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Telepsychiatry in the Emergency Department: Overview and Case Studies

The Abaris Group

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December 2009

Patients who present in the emergency department (ED) with mental health issues often encounter long delays before being evaluated and admitted, transferred, or discharged. Arranging appropriate evaluation for these patients often disproportionately affects the operation of the ED, particularly in terms of space and staffing.

Some hospitals are using telemedicine to help evaluate ED patients. This report examines seven ED telepsychiatry programs in terms of their operational structure, financial support, and the challenges they have encountered. It also looks at the potential value that telepsychiatry could bring to the efficient operation of the ED and improved patient care.

The issues discussed include:

  • Technology and infrastructure;
  • Financial support;
  • Federal and California regulatory issues;
  • Licensing requirements;
  • Accreditation standards; and
  • Reimbursement related to Medicare, Medicaid, and private payers.

The complete report is available under Document Downloads below.