Evaluating the Effectiveness of Community and Hospital Medical Record Integration on Management of Behavioral Health in the Emergency Department.

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Ngo, S; Shahsahebi, M; Schreiber, S; Johnson, F; Silberberg, M

Published Date

  • October 2018

Published In

Volume / Issue

  • 45 / 4

Start / End Page

  • 651 - 658

PubMed ID

  • 29124454

Pubmed Central ID

  • 29124454

Electronic International Standard Serial Number (EISSN)

  • 1556-3308

International Standard Serial Number (ISSN)

  • 1094-3412

Digital Object Identifier (DOI)

  • 10.1007/s11414-017-9574-7

Language

  • eng