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Hospitalists Caring for Behavioral Health Inpatients: A Hybrid Consultation Model.

Kimberly Bloom-Feshbach1, Rebecca E Berger2, Arthur T Evans2

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Summary
This summary is machine-generated.

A hybrid internal medicine consultation model for behavioral health centers (BHCs) is feasible and acceptable. This approach improves care for psychiatric inpatients while offering rewarding work for hospitalists.

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Area of Science:

  • Internal Medicine
  • Psychiatry
  • Healthcare Delivery Models

Background:

  • Optimal medical consultant care for psychiatric inpatients in behavioral health centers (BHCs) lacks established best practices.
  • Behavioral health centers require integrated medical and psychiatric care for comprehensive patient management.

Purpose of the Study:

  • To assess the feasibility and acceptability of a hybrid on-site and virtual internal medicine consultation model within a BHC.
  • To improve medical care accessibility for psychiatric inpatients.

Main Methods:

  • Implementation of a hybrid model involving 9 hospitalists and 1 internist alongside nurse practitioners.
  • Hospitalists provided pre-procedural evaluations, acute consultations, chronic disease management, and pre-admission assessments.
  • Anonymous surveys of BHC faculty (hospitalists and psychiatrists) for qualitative feedback.

Main Results:

  • Psychiatrists valued hospitalist expertise, communication, and collaborative problem-solving.
  • Hospitalists reported professional growth, meaningful work with vulnerable populations, and improved work-life integration.
  • Identified challenges included handoffs, role clarity, and virtual work's impact on team cohesion.

Conclusions:

  • A hybrid internal medicine consultation model is a feasible and acceptable approach for BHCs.
  • This collaborative model offers professionally and personally rewarding experiences for healthcare providers.
  • The model enhances integrated care for psychiatric inpatients, addressing a critical gap in current practices.