3. Identification of the highest utilizers, along with follow-up and care plans for them. This population had significant issues, including 86 percent with mental health issues and 41 percent with addiction issues. The key for these patients was an emphasis on case management with care plans and coordination with primary care.
4. A requirement that “frequent flyers,” or overutilizers, are seen by primary care within 72 hours.
5. Creation of a statewide narcotics program. A 17-point program was adopted by all ED providers that created a statewide standard for prescribing opioids for chronic, noncancer pain.