• Patient education on lower acuity alternatives to the ED

  • 24-hour help line for patients, provided in an easy to access form that can be carried on their person

  • Establish a standardized protocol for assessing and directing patient calls

  • Provide patients with a pathway of steps to take should they have an urgent concern

  • Periodic team review of ED visits



  • To identify and address the underlying causes of avoidable ED visits, then design and implement site-specific, evidence-based interventions to reduce them.

  • To maintain two intervention opportunities to reduce avoidable ED visits.

    • One examines the acceptability and capability of Urgent Care Centers to treat post-operative bariatric patients.

    • The other developed patient facing tools intended to facilitate early communication between patients and providers.

M-PIRRE Intervention

  • Patient facing tools to improve communication between patients and providers is currently being implemented at 24 hospitals across the state of Michigan.

    • This includes patients receiving customized wallet cards and wristbands that contain the necessary site specific instructions and contact information. 

  • We are evaluating its success across 9 sites. These sites have had significantly higher patient communication with their surgical teams and have shown significant reductions in potentially preventable ED visits compared to non-intervention sites.

  • Our long term plan is to implement this program at all MBSC sites across the state in 2021.