Tag: Community Mental Health

  • Mechanics of Being Client-First in Community Mental Health

    Mechanics of Being Client-First in Community Mental Health

    Being client-first in community mental health means prioritizing the needs and quality of treatment of clients above all else. This much is self-explanatory, but incorporating a client-first mindset in a community mental health setting can be complicated. In practice it goes well beyond the points of contact – scheduling, direct care, follow-up, etc – to program design, staffing, administration, IT and operations.

    The intake process alone involves not just screening and identifying appropriate clients but a knowledge of your reimbursement contracts, the caseloads and training of practitioners, the composition and readiness of your support team.

    The further you move from direct care, the easier it is to lose sight of what it means to be client-first. Consider some common issues related to IT. Does your team have reliable access to your electronic systems for communication and reporting? Do you have network redundancies in place for mission-critical applications like telepsychiatry and EHR access? Do you utilize E-prescribing for consistency and accuracy? These are just a few of the questions every organization should ask itself. Answering ‘no’ is the first step to discovering new opportunities to improve.

    For those that think they can’t improve, scarcity is often identified as the reason. Budgets are thin and resources are scarce. However, many of the actions that appear to be expensive will save you money in the long run by reducing inefficiency and preventing costly mistakes and downtime.

    As you look for new ways to better serve your clients, consider that some changes to your supporting processes may be a cost effective move toward being client-first.

  • Telepsychiatry Setup – Agency Case Study

    Telepsychiatry Setup – Agency Case Study

    There are many benefits to adding telepsychiatry to your community mental health service offerings. We have had the opportunity to help a few agencies build these capabilities recently. It is something we are happy to do, and thought it is worth sharing the basic steps to getting started.

    • Getting buy-in from your team is the first essential step. The best way to do this is to discuss the benefits of using telepsychiatry for clients and coverage. When the psychiatrist you want on your team is not available to travel to your location, telepsychiatry makes it possible. It gives agencies more options, especially those in regions where few psychiatrists live. It also provides more options for part-time and flexible coverage. Make it part of your interview process to involve your team in video conferencing with prospective psychiatrists. When you find the right fit, and you can introduce your team to someone with the experience and skills you need, we believe you’ll find it easier to get buy-in.
    • The next step is to review (and amend if necessary) your agency certifications, policies and procedures, and contracts to ensure that you can bill for services provided via telepsychiatry. This process takes a little patience but it is something Sites Professionals can assist you with. Having it as an option will open the door to new opportunities and ways to grow your services.
    • Prepare your team. This includes having a designated staff as the telepsychiatry champion who will be the key person to help with the implementation of telepsychiatry, making it a smooth process. You will also need to identify team members at the client-site who can be present with clients, take vitals as needed, and call on additional support for issues that arise including behavioral concerns and technical support.
    • The setup is the easy part. You will need a room, a computer with a large screen, quality microphone and speakers. There are several easy-to-use HIPPA-compliant video conferencing services available, and we are happy to offer recommendations. Most EHR’s have web or VPN access options. You will also want to have an e-prescribing service (these are great for in-person psychiatrists too!).

    Sites Professionals takes care of the rest. We can handle setup and training on the psychiatrist’s side, and assist your agency as well. The best part is that Sites Professionals does not charge for these services. It is part of our mission to help your agency increase your psychiatric capacity to provide the best possible care to your clients.

    Call us to learn more about what we can do for you.

  • Picking up a day or two with Sites Professionals

    Picking up a day or two with Sites Professionals

    For psychiatrists, working in community mental health is a convenient and meaningful experience. Sites Professionals makes it easy. The need for qualified psychiatric coverage in community mental health is great. Their clients are deserving and in need, yet are dramatically underserved due to social and economic factors.

    For practitioners, the benefits of providing psychiatric care to this population include a longer duration of care than is found in private and hospital settings; and a support team to help with clinical and administrative tasks. Additionally, Sites Professionals can locate placements for as little as 4 hours a week up to full time, making it possible to fit into any schedule. We provide occurrence-based malpractice insurance, many placements can be conducted via telepsychiatry or include travel reimbursement. Sites Professionals will do what it takes to find the best match for your interests, qualifications, and availability.

