A subset of patients with complex health and social needs—often referred to as “super-utilizers”—account for the majority of public health care expenditures in the United States. Although there has been increased attention to this subpopulation recently, the existing evidence regarding the impact of interventions is limited.
This project is investigating effective existing and potential emergency department (ED), hospital, and emergency medical services (EMS) interventions that address the medical and social needs of these patients in Michigan, while decreasing avoidable ED utilization and hospitalizations, and reducing health care costs. The research approach includes:
- A statewide survey to examine perceptions of medical control authority and emergency department directors regarding these interventions.
- A systematic review of interventions aimed at reducing emergency department utilization among patients with complex health and social needs.
Key staff: Mahshid Abir
Related Evidence
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Published April 26, 2019View Evidence
“Super-utilizers” have been the subject of much attention as health care systems work to reduce costs and provide better care. As part of their work to understand best practices for addressing the medical and social needs of high-need/high-cost patients, Samantha Iovan, Paula Lantz, Katie Allan, and Mahshid Abir published a systematic review examining interventions that are being implemented to address super-utilizers in prehospital and emergency care settings in the U.S.
Updates
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Published January 31, 2020View Post
Policies for Action is entering its fifth year with a growing community of researchers across the country and a maturing pipeline of research to support critical policy development. Find out how we're expanding the quality and reach of our work in 2020.