Abstract
Background: Patterns of frequent emergency department (ED) use correlate with a variety of care needs. Health care systems should address these needs in collaboration with community health partners.
Local Problem: Approximately 600 patients frequent a local ED for nonemergent needs. Approximately 15% of those patients are homeless.
Methods: A program consistent with the Corporation for Supportive Housing's Frequent User System Engagement (FUSE) model was developed and implemented in a community setting. Eleven participants were enrolled in this pilot program.
Interventions: Eligible candidates enrolled in the program received coordinated multidisciplinary care and stable housing.
Results: ED visits, primary care provider visits, and number of diagnostic tests and costs changed significantly over time.
Conclusion: The FUSE program is equipped to address the needs of the whole person, resulting in a meaningful impact on overall health while decreasing frequency of ED visits.