ED-based Intervention Connects Frequent Users With Program to Address Underlying Needs: While the program has been successful at drastically curbing ED use in enrolled patients thus far, the ultimate aim is to transition patients to a primary care provider

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Abstract

Grady Memorial Hospital in Atlanta established a Chronic Care Clinic (CCC) to take over the care of high-needs patients who frequent the ED. Navigators intervene with these patients when they present to the ED and connect them to the CCC, which offers an array of services to meet several social and medical needs. The goal of the program is to eventually transition these patients to primary care so their underlying needs can be addressed.

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