ED Community Placement Project (EDCPP): “Right Service-Right Venue”

2.50
Hdl Handle:
http://hdl.handle.net/10755/603054
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
ED Community Placement Project (EDCPP): “Right Service-Right Venue”
Other Titles:
Evidence-Based Solutions for Vulnerable Populations [Session]
Author(s):
Mitchell-Keels, Karen Elizabeth
Lead Author STTI Affiliation:
Gamma Gamma
Author Details:
Karen Elizabeth Mitchell-Keels, RN, kemitchell@ucsd.edu
Abstract:
Session presented on Monday, November 9, 2015: Background:San Diego has the 3rd largest homeless population in the United States, second only to New York and Los Angeles. Nearly one-third of all visits to the emergency room are made by people who struggle with chronic homelessness coupled with co-occurring disorders. Emergency departments (ED) are not equipped to meet the psychosocial needs of homeless community members and do not have the capacity to assist them with housing, substance abuse treatment, and mental health care. Goal Statement: The goal for this project was to identify the costliest and in need patients, then provide resources to address their substance abuse, homelessness and mental health issues and to reduce recidivism among this population by 20%.   Description of Innovation: The “Emergency Department Community Placement Project” (EDCPP) is designed to bridge the highest ED users into community based homeless prevention services, substance abuse treatment, and intensive case management. Upon discharge patients meeting inclusion criteria are screened, refereed and placed upon discharge into contracted community partners to receive unique services fitted to meet their psychosocial needs.   Participants: Nurse-Led multi collaborative project between hospital and community. ED Outreach Manager Community Partners: St Vincent de Paul, San Diego Rescue Mission, and Volunteers of America, ED Social workers, ED Staff. Outcomes: Phase II of project has shown a continued downward trend in reduction of ED revisits and inpatient visits. Implications: Cost benefits savings of $168,231 (based on program expenses, of $38,234 (6mos) = 4 .4 (ROI)). Among EDCPP placed patients a 78% reduction in recidivism was seen.  Press-Ganey patient satisfaction scores increased by 3.8%. Recommendations for future projects: Acquire additional community partners and expand project throughout the UC System. Outcomes: Phase II of project has shown a continued downward trend in reduction of ED revisits and inpatient visits. Implications: Cost benefits savings of $168,231 (based on program expenses, of $38,234 (6mos) = 4 .4 (ROI)). Among EDCPP placed patients a 78% reduction in recidivism was seen.  Press-Ganey patient satisfaction scores increased by 3.8%. Recommendations for future projects: Acquire additional community partners and expand project throughout the UC System.
Keywords:
ED frequent user; revisit reduction; homeless
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15E07
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.typePresentationen
dc.titleED Community Placement Project (EDCPP): “Right Service-Right Venue”en
dc.title.alternativeEvidence-Based Solutions for Vulnerable Populations [Session]en
dc.contributor.authorMitchell-Keels, Karen Elizabethen
dc.contributor.departmentGamma Gammaen
dc.author.detailsKaren Elizabeth Mitchell-Keels, RN, kemitchell@ucsd.eduen
dc.identifier.urihttp://hdl.handle.net/10755/603054en
dc.description.abstractSession presented on Monday, November 9, 2015: Background:San Diego has the 3rd largest homeless population in the United States, second only to New York and Los Angeles. Nearly one-third of all visits to the emergency room are made by people who struggle with chronic homelessness coupled with co-occurring disorders. Emergency departments (ED) are not equipped to meet the psychosocial needs of homeless community members and do not have the capacity to assist them with housing, substance abuse treatment, and mental health care. Goal Statement: The goal for this project was to identify the costliest and in need patients, then provide resources to address their substance abuse, homelessness and mental health issues and to reduce recidivism among this population by 20%.   Description of Innovation: The “Emergency Department Community Placement Project” (EDCPP) is designed to bridge the highest ED users into community based homeless prevention services, substance abuse treatment, and intensive case management. Upon discharge patients meeting inclusion criteria are screened, refereed and placed upon discharge into contracted community partners to receive unique services fitted to meet their psychosocial needs.   Participants: Nurse-Led multi collaborative project between hospital and community. ED Outreach Manager Community Partners: St Vincent de Paul, San Diego Rescue Mission, and Volunteers of America, ED Social workers, ED Staff. Outcomes: Phase II of project has shown a continued downward trend in reduction of ED revisits and inpatient visits. Implications: Cost benefits savings of $168,231 (based on program expenses, of $38,234 (6mos) = 4 .4 (ROI)). Among EDCPP placed patients a 78% reduction in recidivism was seen.  Press-Ganey patient satisfaction scores increased by 3.8%. Recommendations for future projects: Acquire additional community partners and expand project throughout the UC System. Outcomes: Phase II of project has shown a continued downward trend in reduction of ED revisits and inpatient visits. Implications: Cost benefits savings of $168,231 (based on program expenses, of $38,234 (6mos) = 4 .4 (ROI)). Among EDCPP placed patients a 78% reduction in recidivism was seen.  Press-Ganey patient satisfaction scores increased by 3.8%. Recommendations for future projects: Acquire additional community partners and expand project throughout the UC System.en
dc.subjectED frequent useren
dc.subjectrevisit reductionen
dc.subjecthomelessen
dc.date.available2016-03-21T16:42:20Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:42:20Zen
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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