The Frequent User System Engagement (FUSE) program is a community collaborative targeting frequent users of the emergency department who are homeless and have chronic, unmanaged pain. FUSE provides medical care, housing and extensive support services to participants. It focuses on root causes and stabilizing the behaviors that lead to high cost of care for the community poor life choices and poor health outcomes.
FUSE provided services to a 67-year-old man who was homeless and the victim of multiple assaults. He had visited the emergency room 24 times in one year. The FUSE team worked with him to address medical needs including significant hearing impairment. The patient's use of the emergency room decreased by 83%. He now lives in permanent independent housing and has an established relationship with his primary care provider.