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Re-Imagining Psychiatric Care - Presentation (1).pptx

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Ashfaqul Tanim
Ashfaqul Tanim

The document discusses the growing need for mental health services in America and challenges facing clinics in meeting this demand. It notes that 1 in 5 adults experience mental illness while access to services remains limited. Current industry trends include increasing demand, regulatory complexity, and a shortage of qualified clinicians. While telepsychiatry offers benefits like improved access and work-life balance for providers, recruiting psychiatrists remains difficult for clinics. The adoption of telepsychiatry aims to help address workforce shortages and access barriers to better serve populations in need of mental healthcare.

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Re-Imagining Psychiatric Care innovatel.com
Growing Need for Mental Health Services 1 in 5 Adults in America experience some form of mental illness 13.6 million adults in America live with serious mental illness 24% of state prisoners have a recent history of a mental health condition 60% of adults with a mental illness received no mental health services in the previous year 50% of youth (ages 8-15) with a mental illness received no health services in the previous year Suicide is the 3rd leading cause of death in youth (ages 10-24), and the 10th leading cause of deaths for adults in the America The average delay between onset of mental health symptoms and intervention is 8-10 years Over $193 billion in lost earnings per year as a results from serious mental illnesses Source: National Alliance on Mental Illness (NAMI)
Significant Need for Care
Challenges Facing Clinics Clinics often struggle with high turn over, particularly with Psychiatrists At best uneven/inconsistent care for patients. A wide range in prescribing patterns Turn over is costly, both financially and clinically. Recruiting is a constant challenge. Significant challenges with access to care.
Current Industry Trends Significant increase in demand: Accountable Care Act Improved programming enhancing access to care Systematic downsizing and closing of the long term (State Hospital) level of care Increase in merger & acquisitions creating large provider organizations Shortage of qualified clinicians, Psychiatrist, Certified Nurse Practitioners, Licensed Clinical Social Workers Additional trends: Challenging pace and complexity of regulatory requirements Complexity and acuity of patient presentation. Movement to Integrated care Improvement in psychopharmacology
Is There Still A Psychiatric Shortage? More than half of the U.S. counties have no mental health professionals* The average nationwide distribution of psychiatrists is 8.9 psychiatrists per 100,000** 12,486 active psychiatrists (59% of total) are 55 and older, placing as the 3rd oldest specialty after pulmonology and oncology** An average of 1,243 psychiatrists will complete graduate medical education each year from 2014- 2017, with 6,032 psychiatrists over the next 4 years*** There is a potential that more psychiatrists will be leaving the specialty per year than entering Latest data suggests that 40% of all private practicing psychiatrists are accepting cash only
Behavioral Health Workforce Facing Critical Challenges in Meeting Population Needs
State of the Industry 0 20000 40000 60000 80000 100000 120000 140000 2010 2020 2030 2040 2050 Greater than 50% of psychiatrists and physicians are over the age of 50. It is estimated that mental health clinical needs will rise by 5Xs by 2040
Mental Health Specialty Providers Overwhelmed National average wait time for appointments with a mental health professional is 7.5 weeks If doctors are accepting new patients, next available appointments may range from 4 to 12 weeks out In states that have elected to expand Medicaid, providers are experiencing an increased pool of mental health patients due to increased Medicaid enrollment and decreased financial support at the state level for behavioral health services (i.e. closed psychiatric hospitals) Patients previously cared for at the psychiatric hospital now end up in jail due to limited state funded programing Shortage of mental health clinicians including psychotherapists, psychologists, and psychiatrists
