Featured Practice: Gastro One – Reducing ED Visits

We are excited to share the tremendous success that Gastro One has made in reducing ED visits for patients with Chron’s and Ulcerative Colitis. By partnering with the hospital system to ensure smooth care transitions and following up with patients after hospital admissions, Gastro One has seen their ED admissions drop by an astounding 7.5%

Gastro One is a 39 provider, 10 location practice throughout Memphis and North Mississippi. They provide a range of services for gastrointestinal disorders, including evaluation and diagnosis, treatment and disease management, and research. 

Prior to TCPI, Gastro One did not track their patients’ ED visits unless the patient self-disclosed an episode. The practice collaborated with the Baptist hospitals in Memphis to create a process where they can access a daily report to receive information on patients that were seen in Baptist EDs. When patients with Crohn’s or Ulcerative Colitis are seen in the ED, Gastro One adds them to the “IBD Hot List” to receive prioritized services, including same or next day appointments, in-office IVs, and phlebotomy and radiology services. 

A nurse navigator oversees workflow for the IBD clinic services. She provides patient education and reminders to call Gastro One before going to the ED. With this increased education, targeted services, risk stratification, and data sharing with the hospitals, ED visits have dropped from 12% to 4%. Reduced ED visits and hospitalizations are a key priority in practice transformation and valued based care, and we are so thrilled for the great progress Gastro One has demonstrated. You can read their full story here.   

We invite you to tune into “TCPI Expo Care Coordination” With members of ACP SAN on the “Best Practices” podcast where we discuss high value care coordination, the ACP SAN’s toolkit, and what care transitions mean for the future of value based care.

The views expressed in this story are those of the authors and do not necessarily represent the official views of Gastro One. Additionally, this work was funded by the U.S. Department of Health and Human Services – Centers for Medicare and Medicaid Services’ Transforming Clinical Practice Initiative, under grant number 1CMS331549-03-00. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.


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