missouri
– Gregory B. Couch Professor of Psychiatry, Professor of
–
–
•
Neurobiology, Department of Anatomy and Neurobiology
Director, Silvio Conte Center for the Neuroscience of Mental
Disorders
Site Principal Investigator, Treatment Units for research on
Neurocognition and Schizophrenia (TURNS)
Chicago Native
Northwestern Graduate (BA, Chemistry)
–
–
Likely to start February or March of 2008
Inpatient Psychiatric Services
• Galter Pavilion, Floor 13
• 30 Inpatient Beds
• Estimated move Spring 2010
• Beautiful, state-of-the-art, healing environment for
psychiatric patients
Enhanced Outpatient Services
– Offer a short stay unit in the ED to more appropriately
diagnose and link ED patients to the best treatment
options
– Provide Intensive Case Management to our most at risk
patients to support a seamless transition to treatment
– Develop step-down services through a Partial Hospital
Program that serves acute patients
– Improved Access to Outpatient Treatment
– Expanded Emergency Housing Programs and actively
link patients to housing options
Psych ED DMAIC Project
• Goal – Care of the Psychiatric patient in the ED is timely, safe and
effective
• LOS varies between 9 and 15 hours based on disposition type
• Implemented the project in July 2007
• Staff highly involved in defining issues and data collection which
completed in Oct 2007
• Important take away – 69% of Psych patient in the ED are medically
complex therefore 31% of the patients may be amenable to a fast
track for medical clearance
Galter Inpatient Unit Design
Process
• Multiple Design Meetings in Spring 2007
• Multidisciplinary leadership workgroups
• 3 inpatient staff workgroups
• PM and weekend workgroups
• Chairman, Medical Director and Residency Training Director
participation
• 2 site visits
• Avera-McKennan - Sioux Falls, South Dakota
• Indiana State Psychiatric Hospital – Evansville, Indiana
Questions and Answers