Health Care At Tri County Regional Hospital

The mission of ReDiscover is “to deliver mental health and substance use disorder services to help individuals and families achieve healthier and more productive lives”. Rediscover Common Ground provides strengths based case management support, CPRC transportation, medical services, therapy, and outpatient psychiatric services. There is currently one psychiatrist, one psychiatric nurse and three therapists working at ReDiscover Common Ground. There are a number of case managers and team leaders at this location, however, these staff often fluctuate throughout the different ReDiscover locations so a total number is difficult to identify.

The North Texas State Hospital (NTSH) is part of the Department of State Health Services (DSHS) administration. NTSH is a mental healthcare facility that has two campuses: one department is located in Wichita Falls, TX and the other in Vernon, TX. Including both campuses DSHS is the largest mental hospital in the state of Texas, which provides psychiatric services for the mentally ill. NTSH is the only facility in the entire state of Texas that provides forensic psychiatric care. Forensic psychiatric care is a specialized service for prisoners who have mental disorders. NTSH offers a 284-bed maximum security program for adults and a 78-bed adolescent Forensic Program (DSHS Center, 2017). NTSH aims to improve the health, safety, and wellbeing of individuals by providing the right stewardship, reducing health care problems, improving public health awareness, and preventing diseases. In order to improve health and safety, NTSH is accredited by the Joint Commission on Accreditation of Healthcare Organizations. The Joint Commission is an independent, not for profit association that set standards to evaluate

so that they can directly give patients medications instead of going through the pharmacy. This could be a big problem

Educate CMs and Navigators on how to educate and assist patients transition PH services to MRZ.

This is a report of an Interview with Karen Gordon-Sosby, associate director at Texas State Student Health Center. Karen is a highly motivated professional, an experienced healthcare administrator and appears to possess inherent management and leadership skills that are quite significant and noteworthy. Her expertise in performing the indispensable task in managing and analyzing financial records, brings a unique blend of health administration and public health prowess to the healthcare industry.

During my 4 months after my winter semester, I’ve been working for a company which seems well known around the city of Mississauga and West End of Toronto called Trillium Health Partners. Trillium Health Partners is a hospital which has a tremendous and outstanding record of their performance, fiscal responsibility and patient care. From what I’ve seen from working there, everybody achieves and support high quality care that when patients from the community come into the hospital and leaves looking satisfied. Also to add on, they have 3 main sites which includes Credit Valley Hospital, Mississauga Hospital and Queensway Health Centre to which I was very honoured to visit and work at all 3 sites during the summer. My job title was Desk side

Also just have Dr. McCrae doing educational mental health screening things to get more patients engaged in the department who may not even know that they need the services. Education is always the key to development.

In 2004, Riverview Medical Center (RRMC), originally called The Holy Name of Jesus Hospital, was acquired and revamped by the Hospital Management Associates (HMA) and has become a state of art facility with improved efficiencies to ensure high quality care. “RRMC is a 281-licensed bed acute care facility accredited by the Joint Commission on Accreditation of Healthcare Organizations, certified for participation in the Medicare Program, and contracted/participated in Blue Cross Plans” (Richards & Slovensky, 2004). The facility is one of the primary employers in the area and provides job opportunities to approximately 700 individuals” (Richards & Slovensky, 2004). RRMC encountered significant challenges against their competitors, Mountain View, Gadsden Regional and HealthSouth. A major challenge was the fact that they were not the sole or primary healthcare provider in the market service area. Secondly, many of RRMC’s key medical staff members and group practices were not in a central location within the vicinity of the hospital. Thirdly, RRMC’s emergency department was in great need of renovation and they lacked in the variety of clinical programs they offered in terms of cancer treatment, neurosurgery, psychiatry, obstetrics, rehabilitation and surgical outpatient care.

There are three acute care hospitals in Bay County area: Gulf Coast Regional Medical Center, Bay Medical Center Sacred Heart Health System and Sacred Heart Hospital on the Emerald Coast. All three hospitals provide emergency services, outpatient department is able to accept lab results electronically from outside laboratories in the different hospitals, use electronic record system in order to track lab tests and results of their patients and use safe surgery checklist for both inpatient and outpatient checklist for safe surgery results.

Terros Health is a well-known organization within the behavioral health community. However, many efforts are being made to build community relationships through different outreach efforts. “Community outreach is an effort by individuals within an organization to connect their ideas or practices to the general public” (Riesch, Ngui, Ehlert, Miller, Cronk, Leuthner, Strehlow, Hewitt & Durkin, 2013, p. 255). The goal of the community outreach is to become the provider of choice for both prevention and treatment services. Given the fact that the organization has changed to a holistic approached new clinics have opened where physicians provide preventive care and work hand in hand with clinicians. In addition, Terros Health has acquired other companies

Heritage Oaks Hospital provides a less restrictive step-down treatment environment at three outpatient centers: Harbor Oaks in West Sacramento serves adults and senior adults; Roseville Oaks serves adolescents, adults, and senior adults; and Winding Oaks next to the main hospital serves adults and senior adults. According to course textbook, the goal of outpatient programs is to improve quality of life and to return clients to daily activities among family, peers, and the community (Varcarolis, 2013). The treatments available include psychiatric, emotional, behavioral, and substance abuse. These outpatient centers have partial hospitalization program (PHP) and intensive outpatient program (IOP). According to the hospital website, outpatient services include physician oversight, medication management, group therapies, educational practices such as cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) (heritageoakshospital.com, 2017). I was assigned to Roseville Oaks Outpatient Behavioral Health Center. It was helpful for me to

Should provide referral mechanism for the doctors, so that they can refer their patients to a specialist.

Cons: This focus could cause a lack of attention in other needed areas. The clinic would have to make staff and time changes to accommodate to the shift in majority of clients. There is also the potential of businesses not being interested in our proposition.

This allows more access to doctors without having to have many doctors on site 24-7 (Banner Health, 2012).

I believe an excellent alternative to the current approach to behavioral health issues would be the incorporation of Telemedicine encounters into the reimbursement schedule for Medicaid patients. If Medicaid and other payers in the industry would take a more proactive approach to the treatment of diseases and illnesses such as substance abuse or PTSD, then there would be more exposure and treatment available to people who suffer from these conditions and it would increase the overall population health in areas where Telemedicine services are provided and encounters with psychiatrists can be conducted via videoconferencing between the patients in their home and providers at their usual location that wouldn’t otherwise have been conducted at all.