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Texas Tech University Health Sciences Center School of Medicine Department of Psychiatry

Texas Tech University Health Sciences Center School of Medicine Department of Psychiatry. Physician Assistant and Nurse Practitioner Postgraduate Training Program In Psychiatry Jessica L Self, MSN, FNP-C TTUHSC Department of Psychiatry DSRIP Project 1.9.1.

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Texas Tech University Health Sciences Center School of Medicine Department of Psychiatry

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  1. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry • Physician Assistant and Nurse Practitioner Postgraduate Training Program In Psychiatry • Jessica L Self, MSN, FNP-C • TTUHSC Department of Psychiatry • DSRIP Project 1.9.1

  2. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry Introduction to Texas Tech University Health Science Center Department of Psychiatry Services include: Adult, CAP, Telemedicine, Twiter, Consult, Inpatient and Student Mental Health Psychiatric Residency Program Medical Student Rotation PA rotation site NP electives

  3. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry WHAT IS THE DRIVING NEED FOR WORKFORCE DEVELOPMENT IN OUR COMMUNITY?

  4. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry • ½ adults in US have a diagnosable mental illness in their lifetime. • Texas has a severe shortage of mental health professionals per resident. • Inadequate treatment and resources= poor outcomes and prognosis. • Increased cost treating mental illness due to poor follow up or access to care

  5. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry

  6. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry • A Closer Look at The Problem • 50% of Psychiatrists are over 55 • Reduction of GME funding results in less psychiatric residency training • 1:4 patients in primary care has a mental illness

  7. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry • Redirect patients from expensive, less efficient access points by creating access in the communities. • Clinics • Telemedicine • FQHC • Outpatient settings • Schools • Community Health Centers

  8. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry • Postgraduate Training Program • Training in psychiatric and substance use disorders • NPs and Pas will be used to close the gap in available services • Increase access in community health centers

  9. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry • Incentives to have Psychiatric Training • Increased Compensation • Enhanced Career Mobility • Elevated Practice Standards • Confidence in Delivering a Higher Level of Patient Care of Psychiatric Disorders and Substance Abuse • Patient Mix • Medicaid • Uninsured • Underinsured

  10. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry • Our Postgraduate Program • Licensed Physician Assistant or Nurse Practitioner • 12 month, onsite clinical and didactic based internship • Paid stipend of $60,000 for the year with benefits • Deadlines: Now accepting applications

  11. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry • Our Postgraduate Program • Current enrollment: 4 interns • Curriculum

  12. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry • DSRIP Metrics • Quantifiable Patient Impact (QPI) • Category 3

  13. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry QPI: Dept. of Psychiatry Encounters

  14. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry • Category 3 • This program naturally results in an increase in the ratio of Nurse Practitioners and Physician Assistants per individuals in the HPSAs and MUAs we serve (IT-14.2 [P4R]) • Our additional Population Focused Priority is Adult BMI screening and education. Though we don’t report our improvement until Oct 2016, we’ve more than doubled our rate.

  15. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry • Challenges & Successes • Approved late: Currently we are working on DY4 carry-forward metrics • Difficulty getting word out to interested providers and new graduates • We are successfully growing our work force

  16. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry • Dee Javins MSN, FNP-C • “My greatest satisfaction at my job comes from empowering my patients with the knowledge I gained from the program”

  17. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry • Autumn Holder PA-C • “The most enjoyable aspect for me has been the academic setting, allowing one-on-one time with faculty to review each patient case in depth”

  18. Texas Tech University Health Sciences Center School of MedicineDepartment of Psychiatry • For Additional Questions • Jessica Spiegelberg MSN, FNP-C • Jessica.Spiegelberg@ttuhsc.edu

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