Primary care-based interventions cut admissions, ED visits.

  • Published 2015 in
    Hospital case management : the monthly update on…


By sending teams of clinicians to work with at-risk patients at primary care practices, Lehigh Valley Health Network has reduced hospital admissions by 49% and emergency department visits by 25%. Teams that include a nurse care manager, a social worker, a behavioral health practitioner, and a pharmacist are assigned to primary care practices and work with the top 5% of high-utilizing, high-cost patients. The care managers call at-risk patients within two days of a hospital admission, conduct a thorough assessment, and refer patients who need assistance to the appropriate team member. The care managers develop a close relationship with patients, who often give them information they wouldn't be comfortable telling their physician.

Cite this paper

@article{2015PrimaryCI, title={Primary care-based interventions cut admissions, ED visits.}, author={}, journal={Hospital case management : the monthly update on hospital-based care planning and critical paths}, year={2015}, volume={23 5}, pages={60-1} }