In June 2015, the Emergency Department Consistent Care Program (EDCCP) was transitioned to CHOICE’s hospital partners. Administered by CHOICE staff, the multidisciplinary EDCCP teams created 2,587 care guidelines for referred clients between 2010 and 2015.
CHOICE began the pilot phase of EDCCP at Providence St. Peter Hospital in December 2003. This program had three specific goals:
- Reduce Emergency Department (ED) visits and ED costs for patients with elevated emergency department utilization;
- Improve enrolled patient health status;
- Increase capacity and integration of safety net services.
Patients who are referred to this program are identified by the hospital as having a high frequency of Emergency Department (ED) use. Many of the diagnoses are much better and less expensively treated outside the ED in a comprehensive primary care practice.
Value of the Program
Proven history of reduction in hospitalizations and costs:
- Reduces visits of frequent inappropriate ED users by up to 55%.
- Reduces costs associated with inappropriate ED usage; achieved average annual reduction of 59%.
Improves system coordination and quality of services by providing a consistent approach to:
- Referring and managing high utilizing patients by facilitating multidisciplinary care teams.
- Communication and care of patients during and after their ED visits.
- Implementing the legislatively-mandated 7 best practices to reduce ED visits.
Program model supports many of the Health Care Authority/Medicaid contracting requirements:
- Facilitates coordination between Primary Care Physician/ED staff.
- Develops and shares plans of care that facilitate coordination.
- Facilitates Patient Review and Coordination Program (PRCP) referral and coordination.