Within the integrated Mind-Body Wellness Clinic, clients considered high utilizers of the Emergency Department showed significant reductions of their ED use over time. Electronic Health Record data indicated that, for clients enrolled longer than 14 months, ED visits in the recent 3 months and total visits since program intake were lower compared to their counterparts. Although clients enrolled for longer have more of an opportunity to have an ED visit, the average number of visits for these clients is fewer, indicating that enrollment in the MBW Clinic may prevent ED use, even among high utilizers. Additionally, 75.7% of clients on the high utilizer list are uninsured, slightly more than for the whole sample (64.1%).
Electronic Health Record data (e.g. ED visits, diagnoses) and process data will be discussed to showcase how integrated care teams can mitigate higher levels of care when they are unneeded. Preliminary results indicate that Integrated care not only contributes to more positive health and behavioral health outcomes, but that it also saves money reducing utilization of the emergency department as a setting for care among individuals with elevated health risks.
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