- Describe your topic.
- What are effective interventions for high utilizers of health care? Populations: Individuals with avoidable high health care utilization (excluding some populations such as transplant or sickle cell) Interventions: hotspotting, behavioral health support, nurse case management, social interventions, intensive primary care support, EDIE (ED alerts), opioid restrictions Comparisons: no interventions, usual care Outcomes: disease-specific improvements (e.g reductions in CHF exacerbations), reductions in ED/hospitalizations, quality of life
- Describe why this topic is important.
- A small group of patients drive a large percentage of health care utilization. Some of this is preventable. There is marked interest in finding effective strategies to prevent avoidable admissions and unnecessary care. Understanding which strategies are effective, or effective would be valuable for health plans, health systems, and clinics.
- Tell us why you are suggesting this topic.
- I have not found a good systematic review addressing this topic which is paramount to health plans and health systems.
- Target Date.
- Describe what you are doing currently and what you are hoping will change because of a new evidence report.
- In Oregon Medicaid there is work to decrease ED visits, and a number of fascinating examples of "hotspotting." This report would help to inform those strategies further.
- How will you or your group use the information from a new evidence report?
- This would help to define evidence-based interventions and expand interventions that would also be potentially reimbursable for Medicaid (through Health-Related Services)
- How would you or your group plan to disseminate information from the report? Who would you plan to disseminate it to?
- We would disseminate it through Health Evidence Review Commission and to Medicaid Coordinated Care Organizations.
- Do you know of organizations that could use an evidence report to change clinical practice? Are you a part of, or have you been in contact with, any organizations that might implement the research findings of an evidence report?
- The Oregon Health Evidence Review Commission
- Information About You: (optional)
-
- Provide a description of your role or perspective.
- Physician, Health Care Policymaker
- If you are you making a suggestion on behalf of an organization, please state the name of the organization.
- Please tell us how you heard about the Effective Health Care Program.
- I use AHRQ reports regularly
