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Frequent User System Engagement: A Quality Improvement Project to Examine Outcomes of a Partnership to Improve the
Michelle A Smith1, Donna Moyer
1Department of Professional Practice, Bronson Methodist Hospital, Kalamazoo, Michigan.
Background:
Patterns of frequent emergency department (ED) use correlate with a variety of care needs. Health care systems should address these needs in collaboration with community health partners.
Local Problem:
Approximately 600 patients frequent a local ED for nonemergent needs. Approximately 15% of those patients are homeless.
Methods:
A program consistent with the Corporation for Supportive Housing's Frequent User System Engagement (FUSE) model was developed and implemented in a community setting. Eleven participants were enrolled in this pilot program.
Interventions:
Eligible candidates enrolled in the program received coordinated multidisciplinary care and stable housing.
Results:
ED visits, primary care provider visits, and number of diagnostic tests and costs changed significantly over time.
Conclusion:
The FUSE program is equipped to address the needs of the whole person, resulting in a meaningful impact on overall health while decreasing frequency of ED visits.
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