Community Access Program Community Access Program Final Report Final Report Emergency Room Utilization Emergency Room Utilization Study Study Principal Investigator Principal Investigator Natalie Jo Ehrlich, Ph.D., MPA Natalie Jo Ehrlich, Ph.D., MPA The University of Oklahoma-Tulsa The University of Oklahoma-Tulsa College of Public Health College of Public Health
Community Access Program Final Report Emergency Room Utilization Study Principal Investigator Natalie Jo Ehrlich, Ph.D., MPA The University of Oklahoma-Tulsa.
Dec 26, 2015
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Community Access Program Community Access Program Final ReportFinal Report
Emergency Room Utilization Emergency Room Utilization StudyStudy
Principal InvestigatorPrincipal InvestigatorNatalie Jo Ehrlich, Ph.D., MPANatalie Jo Ehrlich, Ph.D., MPA
The University of Oklahoma-TulsaThe University of Oklahoma-TulsaCollege of Public HealthCollege of Public Health
Participating HospitalsParticipating Hospitals200
199
201
200
200
Hillcrest Medical CenterSt. John Medical CenterSt. Francis HospitalTulsa Regional Medical CenterSouthcrest Hospital
Data Collection Data Collection
251
256247
246
Early Evening Weekends Late Evening Daytime
Patient Acuity LevelPatient Acuity Level
Critical Emergency Urgent Care(48 hours)
Non-Urgent
5
23
43
30
0
10
20
30
40
50
Relationship Relationship
PercentagePercentage
5454 PatientPatient 88 SpouseSpouse2424 ParentParent 33 ChildChild1111 OtherOther
Gender Gender
PercentagePercentage
5555 MaleMale
4545 FemaleFemale
Race Race
PercentagePercentage
6262 CaucasianCaucasian2222 African AmericanAfrican American 77 Native AmericanNative American 77 Asian/PacificAsian/Pacific 66 Hispanic/LatinoHispanic/Latino 22 OtherOther
Marital Status Marital Status
PercentagePercentage
4646 SingleSingle
2828 MarriedMarried
1919 Divorced/WidowedDivorced/Widowed
77 SeparatedSeparated
Patient Age DistributionPatient Age Distribution
14%13%
24%
19%
12%
15%
2%
0%
5%
10%
15%
20%
25%
0-9 10-19 20-29 30-39 40-49 50 < N/A
Patient’s Educational LevelPatient’s Educational Level
6
10
23
27
34
0 5 10 15 20 25 30 35 40
N/A
4 Years of Collegeor Higher
Some College orTechnical
High School orGED
8th Grade or Less
Primary Wage Earner’sPrimary Wage Earner’s Current Employment Current Employment
58
8
1
31
2
0
10
20
30
40
50
60
70
Full Time Part Time Seasonal Unemployed N/A
Household Income LevelHousehold Income Level
62%
16%10% 12%
0%
10%
20%
30%
40%
50%
60%
70%
Less than$30,000
$30,000 -$50,000
More than$50,000
N/A
Patient’s Primary InsurancePatient’s Primary Insurance
29%
9%8% 8%
22%
4%
19%
1%
0%
5%
10%
15%
20%
25%
30%
35%
Last Time Seen by Physician Last Time Seen by Physician or Medical Clinicor Medical Clinic
9
20
38
12
20
10
5
10
15
20
25
30
35
40
45
50
Last 24hours
Last 7-14days
Last 30-90days
Other Unknown N/A
Per
cen
tag
e
HealthHealth Professional Most Professional Most Often Seen by PatientOften Seen by Patient
73
1 2 51 3
12
20
10
20
30
40
50
60
70
80
Per
cen
tag
e
Would Use Nurse Hotline for Would Use Nurse Hotline for Medical Advice ?Medical Advice ?
0
10
20
30
40
50
60
70
Percent 20 15 52 13
Yes Maybe No N/A
Are Extended Hours Are Extended Hours Important?Important?
54
22
73
14
0
10
20
30
40
50
60
VeryImportant
Important Not VeryImportant
Not Important N/A
Frequency of ER UtilizationFrequency of ER Utilization
2230
52 52
38
90
12 11
23
5 813 9 13
22
0
10
20
30
40
50
60
70
80
90
100
1-2 Times 3-4 Times > 5 Times Other N/APercentage
Patient Other Household Members Total
AcknowledgementsAcknowledgements
CAP AuthorsCAP Authors
Russell BurkhartRussell BurkhartPlanning & Development Director, Indian Health Care Resource CenterPlanning & Development Director, Indian Health Care Resource Center
Jan FigartJan FigartSenior Planner, Community Service CouncilSenior Planner, Community Service Council
Lori TimmonsLori TimmonsDevelopment Director, Morton Comprehensive Health ServicesDevelopment Director, Morton Comprehensive Health Services
CAP Program CoordinatorCAP Program Coordinator
Pam RaskPam Rask Tulsa City County Health DepartmentTulsa City County Health Department
University of Oklahoma-TulsaUniversity of Oklahoma-TulsaGraduate StudentsGraduate Students
Data AnalysisData AnalysisHaytham SafiHaytham SafiFarzana TasminFarzana Tasmin
Data CollectionData CollectionJonathan BarnettJonathan BarnettTia ButlerTia ButlerRachael DanielsRachael DanielsKhalil QiyyamKhalil Qiyyam
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