Closed Service Psychiatric Care The community feedback period for this idea began on 9/23/19 and ended on 11/22/19.

What is the problem that needs to be addressed? Please describe how it is related to mental health.
This is one of several Patient-Centered Medical Home (PCMH) break-outs (others include Morbidity & Mortality Conferences and Event Reporting). In the practice of medicine, there are the concepts of primary care, an “open service” and a “closed service.” An “open service” allows any licensed professional that makes a note on a patient to also make an order for a patient. A “closed service” means that a primary licensed provider serves as the sole medical order maker, using the suggestions of other licensed providers. In Orange County, CA it is clear that Psychiatric Patients have an “open service” system as the experience for a particular patient due to the numerous changes in the referral network. Such a system has serious consequences of inefficiency, waste, and confusion.

Why is this a concern for Orange County? What can Orange County and other counties learn from this project?
Orange County, CA tends to be a sane and practical county that doesn’t tolerate inefficiency and waste. Orange County’s tolerance of confusion is unknown.

What is currently being done to resolve this problem in our county and throughout the United States? If applicable: Is it working; why or why not?

What is new or different about this project idea? Please describe how this differs from what is already being done (Question 6). Please list any research that was done on this topic.
Studying the primary care “closed service” approach to “Total patient” care in psychiatry in Orange County, CA.

What is the project idea? Please describe how this project will operate.
Implement a Human Subject Research Trial of “closed service” psychiatry in an IRB approved study. Consult your local licensed MD/Ph.D. experienced in IRB/Human subject Research trials for more info.

Additional Information:
Respondent skipped this question


September 11, 2019


Antonin Scalia would say that we should learn to love the gridlock. Vrietgeiter – freebooter – filibuster.

It is not exclusive to the senate.

“C4 is explosive,” Ben Fingold.

Thank you for your submission. The Innovation team will review this idea and post comments and updates when available.

Comments are closed.

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