    Let us help you provide the clients in California community mental health system with the best available care.

  • SCPS Career Day and New Positions Available

    SCPS Career Day and New Positions Available

    Thanks to everyone we met at the Southern California Psychiatric Society Career Day on 12/8. We look forward to working with you. On a related note, we have several new positions available here, in a variety of treatment settings and populations. Looking forward to a terrific new year, we wish the best to you and your loved ones.

    -Nancy and Jeff

  • How do you provide good care in the system of mental health?

    How do you provide good care in the system of mental health?

    We (Nancy and I) have experienced the workings of mental health services in California from a number of angles. We have seen it from the perspective of administrators, as a practitioner (Nancy), and as vendor/consultants via Sites Professionals. Our work with Sites Professionals has only broadened our understanding of the complexities of providing good care to clients.

    By interfacing with agencies, practitioners, Department of Mental Health administrators, and many others in the local mental health ecosystem we have gained a new perspective on all of the layers of services from top-level funding sources (and their objectives) down to the outcomes of individual clients. In this full-stack of care, there are many different approaches. Especially at the provider level there are differences in team configuration, record keeping and EHRs, treatment philosophies and modalities of care.

    There are, it turns out, many ways in which a team can consistently meet the treatment goals of clients while successfully executing the administrative work of billing and coordinating the efforts of individuals within the organization. The most successful are also skilled at planning for and managing change.

    How do you do it? How do you maintain a system in which practitioners and staff come and go; in which the treatment goals for individuals are unique and subject to revision? What experiences and lessons would you share with your peers and what questions would you ask?

    I believe we are all servicing a common cause, and we have much to learn from one another.

    [Join this discussion on LinkedIn.]

  • Helping You Serve the Underserved

    Helping You Serve the Underserved

    Adding a day or two to your psychiatric practice is easy with Sites Professionals. We will sit down with you to get to know your goals, interests and areas of focus, in order to identify placements that match what you’re looking for. We may even have suggestions you hadn’t considered.

    From there our role is to make your placement a success, by any means. From credentialing and help during the on-boarding process, to continued technical and administrative support for the duration your placement.

    We work with organizations attending to those in greatest need. By working with us you’ll find it easier to help the underserved as a part of your practice.

  • Understanding Your Responsibilities in the California CURES 2.0 Program

    Understanding Your Responsibilities in the California CURES 2.0 Program

    The Controlled Substance Utilization Review and Evaluation System, also known as CURES 2.0, comes from California’s Health and Safety Code Section 11165.1.

    Effective Oct 2, 2018, all doctors, prescribing schedule II, III and IV to patients for the first time must consult the CURES system no earlier than 24 hours before prescribing (or the previous business day). They are also required to check the CURES system at least once every 4 months thereafter if the controlled substance remains part of the treatment plan of the patient.

    Doctors, if you don’t already have a login, you can register at this link.

    Potential Impact on Mental Health Organizations

    Organizations that provide medication support services may want to be prepared for a number of changes. These are among the things we think you will want to consider and prepare for:

    • Allocate more time for initial medication evaluations and for medication follow ups, as all doctors will need to check the CURES database when they prescribe a controlled substance.
    • The doctor will also need to check the CURES database prior to prescribing each/any new controlled substance medication.
    • A system may need to be implemented that flags the patient’s chart or set a reminder for the doctors to check the CURES database every 4 months for those patients taking controlled substances. This will need to occur for as long as the patients are taking the same controlled substance as part of their treatment plan.
    • Doctors covering for other doctors prescribing or providing a refill of a controlled substance, will have to check the CURES database as it will count as their first time prescribing a controlled substance to that patient.
    • For potential auditing purposes, it is highly recommended that the prescriber document the CURES database check in the patient’s chart, or place the Patient Activity Report (PAR) from the CURES database in the patient’s chart.
    • Only the prescribing doctor can check the CURES database when prescribing a controlled substance. Support staff can be identified as “Delegates” by the prescribing doctor, but they can only request the PAR for the prescribing doctor to review. The report will be posted to the prescribing doctor’s dashboard where only she/he will be able to view it and print.
    • The CURES requirement also applies to out-of-state doctors providing telemedicine/telepsychiatry services to patients living in California.

