Urgent Matters -- Demonstration

The Foundation's Urgent Matters program was designed to improve the availability and timeliness of care in hospital emergency departments and the use of these departments as a window into the safety net to raise public understanding of the interaction between safety net functions and workings of the health care delivery system as a whole.This grant supports the Grady Health System in creating a Care Management Unit (CMU) within the emergency department (ED), having the ultimate goal of reducing and/or alleviating ED crowding and improving the continuum of care from the initial evaluation of the CMU patient to their primary care follow-up visit. To implement this concept, ED patients with specific clinical criteria will be moved into a special 7-bed, monitored area for extended ED care. This group will include: (1) chest pain patients who need a rapid MI-rule out protocol that includes serial enzyme and EKG testing and risk stratification; (2) CHF patients who are candidates for aggressive diuresis and afterload reduction; (3) asthmatics who fail initial ED treatment, do not need mechanical ventilation, but require additional therapy; and (4) out-of-control diabetics who need IV hydration and potentially short-term insulin infusion.

Grant Details

Amount Awarded $250,000.00

Awarded on: 4/24/2003

Time frame: 5/1/2003 - 10/31/2005

Grant Number: 48557


Fulton Dekalb Hospital Authority

35 Butler Street
Atlanta, 30303-3032


Leon L. Haley
Project Director