In 2010 Mercy Hospital sought community partnerships to assist in meeting the needs of individuals presenting to the hospital’s emergency room repeatedly who, due to their substance use disorders, mental health disorders, and/or co-occurring disorders, were not able to successfully access and engage in community-based services to address needs. This webinar will chronicle the process of development of the project by community stakeholders, implementation, highlight challenges and successes, delineate measurable one-year outcome data and return on investment.
Radiation Dosimetry Parameters and Isodose Curves.pptx
Successful Social and Financial Outcomes for Complicated Patients
1.
2. This presentation will:
Chronicle the process of development and implementation of the
project by community stakeholders.
Identify and share how barriers were addressed.
Present outcome data after one year of operation.
3. After attending this presentation participants will be able to:
Identify two key components of community outreach that
successfully engages individuals at high risk for multiple
emergency room visits.
Identify two key components for a successful partnership
between emergent health care system and the substance
use disorder treatment system.
Identify return on investment to communities supporting
community outreach projects, financially and in terms of
improved healthcare outcomes.
4. Mercy Hospital reached out to community partners in 2010
asking for assistance in meeting the needs of individuals
presenting to the hospital’s emergency room repeatedly who
due to their substance use disorders, mental health disorders
and/or co-occurring disorders were not able to successfully
access and engage in community-based services to address
needs.
5. A wide array of community stakeholders were invited to attend meetings to help
develop and implement a number of initiatives related to the health and well
being of the communities served by Mercy Hospital in Cadillac, Michigan.
Anyone who had an interest was allowed access to these meetings. A sampling
of stakeholders involved included:
Community Mental Health
NMSAS (the regions Substance Use Disorders Coordinating Agency)
Public Health
Catholic Human Services (a provider of both SUD and Mental Health services
in the area)
Representatives from the area Homeless Coalition
Clergy
Wexford/Missaukee ISD
Mercy Hospital - Medical Social Workers, Nurses and ER staff
6. Issues of concern to the community that were discussed during the coalition meetings were:
homelessness
poverty
mental illness
substance use
public transportation
medical care of low income indigent individuals and families
school attendance/truancy
Of particular concern to the coalition was the lack of coordination of care for individuals who
frequented the hospital emergency room for issues that could and should be handled in a Primary
Care setting. Care Coordination occurs routinely for individuals who have commercial insurance
providers, but rarely occurs for uninsured or under-insured individuals and families. The coalition
decided to concentrate efforts in this area and were able to secure funding for the Community
Outreach Practitioner in October 2011.
24. 89 x 650 = $57,850
Utilization of a primary care provider, urgent care or
specialist instead of the Emergency Room.
Procurement of necessary medications, especially
psychotropics.
Meeting with patients in crisis and developing a stabilized
plan.
Utilization of public dental clinics for urgent needs.
Pursuit of residential substance abuse treatment.
Sustained sobriety and/or mental health stability
resulting in reduced ED/IP visits.
Referrals to Mercy Homecare and/or Hospice.