Non-urgent Emergency Room (ER) super-users account for 21%-28% of all ER visits — and most have insurance and a Primary Care Physician (PCP).
Some healthcare consumers need additional reminders that the ER is not a substitute for primary care. These ER frequent flyers, patients who utilize emergency services four or more times a year, are a significant, and chronic, source of unnecessary healthcare spending.
Your nurse advice line should be a central part of your ER diversion strategy, but you also need to engage and coach consumers who are already using the ER inappropriately.
Build the engagement strategy that connects best
SironaHealth's ER Decision Support Services help you engage consumers who are overusing the ER and remind them that there are other resources available to help them, and their families, effectively manage their health.
Program features include:
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Education Campaigns
Build awareness of ER alternatives and drive appropriate use of healthcare resources through direct marketing, email nurturing, website promotions, and smartphone decision support tools.
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Automated, Interactive Education and Reminder Outreach
Provide targeted communications to consumers after their second visit to the ER. At anytime during the interactive voice call, patients can opt-in to speak with a referral specialist or nurse for more information.
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Outbound Education and Reminder Calls
Connect consumers to RNs after their third visit to the ER. During the coaching call, the nurse reminds the consumer to connect with their PCP, conducts a risk assessment, and enrolls consumers suffering from chronic conditions into the appropriate disease, case, or behavioral health management programs.
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Post Hospital Discharge Follow Up
Follow up with recently discharged patients to clarify discharge instructions, remind them to take and refill their prescriptions, schedule follow up appointments, and provide clinical coaching or triage.
Use SironaHealth's ER Decision Support to:
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Educate consumers on Emergency Room alternatives when their Primary Care Physician is unavailable, such as urgent care centers and clinics.
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Coach consumers on the appropriate use of Emergency Services and remind them about the availability of your nurse advice line.
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Evaluate the consumer's need for structured care management and enroll them into your health management programs as appropriate.
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Help consumers find a Primary Care Physician, clinical specialist, or other appropriate, in-network care facility.