Enhanced Emergency Department Utilization Management

This use case focuses on managing and reducing frequent visits to the Emergency Department (ED) by leveraging integrated data from EHR, payer claims, and hospital ADT systems. The solution identifies frequent ED visitors and implements targeted interventions to improve patient outcomes and reduce unnecessary ED utilization.

Healthcare providers, hospital administrators, care coordinators, and population health managers.

Solutions:

1. 1. Reporting Dashboard: A comprehensive dashboard that tracks frequent ED visitors and provides insights into visit patterns.
2. 2. Patient Follow-Up Text Messaging: Automated text messaging system for follow-ups with patients identified as frequent ED users, ensuring they receive appropriate post-visit care.
3. 3. Predictive Triggers: Predictive analytics to identify patients at risk of future ED visits based on historical data and current health status.
4. 4. Cost Savings Analysis: Tools to calculate potential cost savings from reduced ED visits and improved patient management.
5. 5. Alert Mechanisms: Real-time alerts to care teams when a high-risk patient visits the ED, enabling immediate intervention

Expected Outcomes:

Quantifiable :

• 20% reduction in ED visits among frequent users within the first year.
• $5 million in cost savings from reduced ED utilization.
• 15% improvement in patient follow-up compliance.

Qualitative :

• Enhanced patient satisfaction through proactive care management.
• Improved care coordination and communication among healthcare providers.
• Reduced strain on emergency department resources.