Towards a Learning Health System to Reduce Emergency Department Visits at a Population Level

Paper
Key Questions Answered
  • How can a learning health systems approach reduce emergency department (ED) utilization?
  • How can a health system shift from a reactive to a proactive approach to care coordination for heavy ED utilizers, and what are the benefits?
Key Themes and Takeaways

This resource describes an effort to apply a learning health systems approach to reducing ED utilization.

  • A learning health system focuses on improving people’s health at scale through continuous cycles of knowledge discovery and implementation of best practices.
  • This study developed a predictive model to harness data from three Michigan health systems and identify residents at highest risk for future ED utilization in order to more effectively target a care coordination intervention.
  • The intervention consisted of steps including entry of data into a care management electronic health record (EHR), a needs assessment, and care plan development.
  • The model was able to accurately predict the number of ED visits during the subsequent six months to within a quarter to a half of a visit.
  • Transforming care coordination from a reactive to a proactive activity has potential to reduce ED utilization and therefore reduce costs.
Authors
Elliot Brannon
Tianshi Wang
Jeremy Lapedis
Paul Valenstein
Michael Klinkman
Ellen Bunting
Alice Stanulis
Karandeep Singh
Population Addressed
Adults Under 65 with Disabilities
People with Advanced Illness
Frail Older Adults
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Level of Evidence
Moderate
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