Filling the Gaps: How “Super Utilizers” Received Care through a Hospital-School of Nursing Partnership

2.50
Hdl Handle:
http://hdl.handle.net/10755/602830
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Filling the Gaps: How “Super Utilizers” Received Care through a Hospital-School of Nursing Partnership
Author(s):
Anderson, Della J.
Lead Author STTI Affiliation:
Eta Kappa-at-Large
Author Details:
Della J. Anderson, RN, dellajanderson@gmail.com
Abstract:
Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Purpose: Our Emergency Department (ED) was experiencing increased visits by a patient population referred to as “Super Utilizers.” The Continuum of Care department recognized an opportunity for innovative collaboration with the Emergency Department (ED) and an affiliated School of Nursing. A zero cost model program was created using Camden Model/Spectrum Health/Colorado Mental Health Model of Care as the basis. We determined these patients returned because of challenges in access to a primary care; inability to pay for healthcare services; lack of health education; or desire for social interaction. Most ED patients do not return after treatment. However, these patients received repetitive care that often included costly testing. Methods: By partnering with the school, students became health coaches to assist with “gaps” in care. Student pairs were assigned one patient and a prepaid telephone for 24/7 access; then given medical history, information about community resources and health insurance/benefits to provide support. The ED notified students when a patient visited and follow-up was completed in the ED or by telephone the next day. Students proactively contacted the patient to discuss appropriate ED usage, emotional support, and follow-up care. Results: The initial program assisted 21 patients who had made 710 visits and total patient charges of $2.45 million during the previous year. Program results projected a decrease to 510 visits and total charges of $1.76 million annually. Implications: This unique partnership meant “Super Utilizers” received a more appropriate level of care, students received hands-on health management training, and the ED experienced a decrease in non-emergent visits.
Keywords:
Super Utilizer; Readmissions; Coach
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15MG1.2
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleFilling the Gaps: How “Super Utilizers” Received Care through a Hospital-School of Nursing Partnershipen
dc.contributor.authorAnderson, Della J.en
dc.contributor.departmentEta Kappa-at-Largeen
dc.author.detailsDella J. Anderson, RN, dellajanderson@gmail.comen
dc.identifier.urihttp://hdl.handle.net/10755/602830en
dc.description.abstractSession presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Purpose: Our Emergency Department (ED) was experiencing increased visits by a patient population referred to as “Super Utilizers.” The Continuum of Care department recognized an opportunity for innovative collaboration with the Emergency Department (ED) and an affiliated School of Nursing. A zero cost model program was created using Camden Model/Spectrum Health/Colorado Mental Health Model of Care as the basis. We determined these patients returned because of challenges in access to a primary care; inability to pay for healthcare services; lack of health education; or desire for social interaction. Most ED patients do not return after treatment. However, these patients received repetitive care that often included costly testing. Methods: By partnering with the school, students became health coaches to assist with “gaps” in care. Student pairs were assigned one patient and a prepaid telephone for 24/7 access; then given medical history, information about community resources and health insurance/benefits to provide support. The ED notified students when a patient visited and follow-up was completed in the ED or by telephone the next day. Students proactively contacted the patient to discuss appropriate ED usage, emotional support, and follow-up care. Results: The initial program assisted 21 patients who had made 710 visits and total patient charges of $2.45 million during the previous year. Program results projected a decrease to 510 visits and total charges of $1.76 million annually. Implications: This unique partnership meant “Super Utilizers” received a more appropriate level of care, students received hands-on health management training, and the ED experienced a decrease in non-emergent visits.en
dc.subjectSuper Utilizeren
dc.subjectReadmissionsen
dc.subjectCoachen
dc.date.available2016-03-21T16:37:38Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:37:38Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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