Frequent user system engagement: A quality improvement project to examine outcomes of a partnership to improve the health of emergency department frequent users

Background: Patterns of frequent emergency department (ED) use correlate with a variety of care needs. Health care systems should address these needs in collaboration with community health partners. Local Problem: Approximately 600 patients frequent a local ED for nonemergent needs. Approximately 15% of those patients are homeless. Methods: A program consistent with the Corporation for Supportive Housing's Frequent User System Engagement (FUSE) model was developed and implemented in a community setting. Eleven participants were enrolled in this pilot program. Interventions: Eligible candidates enrolled in the program received coordinated multidisciplinary care and stable housing. Results: ED visits, primary care provider visits, and number of diagnostic tests and costs changed significantly over time. Conclusion: The FUSE program is equipped to address the needs of the whole person, resulting in a meaningful impact on overall health while decreasing frequency of ED visits.

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