How Emergency Psychiatric Intervention Works
At its core, the EPI approach includes expertise and proven results in three areas:
- Elimination of over-processing
- Risk stratification and split flow processing
- Early and appropriate medication management
These three principles are already embedded in the standard processes that serve patients with medical complaints in the ED. However, they have not been successfully applied to the behavioral health population. Through the elimination of unnecessary roadblocks to expedite treatment, patients receive earlier assessments and differentiated care based on diagnosed need. Also, EPI creates core efficiencies to assess, evaluate, and treat behavioral health patients, reducing redundancies and freeing up time to care for more patients. All of this is achieved through a comprehensive education program and toolkit on behavioral healthcare best practices that minimize patient holding and improve care quality and patient experience.
Emergency Psychiatric Intervention at AMITA Health
AMITA Health is an award-winning health system delivering care to nearly 6.6 million residents in and around Chicago. Beginning in mid-2018, four AMITA hospital locations participated in the launch of EPI. Before implementation, all sites experienced high volumes of behavioral health patients in their EDs and were looking for a risk stratification method and new medication protocols that lead to more efficient and accurate diagnoses and treatment, and faster discharge rates.
The participating locations achieved remarkable results within six months after implementing EPI. Care teams across levels changed their processes and as a result, dramatically improved the quality of care they provide (prescribing patterns) and significantly improved their throughput times.
- A 25% or more decrease in length of stay for both low and moderate acuity behavioral health patients
- Use of restraints was reduced by over 50%
- For patients needing medication, starting medications within one hour increased by almost 200%
- Staff reported a 34% increase in their feelings of safety when taking care of psychiatric patients
Learn more about EPI at AMITA Health in this Chicago Tribune article.
Transforming the ED for All Stakeholders
The impact of effectively and compassionately serving all ED patients, including those with behavioral health conditions, is profound.
- Hospitals and health systems improve clinical quality, profitability, and patient scores while elevating their brand
- EDs achieve higher throughput and better care for all, with fewer behavioral patient admissions and more stable, engaged staff
- Providers gain new confidence in their ability to heal, rekindling the joy of practicing medicine
- All patients know on a very human level that they're properly cared for with dignity and respect
To learn more about how to incorporate EPI at your practice location or health system, contact firstname.lastname@example.org.