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