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  1. Smith, Michelle A. MSN, RN, CRRN, CNL
  2. Moyer, Donna PhD, RN, PCNS-BC


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.