Learn to fly: Training and competencies to support the multidisciplinary workforce needs of learning health systems

Hospital Capabilities Associated With Behavioral Health Integration Within Emergency Departments

“…One example is the Agency for Healthcare Research and Quality's Learning Health Systems initiative that assists organizations in improving the uptake of effective clinical interventions into routine practice through evidence appraisal, information sharing, and dissemination of best practices. 25 None of the hospital capabilities assessed in the study were associated with telepsychiatry or referrals to communitybased BH clinicians. Prior research observed that the receipt of telepsychiatry in the ED was associated with improved outcomes including reduced time in the ED, less crowding, reduced travel time for physicians, and improved access to onsite psychiatric consultation.…”

“…Programs or policies that enable hospitals to develop formal approaches to share patient-care best practices that are enabled by structured communication opportunities can strengthen BH assessment and treatment capabilities in EDs. One example is the Agency for Healthcare Research and Quality’s Learning Health Systems initiative that assists organizations in improving the uptake of effective clinical interventions into routine practice through evidence appraisal, information sharing, and dissemination of best practices 25 …”

Confronting the dialectic between quality and access in early psychosis care in the United States: Finding the synthesis by leveraging psychological expertise.

“…Internationally, early psychosis care guidelines offer clarity regarding psychologist roles on specific teams (e.g., Royal College of Psychiatrists, 2021); guidelines could be adapted for the U.S. context with psychologist roles clarified within CSC networks for maintaining standards of care. Such roles could be organized within the learning health care systems and communicative networks of CSC programs across the country such as EPINET (Greene & Holmes, 2022; Srihari & Keshavan, 2022). We also suggest looking to existing examples of care delivery to inform this role development, including the well-established learning health care system within the Veterans Health Administration (Greene & Holmes, 2022), which has worked to enhance EBT implementation via specific evidence-based provider role enhancement and increased training access (U.S.…”

“…Such roles could be organized within the learning health care systems and communicative networks of CSC programs across the country such as EPINET (Greene & Holmes, 2022; Srihari & Keshavan, 2022). We also suggest looking to existing examples of care delivery to inform this role development, including the well-established learning health care system within the Veterans Health Administration (Greene & Holmes, 2022), which has worked to enhance EBT implementation via specific evidence-based provider role enhancement and increased training access (U.S. Department of Veterans Affairs, 2022) and where psychologist expertise is supporting expansion of tele-CBTp provision (U.S.…”

“…clarified within CSC networks for maintaining standards of care. Such roles could be organized within the learning health care systems and communicative networks of CSC programs across the country such as EPINET (Greene & Holmes, 2022; (King's College London, 2023). Psychological expertise can be leveraged across CSC teams within a geographic region as part of a virtual community to support best practices.…”