Date

5-2025

Document Type

Capstone Project (Open Access)

Degree Name

Bachelor of Science (B.S.)

Department

Health, Human Services and Public Policy

Abstract

A large number of patients are using the emergency department for non-urgent care. The Visiting Nurse Association, known as VNA & Hospice, offers services to residents in Monterey County through two major programs: hospice and home health. In partnership with Central California Alliance for Health (CCAH), VNA’s home health patients who meet the criteria for preventable emergency department visits are enrolled in the Enhanced Care Management (ECM) program to serve Monterey County residents facing challenges when trying to access healthcare services. The purpose of this project is to learn from patients based on their experiences. A quantitative survey was administered with social workers' support to collect data on patient challenges and experiences when accessing healthcare services. The project met the expected outcomes, and findings revealed that significant challenges faced by patients include financial problems, language barriers, and transportation. It is recommended that data collection continue as patient enrollment increases, in addition to incorporating qualitative analysis to gather patient opinions on this matter. Addressing these challenges can help increase preventative care, maximize resource utilization, and achieve cost efficiency.

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