A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors

2013 ◽  
Vol 20 (5) ◽  
pp. 327-334 ◽  
Author(s):  
Peter Reinius ◽  
Magnus Johansson ◽  
Ann Fjellner ◽  
Joachim Werr ◽  
Gunnar Öhlén ◽  
...  
Keyword(s):  
Emergency Department ◽  
Case Management ◽  
Healthcare Utilization ◽  
Management Intervention ◽  
Case Management Intervention

scholarly journals A case management intervention targeted to reduce healthcare consumption for frequent Emergency Department visitors

2016 ◽  
Vol 23 (5) ◽  
pp. 344-350 ◽  
Author(s):  
Gustaf Edgren ◽  
Jacqueline Anderson ◽  
Anders Dolk ◽  
Jarl Torgerson ◽  
Svante Nyberg ◽  
...  
Keyword(s):  
Emergency Department ◽  
Case Management ◽  
Healthcare Consumption ◽  
Management Intervention ◽  
Case Management Intervention

scholarly journals Implementing a case management intervention for frequent users of the emergency department (I-CaM): an effectiveness-implementation hybrid trial study protocol

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Véronique S. Grazioli ◽  
Joanna C. Moullin ◽  
Miriam Kasztura ◽  
Marina Canepa-Allen ◽  
Olivier Hugli ◽  
...  
Keyword(s):  
Emergency Department ◽  
Case Management ◽  
Study Protocol ◽  
Frequent Users ◽  
Management Intervention ◽  
Case Management Intervention ◽  
Hybrid Trial

scholarly journals Case management intervention of High Users of the Emergency Department of a Portuguese hospital: a before-after design analysis

2021 ◽  
Author(s):  
Simão Gonçalves ◽  
Francisco Von Hafe ◽  
Flávio Martins ◽  
Carla Menino ◽  
Maria José Guimarães ◽  
...  
Keyword(s):  
Emergency Department ◽  
Case Management ◽  
Significant Proportion ◽  
Patient Centered ◽  
Management Intervention ◽  
Use Of Resources ◽  
Case Management Intervention ◽  
Program Costs ◽  
Intervention Costs ◽  
The Impact

Abstract Background: Emergency department (ED) High users (HU), defined as having more than ten visits to the ED per year, are a small group of patients that use a significant proportion of ED resources. The High Users Resolution Group(GRHU) identifies and provides care toHUto improve their health situation and reduce their visit frequency to the ED by delivering patient-centered, case management integrated care. Objectives: The main objective of this study was to measure the impact in terms of hospital visits of the GRHU intervention. Additionally, we aim to compare the program costs against its potential savings or additional costs. Finally, we intend to study the impact of the intervention across different groups of patients. Methods: We studied The changes triggered by the GRHU program in a retrospective non-controlled before-after analysis of patients’ hospital utilization data on six and 12-month windows from the first appointment. The GRHU team provided the patients’ and cost data. Results: A total of 238 EDHUwere intervened. A sample of 88 patients was analyzed on the 12-month window as they fulfilled all inclusion criteria. This intervention was associated with a statistically significant reduction of 51% in ED use and hospitalizations, and a non-statistically significant increase in the total number of outpatient appointments. Overall costs reduced 43.56%. We estimated the intervention costs to be€162,847.82. The net cost saving was€104,305.25. The program’s Return on Investment (ROI) was estimated to be€2.3. Conclusions: Patient-centered case management for EDHUseems to effectively reduce ED visits and hospitalizations, leading to the more appropriate use of resources.

scholarly journals Frequent Attenders of the Emergency Department: Patients’ Perspectives and Impact of a Multidisciplinary Case Management Intervention in Reducing Attendance

2017 ◽  
Vol 24 (4) ◽  
pp. 502-502
Author(s):  
Shu Fang Ho ◽  
Weng Kit Lye ◽  
Yogeswary Pasupathi ◽  
Sherman Wei Qiang Lian ◽  
Salimah Bte Mohd Ayoob ◽  
...  
Keyword(s):  
Emergency Department ◽  
Case Management ◽  
Management Intervention ◽  
Frequent Attenders ◽  
Case Management Intervention ◽  
Emergency Department Patients

Short-Term Response to Counseling and Case Management Intervention in a Domestic Violence Shelter

1997 ◽  
Vol 81 (3_suppl) ◽  
pp. 1243-1251 ◽  
Author(s):  
John R. McNamara ◽  
Melissa A. Ertl ◽  
Sue Marsh ◽  
Suzanne Walker
Keyword(s):  
Domestic Violence ◽  
Case Management ◽  
Drop Out ◽  
Short Term ◽  
Domestic Violence Shelter ◽  
Management Intervention ◽  
Case Management Intervention ◽  
Skill Deficits ◽  
Shelter Services

81 women who accessed counseling and case management services at a domestic violence shelter after three sessions reported that abuse decreased, life satisfaction increased, perceived coping ability improved, as did their satisfaction with the services. Shelter users, however, also displayed significant skill deficits in the inability to apprise or respond appropriately to abusive situations. Limitations on understanding how shelter services affect longer-term outcomes were ascribed to high drop out rates and the absence of follow-up measures. Researchers need to address the causes of drop-out and what specific interventions can meet the needs of short-term shelter users.

A Public Health Nursing Model Assists Women Receiving Temporary Assistance for Needy Families Benefits to Identify a Usual Source of Primary Care

2015 ◽  
Vol 16 (4) ◽  
pp. 203-207
Author(s):  
Christa L. Cook ◽  
Allyson G. Hall ◽  
Cynthia S. Garvan ◽  
Shawn M. Kneipp
Keyword(s):  
Public Health ◽  
Case Management ◽  
Public Health Nursing ◽  
Usual Source Of Care ◽  
Management Intervention ◽  
Usual Source ◽  
Case Management Intervention ◽  
Source Of Care ◽  
Health Nursing ◽  
Temporary Assistance

Women enrolled in Florida’s Temporary Assistance for Needy Families (TANF) program experience high rates of chronic health problems and often lack a usual source of care. Thus, in this study, we aimed to identify variables related to being in a usual source of care at time of study enrollment and determine whether a public health nursing case management intervention affected the obtainment of a usual source of care. To achieve these aims, we conducted a secondary analysis of a randomized controlled trial of a public health nursing case management intervention, which included women with chronic health conditions enrolled in TANF (n = 432). Results indicated 35% of the women did not identify a usual source of care at time of study enrollment, and the public health nursing intervention was effective in helping women obtain a usual source of care (OR = 2.5, 95% CI 1.004–6.491). Thus, a public health nursing case management intervention is an effective way to connect TANF participants to a usual source of care, which may lead to improved health outcomes in this vulnerable population of women.

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