ACHIEVE A 20% REDUCTION IN POTENTIALLY AVOIDABLE ED USE TO GENERATE MORE THAN $100 MILLION IN HEALTH CARE SAVINGS OVER THE NEXT TWO YEARS
This new Coalition aims to address the challenge of potentially avoidable ED visits by aligning employer interests and efforts with other like-minded stakeholders, such as hospitals, health care providers, health insurance plans, labor unions, community organizations, consumers, and government. If successful, this effort will provide a model for future coordinated efforts to tackle health care costs.
The effort will focus on four levers for impact:
• Develop and distribute employer “toolkits” to help employers communicate about avoidable ED use with their employees and encourage employees to establish relationships with primary care providers.
• Share informational materials employees can use to get the best care in the right setting when medical needs arise, e.g., primary care practices, retail clinics, and urgent care centers.
• Identify employer champions who have achieved success in reducing avoidable ED visits among their employees and spread “best practices” widely.
• Align financial incentives across hospitals, health care providers, health plans, employers, and employees to reward and encourage the timely delivery of care in the most appropriate setting.
• Expand provider capacity and information-sharing so that other high-quality access points are available when patients need it, especially during nights and weekends.
• Establish a consensus approach to tracking success in reducing “avoidable ED use,” while ensuring that access to high-quality emergency care is maintained and strengthened for patients who need that level of care.
• Track and publicly report the rate of avoidable ED visits so employers, stakeholders, and the public can better understand the scope of the issue.
• Work to enhance employer data-sharing so that employers of all sizes receive regular, actionable information on the rate of avoidable ED use among their employees.
• Support public and private efforts to enhance real-time data-sharing across the EDs of all hospitals, as well as timely notification to primary care providers of avoidable ED use by their patients, in order to promote patient engagement and active care planning.
DATA AND MEASUREMENT
• Advocate for policy changes that will advance new care delivery and payment models, such as ACOs, telemedicine, and value-based payment models, which can work to improve access to timely care in the right setting.
• Identify emerging policies and best practices nationally and promote adoption locally.