ED Diversion Project Lourdes Health Network Erin Tomlinson Grant Writer, Lourdes Foundation April 19, 2011

Problem addressed by Grant Inappropriate utilization of the ED by Medicaid recipients Improving service outcomes for all patients Improving the continuum of care for all patients

Grant Partners Lourdes Health Network Tri-Cities Community Health (formerly known as Community Health Center La Clinica) Miramar Health Center (local Yakima Farm Workers Clinic)

Strategies Utilized 1. Shared Information Lourdes Health Network Tri-Cities Community Health Miramar Health Center Medicaid Recipients

Strategies Utilized 2. Shared Staff (Case Management staff works together to link patients to primary care services, provide patient education and follow-up) 2 full-time hospital based Case Managers meet with patients in the ED ½ time Case Manager/Behavioralist at Miramar 1 full-time Case Manager at Tri-Cities Community Health

Strategies Utilized 3. Community Education and Awareness Campaign Press Conferences Radio and Television PSAs Magnets in English and Spanish Brochures in English and Spanish “What To Do When Your Child Gets Sick” books in English and Spanish Trayliners at 13 area McDonalds TV Monitors in local Food Banks Participation in the United Way “Babies Can’t Wait Campaign” and its agencies Participation in community fairs and expos Held 2 medical employee trainee programs for medical staff throughout our area in partnership with the State’s Patient Review and Coordination Program Staff All promotional information included on LHN website and incorporated into all LHN marketing efforts Tri-Cities Communiy Health Center held a community fair and highlighted message

Challenges Bringing partners together Staff changes at TC Community Health and LHN Hiring mistakes Collecting accurate information from patients Collecting monthly reporting information from partners

Engaging Leaders Leadership that is Mission focused Collaboration as an attitude and a commitment to share resources and information Most important reason for collaboration – it benefits the people we serve

What Worked? Remaining focused on Mission Ability to quickly identify target market New Case Management Model LHN was champion of program Community Engagement

Results Tri-Cities Community Health increased hours at Urgent Care Miramar added a new provider Decrease in Behavioralist services at Miramar Attracted new partnerships to our effort

LHN Results