Transcript Slide 1

Community Access Program
Final Report
Emergency Room Utilization Study
Principal Investigator
Natalie Jo Ehrlich, Ph.D., MPA
The University of Oklahoma-Tulsa
College of Public Health
Participating Hospitals
200
200
200
199
201
Hillcrest Medical Center
St. John Medical Center
St. Francis Hospital
Tulsa Regional Medical Center
Southcrest Hospital
Data Collection
Early Evening
246
251
247
256
Weekends
Late Evening
Daytime
Patient Acuity Level
50
43
40
30
23
20
10
30
5
0
Critical
Emergency Urgent Care
Non-Urgent
(48 hours)
Relationship
Percentage
 54
8
 24
 3
 11
Patient
Spouse
Parent
Child
Other
Gender
Percentage
 55
Male
 45
Female
Race
Percentage
 62
 22
 7
 7
 6
 2
Caucasian
African American
Native American
Asian/Pacific
Hispanic/Latino
Other
Marital Status
Percentage
 46
Single
 28
Married
 19
Divorced/Widowed
 7
Separated
Patient Age Distribution
24%
25%
19%
20%
14%
15%
15%
13%
12%
10%
2%
5%
0%
0-9
10-19
20-29
30-39
40-49
50 <
N/A
Patient’s Educational Level
8th Grade or Less
34
High School or
GED
27
Some College or
Technical
23
4 Years of College
or Higher
10
N/A
6
0
5
10
15
20
25
30
35
40
Primary Wage Earner’s
Current Employment
70
60
58
50
40
31
30
20
8
10
2
1
0
Full Time
Part Time
Seasonal
Unemployed
N/A
Household Income Level
70%
62%
60%
50%
40%
30%
16%
20%
10%
12%
10%
0%
Less than
$30,000
$30,000 $50,000
More than
$50,000
N/A
su
ra
20%
N
/A
e
er
nc
th
5%
In
O
ed
ic
ai
d
8%
M
re
us
e
9%
ed
ic
a
S
po
25%
N
o
r
10%
M
en
to
up
iv
id
ua
l
ro
30%
P
ar
nd
er
/G
pl
oy
S
el
f/I
E
m
Patient’s Primary Insurance
35%
29%
22%
19%
15%
8%
4%
1%
0%
Last Time Seen by Physician
or Medical Clinic
50
Percentage
45
40
38
35
30
25
20
15
10
20
20
12
9
5
0
1
Last 24
hours
Last 7-14 Last 30-90
days
days
Other
Unknown
N/A
cia
n
Ph
ys
i
1
2
5
1
N/
A
20
No
ne
10
O
th
er
80
ro
pr
ac
to
cia
r
n
As
Nu
sis
rs
ta
e
nt
or
Pr
ac
So
t it
cia
io
ne
l/H
r
lt h
Ed
uc
at
or
Ch
i
Ph
ys
i
Percentage
Health Professional Most Often
Seen by Patient
73
70
60
50
40
30
12
3
2
0
Would Use Nurse Hotline for
Medical Advice ?
70
60
50
40
30
20
10
0
Percent
Yes
Maybe
No
N/A
20
15
52
13
Are Extended Hours Important?
60
54
50
40
30
22
20
14
7
10
3
0
Very
Important
Important
Not Very
Important
Not Important
N/A
Frequency of ER Utilization
100
90
80
70
60
50
40
30
20
10
0
90
Patient
52
52
38
30
23
22
12 11
1-2 Times
Percentage
Other Household Members
3-4 Times
> 5 Times
22
5 8
Other
13
9 13
N/A
Total
Acknowledgements
CAP Authors
Russell Burkhart
Planning & Development Director, Indian Health Care Resource Center
Jan Figart
Senior Planner, Community Service Council
Lori Timmons
Development Director, Morton Comprehensive Health Services
CAP Program Coordinator
Pam Rask
Tulsa City County Health Department
University of Oklahoma-Tulsa
Graduate Students
Data Analysis
Haytham Safi
Farzana Tasmin
Data Collection
Jonathan Barnett
Tia Butler
Rachael Daniels
Khalil Qiyyam