Physician Recruitment National trends indicate increasing shortages. Competitive recruitment: time and expense. Recruitment firms fees average $25,000 to $35,000 per recruit. ($7,500 to $12,000 per CRNP). Base salary and benefits increasing, average base over $220,000. Benefits include: Insurances: Health, Dental and Vision coverage, ST & LT disability, Life. Malpractice insurance. PTO including CMEs with stipend. Medical school loan repayment. Annual licensing and DEA fees in each state. Workers comp. insurance. Sign on and retention bonus.
Psychiatric Recruitment Challenges Retirement of longtime psychiatric staff and nurses Vetting of telepsychiatry firms Multiple forms of recruitment failed Covering clinic responsibilities Result: A clear winner!
Positive Changes Recent legislation waiving state licensing requirements for telepsychiatrists providing care to active duty service members. Additional legislation proposed to include licensing across State lines for Medicare patients care. Medicaid covers telepsychiatry in 48 states. Medicare covers Telepsychiatry based on geographic location. 31 states have legislation requiring private payers to cover telepsychiaty.
Telepsychiatry Overview Telepsychiatry is being provided in a wide variety of settings Community Mental Health Centers, Inpatient Hospitals, Residential Treatment, Corrections, Skilled Nursing, etc. Initially, it is usually implemented as a means of cutting down drive time for direct care providers serving rural locations but other benefits present themselves (i.e. training, supervision, consultation, etc.) Technology costs have dropped significantly making telepsychiatry service line implementation a no-brainer for administrators and executives Younger psychiatrists are choosing telepsychiatry as a primary means to practice medicine for reasons like better work life balance
Telepsychiatrists Job Satisfaction Allows the opportunity to fulfill a commitment to provide care to underserved regions (without regard to location) to diverse patients in need of access to care. The level of collaboration between InnovaTel and Central Kansas Mental Health Center has provided me a level of support assisting me in providing services at the highest level of care. I have ongoing IT support that allows me to document directly on the electronic record at the clinic, including electronic prescribing. I have the opportunity to work with a talented, committed staff where I have become a virtual member of the treatment team. I enjoy having a caseload of patients that I can see consistently in collaboration with the treatment at Central Kansas Mental Health Center. The ability to partner with Central Kansas Mental Health Center from home provides an opportunity for a very positive work/life balance and overall job satisfaction.
Trending Telepsych Technology is more readily available and accessible than ever. Direct-to-consumer care is expanding (i.e. Walgreens, MDLive) More people are insured due to PPACA (Affordable Care Act), increasing demand for clinical services Telehealth technology is cost effective and quality has improved significantly fewer barriers to connectivity, better video and audio Millennials are gaining traction in market demand for expanded access and convenient care, having grown up in the digital age Payers are more open to technology-based service provision and reimbursement
Operating in a system now driven by payment and delivery system reform Medicare Access and CHIP Reauthorization Act (MACRA) Behavioral health conditions are nationally recognized as a major contributor to health outcomes and utilization Telepsychiatry may be the key element you are missing to support your comprehensive integrated care service delivery model Patient Protection & Affordable Care Act (PPACA) Medicaid Innovation Accelerator Program (IAP) Comorbidity of behavioral health has a direct impact to overall health care costs Telepsychiatry: The Innovative Value-Based Strategy
Thank You! Jonathan Evans President and CEO innovaTel Telepsychiatry Jon.evans@intelpsych.com 866.492.7597

