Integrating Behavioral Health into Primary Care through Telehealth Evidence-Based Telehealth Network - a. Extending the PATH (Pediatric Acute Tele-Mental Health) Program into Rural Underserved Areas of Northeast Florida b. The Nemours Foundation (DBA Nemours Children’s Health) c. 10140 Centurion Parkway North, Jacksonville, FL 32256 d. www.nemours.org e. $1,742,488 f. Integrated Pediatric Health System g. Dr. Amanda Lochrie; Chief, Division of Psychology; Medical Director, PATH Program; Licensed Psychologist, PY6796 h. 904-697-3600; amanda.lochrie@nemours.org i. Nemours meets the (B) SERVICES and (E) CONNECTIVITY preferences. For B, we will use federal funds to establish a telehealth network that provides mental health care for pediatric patients seen at several North Florida Pediatrics rural and underserved primary care locations. For E, our project team will coordinate care and develop connectivity between various behavioral health providers and community partners across North Florida. j. Nemours Children’s Health, Jacksonville (Distant Site) will deliver integrated telebehavioral health services to six primary care practices in northeast Florida that are part of North Florida Pediatrics (Originating Sites). The Distant Site is in Duval County, FL which has a partial Health Professional Shortage Areas (HPSA) for primary care and dental care. The Originating Sites are in the Florida counties of Bradford (Starke site), Columbia (Lake City site), Dixie (Cross City site), Hamilton (Jasper site), Levy (Chiefland site), and Suwannee (Live Oak site). The Originating Site locations are rural, Medically Underserved Areas, and HPSAs for primary care, mental health, and dental care. k. The targeted rural and underserved communities face significant challenges related to health care access with Health Professional Shortage Area (HPSA) scores ranging 14-21 for primary care, 18-21 for mental health, and 15-20 for dental care. This project aims to enhance access to telebehavioral health services for children and adolescents in these areas. We anticipate measurable improvements in clinical outcomes, patient satisfaction, a narrowing of health disparities, and other positive impacts. l. Six Originating Sites in rural underserved areas m. Chiefland: Actual 2023 (1274), Expected 1(0), 2(0), 3(25), 4(25), 5(25). Cross City: Actual 2023 (888), Expected 1(0), 2(0), 3(25), 4(25), 5(25). Jasper: Actual 2023 (2356), Expected 1(0), 2(50), 3(75), 4(75), 5(75). Lake City: Actual 2023 (6734), Expected 1(150), 2(200), 3(225), 4(225), 5(225). Live Oak: Actual 2023 (4846), Expected 1(100), 2(125), 3(125), 4(125), 5(125). Starke: Actual 2023 (1804), Expected: 1(0), 2(50), 3(75), 4(75), 5(75). n. We will compare services delivered at the six Originating Sites with those of existing in-person integrated behavioral health services provided at Nemours. This comparison will match on a wide range of criteria including rural location, age, sex, race, ethnicity, insurance coverage, principal diagnosis, and presenting complaint. We will evaluate our effectiveness, identify areas for improvement, maximize project impact, and broaden the evidence base of these services. o. We expect this project to demonstrate that delivering integrated behavioral health services via telehealth can achieve clinical outcomes, patient satisfaction, and other benefits at least on par with in-person services. This will highlight that telehealth can expand access to behavioral health care in underserved rural areas without compromising quality. p. Nemours will continue to use its the telehealth network to provide a variety of physical and behavioral health services for patients who live across several geographies in the United States. q. We will implement a robust system for collecting and analyzing data to establish the telehealth network's value and then engage with payers, policymakers, and others to highlight the network’s ability to deliver high-quality telebehavioral health services. r. No s. No t. HRSA webinar u. Yes
