Solutions Forum

Returning this year to LAC, the Solutions Forum will provide a deeper dive into two important topics facing emergency medicine today— mental health and telemedicine. Innovations in these areas developed in emergency departments across the country will be highlighted.

Wednesday, May 8 - Solutions Forum

8:00 am - 8:10 am Welcome and Introductions - Presentation of Innovations in Acute Care Suicide Prevention Awards
Vidor Friedman, MD, FACEP, ACEP President
Telemedicine Innovations  
8:10 am - 8:30 am Remarks from United States Congressman Bill Johnson (OH-06)

Rep. Johnson is a member of the Congressional Telehealth Caucus and was an original cosponsor of the CONNECT for Health Act in the 115th Congress.
8:30 am - 9:00 am A Comparison of Tele-triage Experiences to Speed Emergency Department Patient Flow – Lessons Learned
Edward Barthell, MD, MS, FACEP

Compares the tele-triage experience (where a remote clinician is contacted for a consult by the triage nurse when patients arrive for care in a hospital emergency department) at three hospitals in Wisconsin with three facilities in North Carolina.
9:00 am - 9:30 am Designing a Telemedicine Observation Unit
Keith DellaGrotta, MD

Emory University Hospital is moving toward a remote telemedicine physician-supervised ED observation unit that is APP-staffed.
9:30 am - 10:00 am Tele-EM program at Massachusetts General Hospital
Emily M. Hayden, MD, MHPE

Use of telemedicine by emergency medicine providers for care and transfer coordination between emergency departments.
10:00 am - 10:30 am ETHAN: Emergency Tele-Health and Navigation
Michael G. Gonzalez, MD, FACEP

Houston: We Have A Solution! Houston Fire/EMS utilizes telemedicine to connect low-acuity 911 callers with an emergency physician who can provide alternate transport options, schedule alternative clinic destinations, in an effort to safely navigate patients away from busy, crowded emergency departments.
10:30 am - 10:45 am Break
Mental Health Innovations  
10:45 am - 11:15 am The Burke Center’s Mental Health Emergency Center
Avrim Fishkind, MD and Ms. Susan Rushing

Burke MHEC is a freestanding rural comprehensive psychiatric emergency program with psychiatric services performed entirely by emergency tele-psychiatrists. Serving over 400,000 people across 11,000 square miles, the breadth of services offered is more common to urban emergency facilities than to the rural area it serves.
11:15 am - 11:45 am EmPATH Units: Psychiatric Emergency Services as an Alternate Destination for Patients Experiencing a Mental Health Emergency
Tarak Trivedi, MD, MS and Scott Zeller, MD

The Alameda Model for Oakland/Alameda County, CA, features a protocol by which EMS can take appropriate patients, including those on involuntary holds, directly to a stand-alone, EMTALA-compliant psychiatric ER called an EmPATH Unit, bypassing general hospital EDs and greatly reducing overall demand for psychiatric emergency care and boarding for 11 county emergency departments while proving safe and effective.
11:45 am - 12:15 pm Interdisciplinary Rounding for Mental Health Care in the Emergency Department at Brigham and Women’s Faulkner Hospital
Luis F. Lobón, MD, MS and Dana Im, MD, MPP, MPhil

Implementation of daily interdisciplinary rounding for patients with mental health emergencies boarding in the emergency department at Brigham and Women’s Faulkner Hospital has demonstrated decreased length of stay, increased utilization of alternative options for disposition (discharge, partial programs, and crisis stabilization units), decreased utilization of resources and reduced hours of constant observation, and improved staff satisfaction.
12:15 pm - 12:45 pm Limited Resources and Plenty of Uncertainty: Substance Abuse and Mental Health Treatment in the University of Iowa Hospitals and Clinics Emergency Department
Levi Kannedy, MHA

A 10-year system redesign effort led by Emergency Medicine and Psychiatry at the University of Iowa Hospitals and clinics has resulted in significant reduction of length of ED stay, decreased boarding, improved staff morale, and improved patient satisfaction.
1:00 pm Adjourn