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Re-Imagining Psychiatric Care - Presentation (1).pptx

  • 2. Growing Need for Mental Health Services 1 in 5 Adults in America experience some form of mental illness 13.6 million adults in America live with serious mental illness 24% of state prisoners have a recent history of a mental health condition 60% of adults with a mental illness received no mental health services in the previous year 50% of youth (ages 8-15) with a mental illness received no health services in the previous year Suicide is the 3rd leading cause of death in youth (ages 10-24), and the 10th leading cause of deaths for adults in the America The average delay between onset of mental health symptoms and intervention is 8-10 years Over $193 billion in lost earnings per year as a results from serious mental illnesses Source: National Alliance on Mental Illness (NAMI)
  • 4. Challenges Facing Clinics Clinics often struggle with high turn over, particularly with Psychiatrists At best uneven/inconsistent care for patients. A wide range in prescribing patterns Turn over is costly, both financially and clinically. Recruiting is a constant challenge. Significant challenges with access to care.
  • 5. Current Industry Trends Significant increase in demand: Accountable Care Act Improved programming enhancing access to care Systematic downsizing and closing of the long term (State Hospital) level of care Increase in merger & acquisitions creating large provider organizations Shortage of qualified clinicians, Psychiatrist, Certified Nurse Practitioners, Licensed Clinical Social Workers Additional trends: Challenging pace and complexity of regulatory requirements Complexity and acuity of patient presentation. Movement to Integrated care Improvement in psychopharmacology
  • 6. Is There Still A Psychiatric Shortage? More than half of the U.S. counties have no mental health professionals* The average nationwide distribution of psychiatrists is 8.9 psychiatrists per 100,000** 12,486 active psychiatrists (59% of total) are 55 and older, placing as the 3rd oldest specialty after pulmonology and oncology** An average of 1,243 psychiatrists will complete graduate medical education each year from 2014- 2017, with 6,032 psychiatrists over the next 4 years*** There is a potential that more psychiatrists will be leaving the specialty per year than entering Latest data suggests that 40% of all private practicing psychiatrists are accepting cash only
  • 7. Behavioral Health Workforce Facing Critical Challenges in Meeting Population Needs
  • 8. State of the Industry 0 20000 40000 60000 80000 100000 120000 140000 2010 2020 2030 2040 2050 Greater than 50% of psychiatrists and physicians are over the age of 50. It is estimated that mental health clinical needs will rise by 5Xs by 2040
  • 9. Mental Health Specialty Providers Overwhelmed National average wait time for appointments with a mental health professional is 7.5 weeks If doctors are accepting new patients, next available appointments may range from 4 to 12 weeks out In states that have elected to expand Medicaid, providers are experiencing an increased pool of mental health patients due to increased Medicaid enrollment and decreased financial support at the state level for behavioral health services (i.e. closed psychiatric hospitals) Patients previously cared for at the psychiatric hospital now end up in jail due to limited state funded programing Shortage of mental health clinicians including psychotherapists, psychologists, and psychiatrists
  • 10. Physician Recruitment National trends indicate increasing shortages. Competitive recruitment: time and expense. Recruitment firms fees average $25,000 to $35,000 per recruit. ($7,500 to $12,000 per CRNP). Base salary and benefits increasing, average base over $220,000. Benefits include: Insurances: Health, Dental and Vision coverage, ST & LT disability, Life. Malpractice insurance. PTO including CMEs with stipend. Medical school loan repayment. Annual licensing and DEA fees in each state. Workers comp. insurance. Sign on and retention bonus.
  • 11. Psychiatric Recruitment Challenges Retirement of longtime psychiatric staff and nurses Vetting of telepsychiatry firms Multiple forms of recruitment failed Covering clinic responsibilities Result: A clear winner!
  • 12. Positive Changes Recent legislation waiving state licensing requirements for telepsychiatrists providing care to active duty service members. Additional legislation proposed to include licensing across State lines for Medicare patients care. Medicaid covers telepsychiatry in 48 states. Medicare covers Telepsychiatry based on geographic location. 31 states have legislation requiring private payers to cover telepsychiaty.
  • 13. Telepsychiatry Overview Telepsychiatry is being provided in a wide variety of settings Community Mental Health Centers, Inpatient Hospitals, Residential Treatment, Corrections, Skilled Nursing, etc. Initially, it is usually implemented as a means of cutting down drive time for direct care providers serving rural locations but other benefits present themselves (i.e. training, supervision, consultation, etc.) Technology costs have dropped significantly making telepsychiatry service line implementation a no-brainer for administrators and executives Younger psychiatrists are choosing telepsychiatry as a primary means to practice medicine for reasons like better work life balance
  • 14. Telepsychiatrists Job Satisfaction Allows the opportunity to fulfill a commitment to provide care to underserved regions (without regard to location) to diverse patients in need of access to care. The level of collaboration between InnovaTel and Central Kansas Mental Health Center has provided me a level of support assisting me in providing services at the highest level of care. I have ongoing IT support that allows me to document directly on the electronic record at the clinic, including electronic prescribing. I have the opportunity to work with a talented, committed staff where I have become a virtual member of the treatment team. I enjoy having a caseload of patients that I can see consistently in collaboration with the treatment at Central Kansas Mental Health Center. The ability to partner with Central Kansas Mental Health Center from home provides an opportunity for a very positive work/life balance and overall job satisfaction.
  • 15. Trending Telepsych Technology is more readily available and accessible than ever. Direct-to-consumer care is expanding (i.e. Walgreens, MDLive) More people are insured due to PPACA (Affordable Care Act), increasing demand for clinical services Telehealth technology is cost effective and quality has improved significantly fewer barriers to connectivity, better video and audio Millennials are gaining traction in market demand for expanded access and convenient care, having grown up in the digital age Payers are more open to technology-based service provision and reimbursement
  • 16. Operating in a system now driven by payment and delivery system reform Medicare Access and CHIP Reauthorization Act (MACRA) Behavioral health conditions are nationally recognized as a major contributor to health outcomes and utilization Telepsychiatry may be the key element you are missing to support your comprehensive integrated care service delivery model Patient Protection & Affordable Care Act (PPACA) Medicaid Innovation Accelerator Program (IAP) Comorbidity of behavioral health has a direct impact to overall health care costs Telepsychiatry: The Innovative Value-Based Strategy
  • 17. Thank You! Jonathan Evans President and CEO innovaTel Telepsychiatry Jon.evans@intelpsych.com 866.492.7597