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Emergency department-based home care

D Brookoff1, M Minniti-Hill

  • 1University of Tennessee College of Medicine, Memphis.

Annals of Emergency Medicine
|May 1, 1994
PubMed
Summary
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Coordinating home care services from an inner-city emergency department (ED) is feasible. This program successfully provided home health services to elderly patients, reducing hospital admissions and proving economically viable.

Area of Science:

  • Healthcare Management
  • Geriatric Care
  • Emergency Medicine

Background:

  • A significant proportion of elderly patients discharged from emergency departments (EDs) require home health services.
  • Identifying and coordinating these services can be challenging within existing healthcare structures.

Purpose of the Study:

  • To evaluate the feasibility of coordinating home care services directly from an inner-city emergency department.
  • To assess the impact of such a program on patient care and hospital admissions.

Main Methods:

  • A preintervention survey identified unmet home care needs in 650 ED patients.
  • A dedicated nurse-coordinator managed home care services for eight months.
  • Services were provided regardless of insurance status to adult patients discharged from the ED.

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Main Results:

  • 7% of surveyed patients were eligible but not receiving home care.
  • 670 patients were referred for home care, with 67% receiving services managed by the ED coordinator.
  • 22% of patients receiving services avoided emergency hospital admission, and the program was financially sustainable.

Conclusions:

  • Coordinating home care from the ED is feasible and beneficial.
  • Rapidly deployed home care services can prevent hospital admissions for vulnerable, debilitated patients.
  • This model of care is economically viable for healthcare systems.