Health Care Hotspotting: A Randomized Controlled Trial

The Camden Coalition of Healthcare Providers' Care Management Program, Link2Care, targets
"super-utilizers" of the health care system. These are individuals with medically and
socially complex needs who have frequent hospital admissions. Specifically, the Link2Care
program targets patients in specific Camden hospitals who have had at least two hospital
admissions in the last six months and have at least two chronic conditions.

Such heavy utilizers of hospital care account for a disproportionate share of healthcare
spending. For example, CCHP analyzed hospital admission and emergency department use at three
Camden hospital systems from 2002-2007 and found that 20% of patients accounted for 90% of
the costs (Green et al., 2010). As described below, when we compare patients admitted to
Camden hospitals, in the year prior to an admission, a typical patient targeted by the
program has 2.5 times more admissions in the prior six months due to the targeting. They are
also much more likely to be readmitted to the hospital over the year following the hospital
stay, accruing $73,000 in hospital charges over that time compared to $6600 for other
patients.

Link2Care provides intensive care management and coordination for up to 6 months following
hospital discharge. From October 2012 to January 2014, the median length of the intervention
for those who completed it was 85 days.

The approach aims to improve the self-sufficiency of patients in navigating the healthcare
and social-service systems. It has the potential to reduce healthcare costs and improve
patient health, as patients learn to use primary care to prevent an escalation of symptoms
that leads to rehospitalization.

Participants are assigned to a multidisciplinary care team comprised of a registered nurse,
licensed practical nurse, social worker, intervention specialist, community health worker,
and health coaches. A representative from the care team engages with the patient at bedside
during the hospital admission and plans for the immediate period following discharge.
Link2Care, as a whole, involves a series of home visits, scheduling of and accompaniment to
initial primary care and specialty care visits, and support for individuals as they navigate
various social service agencies to enroll in public programs including TANF, SNAP, and
programs that promote housing stability.

The patient is enrolled in the program while still in the hospital. Upon discharge, the care
team works to visit the patient at home within 3 days of discharge. The care team also works
to schedule a primary care visit within 7 days of discharge, and appropriate specialist
visits as necessary At the initial home visit, the care team (1) performs medication
reconciliation—an inventory of the medications prescribed to gauge appropriateness and
patient understanding, (2) conducts an assessment of the patient's perception of the
discharge experience and care coordination, medical/health needs, activity/mobility, service
needs, and stage of readiness to change, and (3) collaboratively sets goals with the
individual, such as compliance with the discharge plan. The care team then works closely with
the patient to achieve these goals; as is needed, the team assists the patient in scheduling
necessary physician visits, accompanies the patient to those visits, completes applications
for social services, and coaches the patient in self-care. Subsequent home visits evaluate
the patient's and the team's progress. The end of the intervention is determined based on
hospital utilization, individual factors (health education/literacy, disease self-management,
skills development, level of engagement, self-efficacy) and some systemic factors (access to,
and the quality of, care, social support, etc.). The person receives a graduation
certificate. The person is expected to meet their healthcare needs in the future through
their primary care physician.

In an earlier, non-randomized evaluation, this program has been found to improve health
outcomes, decrease utilization of emergency and inpatient services, and decrease costs for a
cohort of 36 "high utilizers" from $1.2 million monthly to $534,000 monthly, a savings of 56%
over five years (Green et al., 2010).

Due to staff and financial constraints, Link2Care is currently administered for only a subset
of the patients who meet the eligibility criteria, and the patients who are currently
approached are chosen in an ad-hoc manner. This study would establish a formal process for
determining - via random assignment - which subset of eligible individuals are offered the
intervention. This random assignment, which will not reduce the number of individuals who
benefit from the services, will allow us to isolate the causal effects of the CCHP Link2Care
Program.

Inclusion Criteria:

Patients must satisfy the following criteria based on the records from the index event:

- Is currently admitted to Cooper or Lourdes hospitals (still in hospital for
recruitment)

- Resides in the following zip codes: 08101 (PO zip code), 08102-08105, 08107s, 08110

- Is 19-80 years old

- Has >=2 hospital admissions in the past 6 months (to Camden area hospitals in the
Health Information Exchange )

- Has >=2 chronic conditions

Patients must meet at least three of the following criteria based largely on the electronic
medical record:

- Has >=5 outpatient medications

- Has difficulty accessing services

- Lacks social support

- Has mental health co-morbidity

- Is actively using drugs

- Is homeless

Exclusion Criteria:

- Already subject in RCT (treatment or control)

- Deceased or discharged prior to triage or recruitment

- Uninsured

- Cognitively impaired

- Oncology patient

- Index hospitalization is for: a surgical procedure for an acute problem, complications
of a progressive chronic disease with limited treatments, or mental health issue only
with no co-morbid conditions