For the Uninsured in Memphis, a Stronger Safety Net

Bara L. Vaida
Case Study
September 2019

This resource describes a new model that moves high-need patients out of the emergency department and into a network of social supports.

  • Regional One Health, a large health system in Tennessee, has built established a program called ONE Health that combines data analysis and community connections and is led by a team of nurse leaders experienced in complex care.
  • The ONE Health team identifies eligible patients, facilitates care coordination, connects them to social services, and then moves them to a place where they can care for themselves.
  • An important part of the model is developing “authentic healing relationships,” in which a health provider develops a secure and genuine connection with a patient.

Among a set of high utilizers, the program reduced uninsured ED visits by 68.8 percent, inpatient admissions by 75.4 percent, and lengths-of-stay by 78.6 percent—saving $7.49 million over a 15-month period.

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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
Key Questions Answered
  • What is a promising care model for high-need, uninsured patients that could reduce emergency department use?
  • What are the elements of this care model?
  • What have been the results so far?
Level of Evidence
Expert Opinion
What does this mean?