Room: 229 AB North
This is part of an HQ Talks session, which includes two presentations during the hour.
Caring for Patients with Complex Behavioral Health Needs
Presenters: Rebecca Ramel, BSN RN; Heidi Boehm, MSN RN-BC; and Liz Carlton, MSN RN CCRN-K CPHQ CPPS
The purpose of this session is to provide one strategy for managing patients with complex behavioral health needs. Incidences of aggression and violence towards healthcare providers have escalated and are more likely to occur when patients have an unmanaged psychiatric diagnosis with concurrent medical treatments. Up to 60% of hospital inpatients have a dual diagnosis (med/surg and an active psychiatric diagnosis). We implemented standard processes to proactively plan care and safely treat these "Complex Behavioral Health Patients (CBHP)". Management of the CBHP begins with appropriate and early identification. Daily interdisciplinary huddles utilizing standard work and documentation address issues such as capacity, patient/staff safety, medication management, behavioral care plans and discharge plans. Strategies also include environmental assessments, patient safety assistants, and staff education. Outcome measures include huddle impact, assault data, and the effect on behavioral response team activations.
- Standardize the approach of caring for patients with complex behavioral health needs
- Improve the quality of care of patients with complex behavioral health needs
- Reduce repeat behavior response team activations
Rebecca Ramel graduated from The University of Kansas with a bachelor's in Nursing in 2004. She is the Nurse Manager of a Medical Progressive Care Unit specializing in Pulmonary Hypertension at the University of Kansas Health System. She works frequently with patients in an inpatient setting who have both an acute medical diagnosis along with an unmanaged psychiatric or behavioral issue. She has spent the last year working on an interdisciplinary team to develop standards of care for this patient population.
Heidi Boehm is a Quality Outcomes Coordinator at The University of Kansas Health System. In this role, she serves as a project manager and manages data for the Complex Behavioral Health Patient Oversight Committee, Suicide Prevention team, Behavior Response Team Innovation work group, Assault prevention, and for patient safety cases in behavioral health. Boehm is the co-founder of the Kansas City Metro Healthcare Quality and Safety Consortium and is a member of the American Society of Professionals in Patient Safety. She is also adjunct faculty at The University of Kansas School of Nursing and teaches students about quality improvement.