Magelan Project
Hello everyone, and welcome to my Magellan project.
On this page, I will focus on what exactly my Magellan project is all about the people I will be working with and the goals I hope to accomplish.
My Magellan is focused on the act of deinstitutionalizing treatment of mental disorders, this means changing the way doctors and therapist treat and diagnose patients with behavioral health issues. The program that I will be explicitly following for the month of June is the TiPs program and one of its important members. TiPs stands for Telephonic Psychiatrics System, the program is a massive consultation system founded by the state to help pediatric services get in contact with behavioral health professionals within thirty minutes to discus a patients case or to set up an appointment at the Children's Hospital behavioral health offices in Wexford Pennsylvania with in two weeks of the phone call. The program works on a well known system called curbside consultation. Curb side consultation started when people in need of medical advice would literally pull their carts up to the curb of the medicine man and ask for advice for an ailment. In today's terms it means that a patient's doctor is able to ask for another medical professional opinion on said patient's case even if it is not the other doctor's specialty or their patient in question. It also means that the doctor does not need to get permission from their patient to get advice from another colleague. The practice of curbside consultation is a good thing. The best doctors are always looking for another doctor's opinion and double checking their work. This makes sure that the doctors are at the top of their game and never make any medical decision to quickly, which in turn, is good for their patients.
The TiPs program is a state founded program through the human service department under the medical side of Medicate. Through the medical side of Medicate, all the behavioral treatment goes under it's own section of managed care. The TiPs program is just one of many across the country all of which have been found to be highly successful at helping family pediatrics get behavioral health consults and to help treat children who come from low income families. The program was created to help pacify the need for child psychiatrists in pediatric offices. Most family practices will have the required behavioral analysis on staff but not a mental health professional. Around 10% of children need behavioral and mental help from a doctor but are unable to receive any. This lack of a mental health professional may leave doctors feeling uneasy about certain patient's symptoms and therefore the doctor may decide to send the patient to the ER even if the patient did not present with suicidal or other dangerous symptoms.
Since July first of 2016, Dr. Schlesinger's office has completed over 400 consults from public outpatient offices signed up through the TiPS program. Currently, they are waiting on a pending contract with UPMC, but if everything stays on track their offices will have a contract by July of 2017 to share the TiPs program with UPMC's private pediatric offices. The TiPs program is not just for direct or indirect consults, they also have a program set up to train doctors to be better prepared so they do not have to call the TiPs office or send their patients to the ER for an unnecessary matter.
My time working on my Magellan project is taking place at the Children's behavioral health offices in Wexford PA. The TiPs program has a small office down the hall from the official Children's doctors office. This close location allows the doctors, behavioral therapist, social workers, nurses and other behavioral health staff to play a part in making the TiPs program a successful venture while continuing their work through Children's pediatric offices for behavioral health. This close location also has allowed me to shadow several people who are working in strictly TiPs and the Children's Pediatric Behavioral Health offices.
The following Magellan entries will describe my day to day while I had the opportunity to follow this amazing group of people around for a month. I will describe some of the cases I had the privilege to sit in on, but to keep the patient's specific information private I will not disclose all the details of the patient's case. So without further ado, lets jump in!
On this page, I will focus on what exactly my Magellan project is all about the people I will be working with and the goals I hope to accomplish.
My Magellan is focused on the act of deinstitutionalizing treatment of mental disorders, this means changing the way doctors and therapist treat and diagnose patients with behavioral health issues. The program that I will be explicitly following for the month of June is the TiPs program and one of its important members. TiPs stands for Telephonic Psychiatrics System, the program is a massive consultation system founded by the state to help pediatric services get in contact with behavioral health professionals within thirty minutes to discus a patients case or to set up an appointment at the Children's Hospital behavioral health offices in Wexford Pennsylvania with in two weeks of the phone call. The program works on a well known system called curbside consultation. Curb side consultation started when people in need of medical advice would literally pull their carts up to the curb of the medicine man and ask for advice for an ailment. In today's terms it means that a patient's doctor is able to ask for another medical professional opinion on said patient's case even if it is not the other doctor's specialty or their patient in question. It also means that the doctor does not need to get permission from their patient to get advice from another colleague. The practice of curbside consultation is a good thing. The best doctors are always looking for another doctor's opinion and double checking their work. This makes sure that the doctors are at the top of their game and never make any medical decision to quickly, which in turn, is good for their patients.
The TiPs program is a state founded program through the human service department under the medical side of Medicate. Through the medical side of Medicate, all the behavioral treatment goes under it's own section of managed care. The TiPs program is just one of many across the country all of which have been found to be highly successful at helping family pediatrics get behavioral health consults and to help treat children who come from low income families. The program was created to help pacify the need for child psychiatrists in pediatric offices. Most family practices will have the required behavioral analysis on staff but not a mental health professional. Around 10% of children need behavioral and mental help from a doctor but are unable to receive any. This lack of a mental health professional may leave doctors feeling uneasy about certain patient's symptoms and therefore the doctor may decide to send the patient to the ER even if the patient did not present with suicidal or other dangerous symptoms.
Since July first of 2016, Dr. Schlesinger's office has completed over 400 consults from public outpatient offices signed up through the TiPS program. Currently, they are waiting on a pending contract with UPMC, but if everything stays on track their offices will have a contract by July of 2017 to share the TiPs program with UPMC's private pediatric offices. The TiPs program is not just for direct or indirect consults, they also have a program set up to train doctors to be better prepared so they do not have to call the TiPs office or send their patients to the ER for an unnecessary matter.
My time working on my Magellan project is taking place at the Children's behavioral health offices in Wexford PA. The TiPs program has a small office down the hall from the official Children's doctors office. This close location allows the doctors, behavioral therapist, social workers, nurses and other behavioral health staff to play a part in making the TiPs program a successful venture while continuing their work through Children's pediatric offices for behavioral health. This close location also has allowed me to shadow several people who are working in strictly TiPs and the Children's Pediatric Behavioral Health offices.
The following Magellan entries will describe my day to day while I had the opportunity to follow this amazing group of people around for a month. I will describe some of the cases I had the privilege to sit in on, but to keep the patient's specific information private I will not disclose all the details of the patient's case. So without further ado, lets jump in!
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