Reducing inappropriate use of emergency departments, decreasing readmissions, and improving outcomes for super utilizers in Kent County, Mich.
This project is one of six that aim to reduce inappropriate use of emergency departments, decrease avoidable hospital readmissions, and improve outcomes for health care super-utilizers (high-cost, high-needs patients) in Aligning Forces for Quality (AF4Q) communities. The Camden Coalition of Healthcare Providers will provide each of the six participating AF4Q communities with technical assistance to develop a locally tailored super-utilizer model to provide these high-needs individuals with patient-centered, coordinated medical and social services. The West Michigan project will expand the capacity of an existing super-utilizer care clinic, the Center for Integrative Medicine (CIM), enabling it to treat an increased number of super-utilizer patients who use the emergency departments (EDs) in three different hospitals. The project will develop a HIPAA-compliant interaction among all Kent County, Michigan, EDs and clinics through the local health information exchange. CIM will therefore be able to identify and provide care for super-utilizer patients who present at any ED. Further, the clinic will partner with local health plans to develop payment models that will support sustainability. Deliverables will include: (1) system-level HIPAA agreements between all Kent County EDs and clinics; (2) development of a systemwide super-utilizer list, which CIM will use to identify new patients; (3) development and implementation of one or more payment models; (4) serving at least 30 new patients before the end of the grant period; and (5) an analysis of the project's impact on health care costs, patient satisfaction, and health care quality.
Amount Awarded $200,000.00
Awarded on: 6/21/2012
Time frame: 7/1/2012 - 6/30/2014
Grant Number: 70192