A City of San Diego program that uses IT-enabled identification of frequent users of emergency services saves the city an estimated $700,000 per year, and also cut the number of encounters with frequent callers by 38 percent in its pilot phase.

Known as the Resource Access Program (or "RAP"), the initiative uses health information technology that immediately recognizes and notifies a program coordinator whenever a frequent user of emergency services calls 911. The RAP coordinator, an experienced paramedic, then alerts a network of community stakeholders (physicians, social workers, police officers, case managers, and housing providers) and works with them to implement measures to address the caller's immediate and underlying health and social service needs.

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