What approaches have you used to reduce boarding times for patients in the emergency department awaiting inpatient psychiatric admission?  

Every emergency room and health system has unique challenges that impact boarding times. One strategy that UCI implemented was to switch from a consultation model to a co-management model. We noted that patients would be boarding on average 70 hours even prior to the COVID-19 pandemic, and boarding ...

I'm in agreement with Dr. @Luo. The co-management model to care for patients awaiting inpatient psychiatric admission is quite helpful. The ongoing evaluation of the needs of these patients, including medication titration and the need for psychiatric admission, is essential.

One issue our hospital had was getting patients to our psych hospital in a timely manner when we have beds open. In the old model, an ambulance had to bring patients from the ER to our facility, which caused extended wait time and probably unnecessary cost. Our leadership came up with an alternate ...

In my experience in a big city emergency department, I had to presume that a patient on a 72-hour (California) hold may be with me for 24 to 72 hours. Therefore, I treated those patients as if we were in a virtual crisis or short-term unit: each and every time I had to give emergency injectables, I ...