IBHI Seminar on December 10, 2014 in Scottsdale AZ

IBHI Seminar on Improving Emergency Department Flow For People With Behavioral Health Problems

December 10, 2014 Scottsdale AZ


A pre-conference Seminar preceding the National Update on Behavioral Health Emergencies at The Scottsdale Resort and Conference Center.

Send questions to Peter@IBHI.net

For registration go here https://secure.qgiv.com/for/shsbe/event/20544/


Are your EDs overcrowded with clients with behavioral health conditions and is this creating boarding problems?

Do you have unnecessary delays in discharging behavioral health clients because lack of resources in the community?

Are you experiencing an increase in staff injuries?

Are you eager to improve your financial results for the portion of your population who need behavioral health care?

Have you addressed the new  Joint Commission behavioral health standards?

Are you concerned about the legal implications of treatment and discharge decisions?

Would you like to know what recent improvements have been made in other areas?


Hear experts who have found novel ways to solve these and other problems:

  • Stuart Buttlaire Ph. D.Regional Director of Inpatient Psychiatry and Continuing Care for Northern California Kaiser Permanente
  • Darcy Jaffee, Chief Nurse Officer and Senior Associate Administrator at Harborview Medical Center
  • Larry Phillips Larry Phillips D.C.S.W. Program Manager, St Anthony Hospital, Oklahoma City
  • Linda Garrett, JD Risk Management , Kaiser (by Internet)
  • Joyce Wale CSW, MSW Sr. Assistant Vice President of Behavioral Health for the New York City Health & Hospitals Corporation (by Internet)
  • Peter Brown MA Exec. Dir. IBHI



8:30     Opening, Introductions and Schedule for the day


8:40:    Background and Joint Commission expectations:  The current ED environment,   its impact on behavioral health consumers and what the recently added standards for Joint Commission accreditation mean for behavioral health and  emergency  care.

Stuart Buttlaire, Joyce Wale, Peter Brown


9:15     Streamlining ED Operations

Techniques for understanding the flow problems in an ED and ways to develop changes in the operation.  Specific methods which have been used in other places to improve flow

Larry Phillips, Joyce Wale, Peter Brown


10:15   Break


10:30   Streamlining ED Operations (cont.)

Larry Phillips


10:45   Creating Community Connections  –  Addressing the “boarding” problem

How other jurisdictions have developed methods to avoid having people stay  long periods in their ED

Stuart Buttlaire, Darcy Jaffee


11:40   Designing a Community Connection –  participants use what they have learned to  develop their own plan for improvement with faculty support


12:15   Lunch


1:00     Review and discuss plans for creating better community connection


1:30     Reducing injuries and aggression

Methods for understanding the effect any specific Emergency department has on  people with behavioral health issues and ways to mitigate or eliminate those problems

Stuart Buttlaire, Joyce Wale

2:15     Legal issues in emergency department operations related to behavioral health  patients  and ways to address them

Linda Garrett,  JD  Risk Management  Kaiser (by Internet)


3:15     Break


3:30     New developments in ED operations including Telemedicine

Use of Telemedicine

Stuart Buttlaire

Peter Brown

Other developments


4:30     Summary and evaluation


5:00     Adjourn


Learning Objectives

Upon completion participants will be able to

  • identify specific aspects of their Emergency Department operation which exacerbate symptoms for behavioral health patients.
  • identify aspects of their hospital which meets, or do not meet the expectations of the Joint Commission
  • develop a plan for reducing the time people with behavioral health problems spend in the ED.
  • identify ways to expedite placement for those requiring out of hospital residential care.
  • identify specific issues which lead to court cases.
  • identify methods for avoiding those issues.
  • identify specific methods for reducing the incidence of injuries to consumer and staff in the ED.


Cancellations must be received prior to December 8. Refund available less 10 percent.

The hotel is handicapped accessible. Individual accommodations are possible upon request. Contact peter@ibhi.net


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