Better Care for Super-Utilizers

A patient holds a themometer, while a nurse takes his temperature.

Six organizations that operate quality improvement alliances in RWJF’s Aligning Forces for Quality (AF4Q) initiative strive to develop and implement effective models to meet the needs of super-utilizers outside the emergency room.

About This Series

In many regions across the country, robust “super-utilizer” programs that provide intensive outpatient care management to high-need, high-cost patients are beginning to emerge. The term “super-utilizer” describes individuals whose complex physical, behavioral, and social needs are not well met through the current fragmented health care system. As a result, these individuals often bounce from emergency department to emergency department, from inpatient admission to readmission or institutionalization—all costly, chaotic, and ineffective ways to provide care and improve patient outcomes. This collection explains Jeffrey Brenner's approach to improving health care delivery and illustrates how three organizations are testing and expanding this model.

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