    Exemptions

    There are exemptions to this requirement, including certain treatment settings and emergency scenarios. If you think you may qualify for an exemption, we suggest that you first get confirmation from the California Department of Justice. However, our recommendation would be to always check the CURES database as part of your risk management practices.

    Be Prepared

    To better understand the CURES program and its effects, we reviewed a number publications and spoke by phone to representatives at the California Department of Justice and the California Medical Board. Please be aware that your practice or organization may be impacted differently.

    Additional Information

    California Medical Board CURES FAQ
    California DOJ CURES FAQ
    California Hospital Association on CURES

  • Effortless Psychiatric Placements

    Effortless Psychiatric Placements

    We have years of experience in the field of community mental health in California. Whether you are looking to add 1 day or 5 days to your practice, Sites Professionals makes working with at-risk and underserved populations a seamless and rewarding experience. We do this by vetting the agencies and practitioners we work with and carefully matching you based on your skills, experience, and requirements. When you work with us, you have our full support.

  • Telepsychiatry in a Nutshell

    Telepsychiatry in a Nutshell

    The benefits of using telepsychiatry are many. Sites Professionals will help you with everything you need to get set up in no time.

    • Faster recruitment and retention of psychiatrists
    • Emergency consultation
    • Increased access to psychiatric care
    • Improved treatment outcomes
    • Environmentally friendly
    • Cost effective
  • Flexibility Gets Top Talent

    Flexibility Gets Top Talent

    With clients waiting for medication services, are agencies being flexible enough to attract and retain top psychiatrists?

    Telepsychiatry is one of the most sought-after perks for practitioners. With it, agencies can deliver medication services regardless of location and with greater adaptability to their scheduling needs. The myth is that clients don’t like it, the truth is that it opens the door to many more practitioners better-matched to your client population and increases access to psychiatric care. Similarly, many agencies would prefer to work with bilingual psychiatrists. I get it, but while waiting for the perfect match, look into implementing translation services. It is often more cost effective and it opens the door to really terrific and skilled practitioners.

    Yes, there is a shortage of available psychiatrists but are you sure that’s why you’re having a hard time filling your psychiatric positions?

  • Sites Professionals is Different

    Sites Professionals is Different

    How we are Different

    There are many varieties of staffing, recruitment and locum tenens businesses out there. Most of these businesses take advantage of inefficiencies in the market by casting a wide net and failing to sufficiently vet and match mental health agencies and practitioners. They also provide little to no additional support during the placement.

    Sites Professionals puts a tremendous effort into matching qualified candidates to excellent agencies. We work in partnership with practitioners and the medication support team for the duration of placements.

    Partnering with Us

    Think of Sites Professionals as augmenting your psychiatric practice. By working with us on a placement, you also get all the added value we provide. Finding and matching individuals to agencies is just the beginning. Before the a placement begins, we will have met with the leadership team at the agency, conducted full credentialing and provided malpractice insurance for the practitioner, and assisted with setup including telepsychiatry and EHR training.

    Once a placement has begun we continue to provide technical support as needed, handle time cards and billing, and remain responsive and engaged. Should you need it, we are also available to help your medication team with best practices, feedback on policies and procedures, staffing configuration and more.

  • Telepsychiatry in Community Mental Health

    Telepsychiatry in Community Mental Health

    The people in greatest need and those most able to help are not frequently neighbors. In a sprawling and traffic-plagued region like California, it can be especially difficult to assemble a team of psychiatric practitioners. Long commutes are often a barrier to otherwise qualified and well-matched individuals. There are ways around this. One of those ways is to use telepsychiatry.

    With a little creativity and technical know-how, telepsychiatry can be incorporated into just about any community mental health practice. It can be deployed full time or may be used to supplement in-person coverage. For example, with medication follow-up appointments. Locations can get certified, practitioners can be trained. If you are having trouble getting psychiatric care for your clients, why not give telepsychiatry a try?