For the Uninsured in Memphis, a Stronger Safety Net

Case Study
Key Questions Answered
  • What is a promising care model for high-need, uninsured patients that could reduce emergency department use?
  • What are the elements of this care model?
  • What have been the results so far?
Key Themes and Takeaways

This resource describes a new model that moves high-need patients out of the emergency department and into a network of social supports.

  • Regional One Health, a large health system in Tennessee, has built established a program called ONE Health that combines data analysis and community connections and is led by a team of nurse leaders experienced in complex care.
  • The ONE Health team identifies eligible patients, facilitates care coordination, connects them to social services, and then moves them to a place where they can care for themselves.
  • An important part of the model is developing “authentic healing relationships,” in which a health provider develops a secure and genuine connection with a patient.

Among a set of high utilizers, the program reduced uninsured ED visits by 68.8 percent, inpatient admissions by 75.4 percent, and lengths-of-stay by 78.6 percent—saving $7.49 million over a 15-month period.

Authors
Bara L. Vaida
Population Addressed
Adults Under 65 with Disabilities
People with Advanced Illness
Frail Older Adults
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Level of Evidence
Expert Opinion
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