A program designed to find a medical home for children with complex medical issues has resulted in a 55% reduction in ED visits. Leaders of the program, conducted by the Division of Pediatric Cardiology at the David Geffen School of Medicine at the University of California Los Angeles, say there were several key program components that led to a reduction in unnecessary ED visits, including the following: A family liaison, who provides administrative services such as access to scheduling, record retrieval and distribution, and maintenance of lists of potential providers, community schools, regional health centers, etc. An "All about Me" binder for patients that includes an initial problem list, a medication list, a list of physicians, notes, and lab results. An initial one-hour visit with the patient to develop lists of problems and introduce them into the program.
