EMERGENCY ROOM DECISION SUPPORT

OptumHealth’s Emergency Room Decision Support service is designed to reduce avoidable ER visits.

Fifty-five percent of emergency room (ER) visits are for non-emergent situations¹. Emergency Room Decision Support is a service that engages consumers after each emergency room visit to address factors that drive inappropriate ER use. 

This service leverages an outbound call model to reinforce the primary care provider relationship; educate ER users on ER alternatives such as NurseLine services; and refer individuals to relevant health management programs.

ER Decision Support services:

• Identifies and engages individuals after each emergency room visit – up to five times during the course of a year
• Leverages both “live” nurses and automated voice call technology to engage consumers
• Refers to case/disease management programs and behavioral health services
• Connects individuals with primary care providers (appointment scheduling too)