The Hidden Work of Primary Care

I sat at my desk astonished after her exit. By all current billing standards, I had done nothing. I had spent no more than fifteen minutes with Alice and had done nothing more than explain in layman’s terms what had taken place in her recent ER visit.

Healthcare Hotspotting Meets High-Utilizing Patients

Healthcare hotspotting is an innovative model of care through which health professionals across disciplines work as a team to identify healthcare super-utilizers – people who are admitted to the hospital multiple times a year, frequently for avoidable complications of chronic conditions, and who often have social barriers to adhering to their care plan. Hotspotters proactively bring additional attention, follow-up, resources, and care to these patients in their homes and communities to help keep them out of the hospital.