Key result
The ED Multi-Visit Patient Program reduced acute care hospital visits by 1.94 visits (95% CI: -2.54 to -1.34) and acute care utilization by 2.42 days over 12 months compared with controls.
Why the study?
Does an interdisciplinary team-based intervention reduce acute care utilization in emergency department multi-visit patients?
Observational
Yes
Does an interdisciplinary team-based intervention reduce acute care utilization in emergency department multi-visit patients?
Mean Difference: -1.94 (95% CI -2.54–-1.34)
A tailored, interdisciplinary team-based intervention significantly reduces acute care utilization and days of acute care among patients with frequent ED visits.
May reduce acute care utilization among frequent ED users; leaves open need for randomized trials before practice change.
OBJECTIVE: To evaluate the impact of the emergency department (ED) Multi-Visit Patient (MVP) Program, a novel team-based approach to supporting patients with frequent ED utilization. STUDY SETTING AND DESIGN: The ED MVP Program identified patients with frequent ED visits, conducted comprehensive chart reviews, and implemented tailored care plans to address healthcare barriers and social determinants of health. A comparison group included eligible patients who did not receive the intervention as well as those not yet treated at a given month. We conducted a quasi-experimental study using difference-in-differences analysis with dynamic effects. DATA SOURCES AND ANALYTIC SAMPLE: Acute care utilization (ED visits, observation stays, inpatient admissions) and 30-day readmission data were extracted from the electronic health record system across a multi-hospital not-for-profit healthcare system in the Baltimore-Washington metropolitan area. PRINCIPAL FINDINGS: Compared with controls, patients receiving ED MVP intervention had 1.94 fewer acute care hospital visits (95% confidence interval [CI]: -2.54, -1.34) and 2.42 fewer days of acute care utilization (95% CI: -3.19, -1.64) in the following 12 months. There was also a small reduction in 30-day inpatient readmissions, averaging 0.08 fewer readmissions (95% CI: -0.16, -0.01). CONCLUSIONS: This study provides strong evidence for the effectiveness of a tailored care intervention to reduce acute care utilization among patients with frequent ED utilization.
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Kim et al. (2025) conducted an observational in Frequent emergency department utilization. ED Multi-Visit Patient (MVP) Program vs. Eligible patients who did not receive the intervention and those not yet treated was evaluated on Acute care hospital visits (MD -1.94, 95% CI -2.54, -1.34). The ED Multi-Visit Patient Program reduced acute care hospital visits by 1.94 visits (95% CI: -2.54 to -1.34) and acute care utilization by 2.42 days over 12 months compared with controls.
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