It was a packed house at ECU Health’s Monroe Conference Center on Oct. 1, as ECU Health and Pitt County Department of Social Services (DSS) welcomed dozens of community-based health partners for a conference designed to help tackle a complex challenge: reducing unnecessary emergency department utilization to ensure enhanced access for those needing emergency care.
It is no secret that overcrowding in emergency departments is a challenge facing hospitals across the country. ECU Health Medical Center, the only Level I Trauma Center in ECU Health’s 29 county service area, is no exception. The medical center serves a largely underserved rural region where access to care is difficult for many. That includes primary care, behavioral health care and other services best rendered in outpatient settings. Combined with a disproportionate number of uninsured community members, this lack of access to care means patients often times end up at hospital emergency departments.
Dr. Leigh Patterson, chief of services for emergency medicine at ECU Health Medical Center and chair of emergency medicine at the Brody School of Medicine at East Carolina University, said ECU Health’s nine hospitals will see nearly 250,000 visits to the emergency department this year, with more than half of those occurring at the medical center. She said conversations with key community health leaders, like the one hosted by ECU Health and Pitt County DSS, can help ensure community members are aware of, and have access to, non-emergent health care resources outside the emergency department setting.
“When I look at what happens inside the emergency department, I see the opportunity for us to help fill the care gaps that exist outside of it,” Dr. Patterson told the group, noting that she sees about 225 adult patients per day in the medical center ED, about 40% of whom could be more appropriately served in an outpatient setting. “When it comes to addressing this problem, it will take all of us as a health care community to make meaningful change. That’s why I’m heartened that so many of you have joined us today to work together toward solutions that make an impact in our community.”
The conference represented true regional community collaboration. Health care partners present at the conference included ECU Health, DSS Directors from across eastern North Carolina, Juvenile Justice, Trillium Health Services, Public School leaders, NC DHHS, payors and other eastern North Carolina hospitals and key stakeholders.
“The ECU Health/Pitt County DSS ED conference was an excellent example of cross system collaboration,” said conference co-sponsor Sharon Rochelle, director, Pitt County DSS. “This was a day to build mutually beneficial partnerships that have common goals to better serve the children and adults of the community.”
The conversation focused on both adult and pediatric/adolescent patient populations and heavily examined the challenges that behavioral health patients face accessing care. Despite the new inpatient behavioral health hospital slated to open in Greenville in 2025, those in attendance agreed that the issue needed immediate attention which involves creating increased interconnectedness among those providing care both in the community and in the hospital setting.
“We are grateful for all agencies involved in this important and challenging work,” said Jacob Parrish, vice president of capacity and throughput at ECU Health. “We know that the complex challenges we face cannot be solved at emergency departments alone. We are fortunate to have so many committed partners who share our vision for continuous improvement through strong relationships and close collaboration. Together, we can ensure the highest quality of care for communities across the East.”
The recent meeting was the first day of the two-day conference, largely centered around examining the issues through open and honest conversations. Those in attendance will reconvene later in the month for the second meeting to develop an action plan with concrete steps and strategies for improving access to care and reducing unnecessary ED utilization in eastern North Carolina.
“This is a complex set of issues, but I am confident we have the right people in our community committed to finding the solutions,” said Brian Floyd, ECU Health chief operating officer. “While these challenges are not exclusive to our health system or region, I know that together we can help support our emergency departments and improve the experience for those needing access to high-quality emergency care which is rendered at our hospitals every single day.”
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