Project Grant H79FG000784

CLINICAL AND EDUCATION EXPANSION OF SERVICES FOR THE INSTITUTE FOR ADVANCED DIAGNOSTICS AND THERAPEUTICS - SHEPPARD PRATT HEALTH SYSTEM, INC.'S PROPOSED CLINICAL AND EDUCATIONAL EXPANSION OF SERVICES FOR THE INSTITUTE FOR ADVANCED DIAGNOSTICS AND THERAPEUTICS PROPOSES TO SET UP A NEW EDUCATIONAL ARM, PROVIDING DURABLE, ACCESSIBLE UP TO DATE INFORMATION ON PSYCHIATRIC DIAGNOSIS AND TREATMENT, AND CREATING AN ESKETAMINE DOSING CLINIC FOR INPATIENTS AND OUTPATIENTS AT SHEPPARD PRATT. SHEPPARD PRATT'S POPULATION OF FOCUS FOR THIS PROJECT INCLUDE ADULTS WITH DIFFICULT TO TREAT MOOD DISORDERS AND CLINICIANS. SHEPPARD PRATT SEEKS TO CREATE CONTINUING EDUCATION CURRICULUM FOR MENTAL HEALTH PROVIDERS BY FIRST IDENTIFYING THE 25 MOST CRITICAL TOPICS FOR MENTAL HEALTH CARE. SHEPPARD PRATT AND COMMUNITY EXPERTS WILL DELIVER A PRESENTATION ON EACH TOPIC. THE MARKETING AND CONTINUING EDUCATION DEPARTMENTS WILL SHARE THESE FREE CME PROGRAMS ACROSS THE STATE OF MARYLAND. BY THE END OF 1-YEAR, WE WILL HAVE A LIBRARY OF 25 TAPED LECTURES TO PROVIDE CME CREDITS TO REGISTERED CLINICIANS. WE WILL SERVE 300 UNIQUE CLINICIANS WITH THIS SERVICE. WE WILL PROVIDE WEEKLY ACCESS TO PRESCRIBERS THROUGHOUT MARYLAND TO ANSWER QUESTIONS ON DIAGNOSIS AND TREATMENT WITH A PROVIDER HELP LINE. TO ACCOMPLISH THIS, WE WILL IDENTIFY EXPERTS IN THE SHEPPARD PRATT SYSTEM CAPABLE OF PROVIDING TIMELY SUPPORT TO MARYLAND PRACTITIONERS AND DEVELOP A SCHEDULE FOR WHEN EXPERTS WILL BE AVAILABLE. WE WILL ENGAGE WITH THE MARKETING DEPARTMENT AND PROVIDE COMMUNITY OUTREACH TO INFORM LOCAL PRESCRIBERS OF AVAILABILITY OF THIS NEW SHEPPARD PRATT SERVICE. ONCE IMPLEMENTED, THE HELP LINE WILL GO LIVE WITH 10 HOURS PER WEEK OF EXPERT SUPPORT. WE WILL SERVE 100 UNIQUE CLINICIANS AND 500 UNIQUE PATIENTS OVER THE DURATION OF THE 1-YEAR FUNDING PERIOD. SHEPPARD PRATT WILL PROVIDE ACCESS TO PATIENTS AND CLINICIANS TO GET IN PERSON OR VIRTUAL CONSULTATION WITH AN EXPERT CLINICIAN. WE WILL ENGAGE WITH EXPERTS FROM EACH POPULATION SHEPPARD PRATT SERVES AND COLLABORATE WITH THEM TO PROVIDE TWO HOURS OF CONSULTATION SERVICE PER MONTH. TO SUPPORT SUSTAINABILITY, NEGOTIATIONS WILL BEGIN WITH THIRD PARTY INSURERS TO AGREE TO HIGHER CONSULTATION FEES FOR COVERED PATIENTS WHO HAVE REQUIRED FREQUENT SERVICES. WE EXPECT THAT 200 UNIQUE PATIENTS WILL BENEFIT FROM THE CONSULTATION SERVICE. WE WILL PROVIDE COMMUNITY ACCESS TO AN ACADEMIC CENTER QUALITY ESKETAMINE CLINIC PROVIDING BOTH EVALUATION AND TREATMENT. A SUSTAINABILITY FRAMEWORK WILL BE IMPLEMENTED BY NEGOTIATING A MUTUALLY ACCEPTABLE REIMBURSEMENT RATE WITH THIRD PARTY INSURERS. WE WILL EVALUATE TREATMENT OUTCOMES WITH STANDARD RESEARCH SCALES AND REVIEW AND MODIFY SERVICES BASED ON OUTCOMES AND PATIENT SATISFACTION. WE WILL SERVE 35 UNIQUE INPATIENTS AND 20 UNIQUE OUTPATIENTS WITH SERVICES OFFERED AT THE ESKETAMINE DOSING CLINIC.