ED Community Placement Project (EDCPP): Right Service-Right Venue Approach in Managing ED Frequent Users
Other Title(s)
Evidence-Based Practice Implications Within Emergency Care
View File(s)
PDF (2.350Mb)
Author Information
- Author(s)
- Details
-
Karen Elizabeth Mitchell, RN, MSN, CMCN
- Sigma Affiliation
- Gamma Gamma
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Mitchell, Karen Elizabeth by View
Title | Page Views |
---|
Popular Works for Mitchell, Karen Elizabeth by Download
Title | Downloads |
---|
View Citations
Citations
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Item Information
Item Link - Use this link for citations and online mentions.
Abstract
Session presented on Saturday, July 26, 2014: ED Community Placement Project (EDCPP): Right Service -Right Venue approach in managing ED frequent users. Karen Elizabeth Mitchell, RN, MSN,CMCN, Department of Emergency Medicine, University of California San Diego Health System, San Diego, CA ED Community Placement Project (EDCPP): "Right Service -Right Venue" approach in managing ED frequent users. Authors: Karen Elizabeth Mitchell, RN, MSN, CMCN, Christian Tomaszewski, MD, MBA, and Catherina Mandani, RN, MSN, PhD(c). Background Statement: San Diego has the 3rd largest homeless population in the United States, following New York and Los Angeles. Homeless patients without medical homes account for nearly 1/3 of the ED visits, resulting in longer ED wait times and avoidable inpatient admissions. Many of these patients are non-funded or under-insured contributing to rising unreimbursed healthcare costs. Emergency departments (ED) are ill equipped to meet the psychosocial, housing, substance abuse treatment and mental health needs of homeless community. Intervention Detail: The Emergency Department Community Placement Project (EDCPP) is designed to bridge the highest ED users into community-based homeless prevention services, substance abuse treatment, and intensive case management. The goal for this project is to reduce recidivism amongst the neediest and costliest patients by 20% through provision of resources to address substance abuse, homelessness and mental health issues. A cohort of 215 patients was electronically pre-identified in EPIC electronic medical records. Inclusion criteria included homeless with frequent ED visits (2 or more visits per month over the past 12 months) and associated complaints of co-occurring disorders, substance abuse and alcohol related illness. Upon patient presentation the Best Practice Advisory (BPA) flag is initiated and triggers targeted interventions. The ED physician/psychiatrist places Community Placement Order. Patient consenting, screening and placement (to community partners) are performed by ED Staff. Setting and methods: Emergency Department is an urban, academic teaching healthcare facility. Annually treating 42,300 patients. Results: Six month analysis: Cost savings of $168,231. Based on program expenses, (contractual bed cost) of $38,234 (6mos) = 4 .4 (ROI). 78 % reduction in ED visits among EDCPP placed patient cohort. 3.8% increase in Press-Ganey patient satisfaction scores. Given results, program planned for expansion to other healthcare system EDs and extended pt populations.
Description
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Repository Posting Date
2014-11-17T13:45:13Z
Notes
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type Information
Type | Presentation |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Category Information
Evidence Level | |
Keywords | evidence based project; recidivism reduction; community collboration |
Conference Information
Name | 25th International Nursing Research Congress |
Host | Sigma Theta Tau International, the Honor Society of Nursing |
Location | Hong Kong |
Date | 2014 |
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
ED Community Placement Project (EDCPP): "Right Service-Right Venue"
Mitchell-Keels, Karen Elizabeth (2016-03-21)Session presented on Monday, November 9, 2015: Background: San Diego has the 3rd largest homeless population in the United States, second only to New York and Los Angeles. Nearly one-third of all visits to the emergency ... -
An approach to data management and evaluation for evidence-based practice projects
Sylvia, Martha; Terhaar, Mary F. (2012-9-12)Strong data management skills are essential for effective evaluation of evidence-based practice project implementation. Completion of a scholarly evidence-based project requires application of data management skills in ... -
The Petal Project: Bringing the Community Together through Service
Parker, Karen M.; Masco, Natalie Ann (2016-03-21)Session presented on Tuesday, November 10, 2015: As we increasingly become a global community, one of the challenges faced by schools of nursing today is building awareness of and an opportunity for responsiveness to global ... -
Community-based collaborative action research supports academic-community partnerships in a service-learning project
Krumwiede, Norma; Krumwiede, Kelly; Van Gelderen, Stacey Ann (2016-03-21)Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Purpose: The purpose of this service learning project was to assess the effectiveness of the Community-Based Collaborative Action Research ... -
Authentic and collaborative project-based learning: A model for teaching evidence-based practice focused graduate capstone online
Liske, Carole D.; Starkey, Traci J.; Register, M. Elizabeth (2016-03-29)Session presented on Friday, April 8, 2016: Taking a radical departure from the traditional primary research focused Capstone and implementing an authentic and collaborative competency-based project-focused online nursing ...