HCH Emergency Department Diversion Program Kevin Lindamood, HCH - PowerPoint PPT Presentation

HCH Emergency Department Diversion Program Kevin Lindamood, HCH Nilesh Kalyanaraman, HCH Christopher Thomaskutty, Mercy

Program Model • Two Staff • Registered Nurse • Community Health Worker • Three Hospitals • Mercy Medical Center • University of Maryland • Johns Hopkins • 75 Patients • High-frequency ED utilizers • Over one full year • 25 (est.) at each hospital

May 15 – October 31 Data • Referrals : 48 – Mercy: 19 – University: 22 – Hopkins: 7 • Patients Engaged in Care : 42

Diversion to HCH Care • Engaged with any service: 71% • Engaged with more than one team: 50% Team # Patients # w/ > 1 Visit Total # Visits Medical 22 20 105 Mental Health 15 9 53 Case Management 9 6 31 Public Benefits 11 2 18 Other Services: Convalescent Care, Addictions, Disability Benefits Assistance

Service Sustainability Percent of Visits with Clients Who Have Comprehensive Health Insurance: January 2013 to April 2014 100% 91% 91% 88% 86% 90% 80% 70% 60% 51% 50% 50% 49% 49% 47% 50% 44% 43% 41% 41% 41% 40% 40% 30% 20% 10% 0% Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 Apr-14

HCH Experience Nationally

Challenges & Client Profiles • Alcohol Dependence – Sobering Center? • Severe Mental Illness – ACT Teams? • Data Challenges/Time • Client Examples

Parallel Initiatives

“Housing Readiness” to “Housing First”

Discussion/Questions? Contact Information Kevin Lindamood: 443-703-1301; klindamood@hchmd.org Nilesh Kalyanaraman: 443-703-1238; nkalyanaraman@hchmd.org Christopher Thomaskutty: 410-332-1468; cthomask@mdmercy.com