000009101 001__ 9101
000009101 005__ 20240517110658.0
000009101 0247_ $$2DOI$$a10.6083/dj52w553v
000009101 037__ $$aETD
000009101 245__ $$aImplementation of telepsychiatry services in a county-based behavioral health setting: a quality improvement project
000009101 260__ $$bOregon Health and Science University
000009101 269__ $$a2021
000009101 336__ $$aFinal project
000009101 502__ $$bD.N.P.
000009101 520__ $$aDuring the COVID-19 global pandemic, a county-based adult behavioral health clinic promptly transitioned from face-to-face patient encounters to telepsychiatry technologies. Due to a low resilience for change and scarcity of quality improvement norms and procedures, identification of staff responsible for patient anticipatory guidance and telepsychiatry education were contacted to engage in an on-demand module on the patient experience of telepsychiatry. A pre-and-post test survey was administered, classifying specific themes for quality improvement via grounded theory. Themes emerged were analyzed through the lens of the quality improvement model, Plan-Do-Study-Act (PDSA), and evidence-based procedures and models via nationally recognized and federal healthcare entities. Implications explored included upstream analysis of quality improvement at the county-based health department and behavioral health clinic, work-burden relative to mismanagement of telepsychiatry, and the necessity for continued quantitative and qualitative data collection on patient experience, attendance of tele-appointments, medication non-adherence, suicidal and homicidal behaviors, and emergency room visits, during the continued implementation of evidence based telepsychiatry.
000009101 542__ $$fIn copyright - single owner
000009101 650__ $$aPsychiatry$$024823
000009101 650__ $$aMental Health$$022046
000009101 650__ $$aCommunity Mental Health Services$$016949
000009101 650__ $$aOutpatients$$023380
000009101 650__ $$aMental Disorders$$015415
000009101 650__ $$aTelemedicine$$029784
000009101 691__ $$aSchool of Nursing$$041370
000009101 7001_ $$aJensen, Bethany$$uOregon Health and Science University$$041354
000009101 8564_ $$9ed663e29-3fd9-47eb-9245-31a86f4556bf$$s1314580$$uhttps://digitalcollections.ohsu.edu/record/9101/files/Jensen.Bethany.2021.pdf
000009101 905__ $$a/rest/prod/dj/52/w5/53/dj52w553v
000009101 909CO $$ooai:digitalcollections.ohsu.edu:9101$$pstudent-work
000009101 980__ $$aTheses and Dissertations