Overview

In 2016, a primary care clinic at Froedtert & Medical College of Wisconsin evaluated two evidenced-based hospitalization prevention models that reduced admissions for high-need and high-cost (HNHC) patients.

Organization Name

Froedtert and The Medical College of Wisconsin

Organization Type

• Academic Medical Center

Tech Involved

• Electronic medical record
• Epic

Team Members Involved

• Clinical Informatics Specialist
• Primary Care Physicians
• RNs
• Social Worker
• Specialists

Workflow Steps

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Sources

Hilgeman B, Egede L, Silverstein R, Kastner M, Stulac-Motzel W, Dawson A, Walker R, Simms A, Ayala K, MacKinney T. Details of developing and implementing an intensive interdisciplinary care program for high need, high cost patients. InHealthcare 2021 Jun 1 (Vol. 9, No. 2, p. 100452). Elsevier.