Innovations Exchange Focuses on Strategies to Address Frequent Emergency Department Use
The latest issue of AHRQ’s Health Care Innovations Exchange features three programs that implemented various strategies to provide, manage, and coordinate care and social services for individuals who are frequent emergency department (ED) users, leading to improved outcomes and reductions in ED use. The featured Quality Tools include a campaign in Washington State to help reduce preventable ED visits and redirect care to the most appropriate setting, information and tools for ED staff in managing care for specific groups of ED “super users,” and a toolkit to help organizations and advocates plan, develop, and sustain medical respite programs. Select to access more innovation profiles and tools related to reducing ED use.
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Innovations
Adopting "Flow Management" Improves Efficiency, Throughput, and Quality of Care in Hospital Surgery Units 10/23/2013 Borrowing from other industries, a large hospital implemented principles of "flow management" to redesign the flow of operations in its surgical department, leading to enhanced quality of care, improved patient and provider satisfaction, and reductions in the frequency of delayed and canceled surgeries.
Health System Improves Access to Culturally Competent Interpreters Through Participation in Telephone and Video Interpretation Network 10/23/2013 Contra Costa Health Services provides video and telephonic interpretation services to diverse patient populations at its clinics and regional hospital through participation in a shared network of trained interpreters, leading to improved access to interpretation services for patients with limited English proficiency.
Remote Consultations Provide On-Demand Access to Stroke Specialists for Network of 31 Emergency Departments, Facilitating Rapid Stroke Treatment and Patient Transfers 10/23/2013 The Michigan Stroke Network provides on-demand remote consultations to emergency department physicians in 30 hospitals and one freestanding emergency department throughout Michigan. These consultations provide the physicians with access to stroke care specialists within 12 to 15 minutes of the physician making a telephone call.
Coordinated, Intensive Medical, Social, and Behavioral Health Services Improve Outcomes and Reduce Utilization for Frequent Emergency Department Users 10/23/2013 Intensive, concurrent medical and behavioral health care, addiction services, and social service coordination improve patient outcomes and reduce health system use among patients who historically have been frequent users of emergency departments.
Provider Team Offers Services and Referrals to Frequent Emergency Department Users in Inner City, Leading to Anecdotal Reports of Lower Utilization 10/17/2013 Teams of providers proactively visit homes, shelters, and the streets to locate frequent emergency department visitors and provide them with preventive care and other social services.
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QualityTools
Managing Drug-Seeking Behaviors & Super Users in the Emergency Department 10/23/2013 This guide for emergency department (ED) physicians, nurses, and caregivers includes information and tools for providing pain management care to drug "super users" in the ED.
Asthma Care Quality Improvement: A Resource Guide for State Action 10/9/2013 This 151-page resource guide was developed as a learning tool for State officials who want to improve the quality of health care for people with asthma in their States. The guide is designed to help officials assess quality of care, using State-level data, and fashion quality improvement strategies suited to State conditions.
Emergency Severity Index, Version 4: Implementation Handbook, 2012 Edition 10/9/2013 The Emergency Severity Index (ESI) is a simple to use, five-level triage instrument that categorizes emergency department (ED) patients by evaluating both patient acuity and resources.
After an Attempt: A Guide for Medical Providers in the Emergency Department Taking Care of Suicide Attempt Survivors 12/19/2012 This brochure provides health care professionals with tips to enhance care in the emergency department (ED) for people who have attempted suicide.
Psychological First Aid: Field Operations Guide, 2nd Edition 12/19/2012 This guide is an evidence-informed modular approach for assisting people in the immediate aftermath of disaster and terrorism, to reduce initial distress and to foster short- and long-term adaptive functioning.
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Other Related Results
ARTICLES
Connecting Underserved Patients to Primary Care After Emergency Department Visits: A Conversation With Herbert C. Smitherman Jr., MD, MPH, FACP, President and CEO, Health Centers Detroit Foundation 8/29/2012 ISSUES
Enhancing Primary Care Access After Emergency Department Visits 8/29/2012 
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