Abstract
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. Approximately 600 patients frequent a local ED for nonemergent needs. Approximately 15% of those patients are homeless. 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. Eligible candidates enrolled in the program received coordinated multidisciplinary care and stable housing. ED visits, primary care provider visits, and number of diagnostic tests and costs changed significantly over time. 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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