Evaluating the Effectiveness of Community and Hospital Medical Record Integration on Management of Behavioral Health in the Emergency Department
This study evaluated the correlation of an emergency department embedded care coordinator with access to community and medical records in decreasing hospital and emergency department use in patients with behavioral health issues. This retrospective cohort study presents a 6-month pre-post analysis on patients seen by the care coordinator (n=524). Looking at all-cause healthcare utilization, care coordination was associated with a significant median decrease of one emergency department visit per patient (p < 0.001) and a decrease of 9.5 h in emergency department length of stay per average visit per patient (p<0.001). There was no significant effect on the number of hospitalizations or hospital length of stay. This intervention demonstrated a correlation with reducing emergency department use in patients with behavioral health issues, but no correlation with reducing hospital utilization. This under-researched approach of integrating medical records at point-of-care could serve as a model for better emergency department management of behavioral health patients.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
- 4.Minassian A, Vilke GM, Wilson MP. Frequent emergency department visits are more prevalent in psychiatric, alcohol abuse, and dual diagnosis conditions than in chronic viral illnesses such as hepatitis and human immunodeficiency virus. The Journal of Emergency Medicine. 2013;45(4):520–525. https://doi.org/10.1016/j.jemermed.2013.05.007.CrossRefPubMedGoogle Scholar
- 11.Case Management Society of America. What is a case manager?. http://www.cmsa.org/Home/CMSA/WhatisaCaseManager/tabid/224/Default.aspx. Accessed 13 Nov 2014.
- 16.Mandelberg JH, Kuhn RE, Kohn M. Epidemiologic analysis of an urban, public emergency department’s frequent users. Academic Emergency Medicine. 2000;7(6):637–646. https://doi.org/10.1111/j.1553-2712.2000.tb02037.x.CrossRefPubMedGoogle Scholar