Nonemergent Care Access Plans
Reduce avoidable and preventable ER utilization for the most vulnerable patient populations, providing hands on navigation and partnering for same day primary care access with local FQHCs.
​At VHI, we have successfully created and implemented ED diversion plans by forming patient-centered care team models leveraging a team-based approach between ER staff, physicians, care management, care coordinators and navigators, and with primary care with FQHCs.
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Proven results that saved millions in uncompensated care and improved patient outcomes for the most vulnerable populations resulting in a 32% decrease in ER utilization.
NEW REGULATIONS: Florida hospitals with an emergency department, must submit nonemergent care access plans starting July 1, 2025 to comply with state regulations.
CREATE
Creation of Non-Emergent Access Care Plan
Implement
Operationalize and Implement Non-Emergent Care Access Plan
Results
Tracking and Monitoring of Results to Reduce Preventable and Avoidable Utilization
Partnerships
Form and Harness Valuable Primary Care Partnerships with FQHCs
Get Started Today
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Contact VHI for a Discovery Call and
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Start Utilizing the VHI Nonemergent Care Access Plan Checklist to Begin Planning
Nonemergent Care Access Plan Checklist
Primary Care/Urgent Care/Telehealth Care Engagement
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Assess collaborative partners for same day access for non-emergent conditions and medical home establishment
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Consider FQHC partner for more vulnerable populations
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Create alignment of goals via contracting and funding opportunities
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Communicate regularly with partners
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Share success stories, outcomes, and barriers
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Create a workflow to work seamlessly to mitigate and reduce patient burden
Emergency Care Team Engagement
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Elect an ER physician champion and nurse champion
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Implement a medical screening exam process
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Create a real-time identifier that flags avoidable and nonemergent ER visits/utilizers
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Design an action-oriented workflow to engage care teams including registration, nursing, physicians, and case management
Establish a Nonemergent
Care Team
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Form a care team including social workers, community health workers, and/or nurses to support coordination and management
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Imbed care team within workflow of emergency room
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Create compliant communication pathway between PCPs/acute providers and care team members
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Assess, educate and engage with patient to help address nonemergent care healthcare needs/ barriers to appropriate care
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Engage resources to address social determinants of health including transportation, food, medical and pharmacy expenses, phone access, and housing, DMEs
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Create 24/7 access points other than emergency room
Operations and Implementation
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Define workflows, goals, and population of focus
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Determine measure of success
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Develop process and outcome metric dashboards
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Form operational committee or workgroups
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Develop communication plan for internal and external stakeholders
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Develop ROI calculations and expansion opportunities
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Develop avenues to provide financial assistance