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首页> 外文期刊>Journal of public health management and practice: JPHMP >Utilizing Actionable Data Analytics to Support Patient Navigation Enrollment and Retention Within Federally Qualified Health Centers
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Utilizing Actionable Data Analytics to Support Patient Navigation Enrollment and Retention Within Federally Qualified Health Centers

机译：利用可操作的数据分析来支持联邦合格的健康中心内的患者导航招生和保留

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Introduction: Emergency departments (EDs) have become the primary source of care for increasing number of patients, leading to treatment of nonemergent cases, which divert resources from true emergency situations and represent poor cost-effectiveness for treating such cases. There is evidence that suggests that patient navigation (PN) integrated into the ED and other case management techniques can help reduce the number of primary care-related ED visits and these navigation programs are more cost-effective than the ED visits themselves. The Greater New Orleans Community Health Connection Primary Care Capacity Project Quality Improvement Initiative (GNOPQii) is a pilot project aimed at improving the efficiency of PN for patients who have had avoidable ED encounters or inpatient readmissions through applied data and technology program. Methods: Partnering Federally Qualified Health Centers were equipped with actionable ED utilization data to integrate with their own patient clinical data to track patient ED activity. The pilot design also included the use of patient navigators to address the nonclinical cultural and behavioral barriers to care. As part of the overall evaluation, comparisons of data utilization and PN services pre- and post-GNOPQii were conducted. Results: A total of 337 referrals were made, and 145 patients were enrolled into the GNOPQii pilot program. The direct services needed the most by patients were transportation and medication resources. Of those who enrolled (N = 145), 63 patients graduated, meaning program compliance and 90 days without visits to the ED, resulting in a 43% success rate. Discussion: If an estimated $1898 savings for every nonemergency ED encounter replaced by an office-based encounter is applied to our results, the GNOPQii program contributed to a minimum of $119574.00 savings even if only 1 deterred ED visit per graduate is assumed. Future research is needed to systematically test the efficacy of GNOPQii in reducing nonemergent ED visits.
机译：简介：急诊部门（EDS）已成为越来越多的患者的主要护理来源，导致非医学案例的治疗，从真正的紧急情况下转移资源，代表治疗此类病例的成本效益差。有证据表明，患者导航（PN）集成到ED和其他案例管理技术中，可以帮助减少初级保健相关的访问的数量，而这些导航程序比ED访问更具成本效益。奥尔良社区健康联系初级保健能力项目质量改进倡议（GNOPQII）是一项试点项目，旨在通过应用数据和技术方案可获得可靠的遭遇或住院入住性的患者的PN效率。方法：与联邦合格的健康中心合作，配备可操作的ED利用数据，以与他们自己的患者临床数据集成，以跟踪患者ED活动。试点设计还包括使用患者导航员来解决非临床文化和行为障碍。作为整体评估的一部分，进行了数据利用率和PN服务的比较，并进行了吉普喀基QII。结果：制造了337名推荐，145名患者注册了GNOPQII试点计划。患者所需的直接服务是运输和药物资源。注册（n = 145）的人，63名患者毕业，意味着计划合规性和90天没有访问ED，导致成功率为43％。讨论：如果估计为遭遇办公室遭遇的每一个不可达到的遭遇的遭遇为1898美元，则GNOPQII计划的储蓄即使仅在每毕校验中只有1次促使ED访问，也会赚取至少119574.00美元。需要进行未来的研究来系统地测试GNOPQII在减少非可理性ED访问中的疗效。

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