HCH Emergency Department Diversion Program Kevin Lindamood, HCH - - PowerPoint PPT Presentation

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Apr 14, 2023 571 likes •717 views

HCH Emergency Department Diversion Program Kevin Lindamood, HCH Nilesh Kalyanaraman, HCH Christopher Thomaskutty, Mercy Program Model Two Staff Registered Nurse Community Health Worker Three Hospitals Mercy

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HCH

Emergency Department Diversion Program

Kevin Lindamood, HCH Nilesh Kalyanaraman, HCH Christopher Thomaskutty, Mercy

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Program Model

Two Staff
Registered Nurse
Community Health Worker
Three Hospitals
Mercy Medical Center
University of Maryland
Johns Hopkins
75 Patients
High-frequency ED utilizers
Over one full year
25 (est.) at each hospital

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May 15 – October 31 Data

Referrals: 48

– Mercy: 19 – University: 22 – Hopkins: 7

Patients Engaged in Care: 42

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Diversion to HCH Care

Engaged with any service: 71%
Engaged with more than one team: 50%

Team # Patients # w/ > 1 Visit Total # Visits Medical 22 20 105 Mental Health 15 9 53 Case Management 9 6 31 Public Benefits 11 2 18 Other Services: Convalescent Care, Addictions, Disability Benefits Assistance

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Service Sustainability

51% 49% 49% 50% 50% 47% 43% 44% 40% 41% 41% 41% 91% 91% 88% 86% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 Apr-14

Percent of Visits with Clients Who Have Comprehensive Health Insurance: January 2013 to April 2014

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HCH Experience Nationally

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Challenges & Client Profiles

Alcohol Dependence

– Sobering Center?

Severe Mental Illness

– ACT Teams?

Data Challenges/Time
Client Examples

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Parallel Initiatives

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“Housing Readiness” to “Housing First”

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Discussion/Questions?

Contact Information Kevin Lindamood: 443-703-1301; klindamood@hchmd.org Nilesh Kalyanaraman: 443-703-1238; nkalyanaraman@hchmd.org Christopher Thomaskutty: 410-332-1468; cthomask@mdmercy.com

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