title: The relationship between a worksite wellness clinic and hospital emergency department visits.
abstract: OBJECTIVE
  To assess the relationship between the provision of episodic medical care at the worksite and nonadmission emergency department (ED) visits.
  
  
  METHODS
  A historical cohort design was used to study the differences of nonadmission ED visits among insurance plan participants employed at two acute care hospitals, one with a worksite wellness clinic and one without over an 8-year period.
  
  
  RESULTS
  A significant reduction in the risk of an insurance plan member visiting the ED in the time period after the clinic was opened among plan members with access to a worksite wellness clinic was observed. No significant reduction was noted in ED visits for insurance plan members without access to a worksite clinic.
  
  
  CONCLUSIONS
  A wellness clinic rendering episodic medical care is associated with significant reductions in ED visits and insured employees who use an ED.
authors.affiliation: From the Division of Occupational and Environmental Medicine (Drs Tao and Bernacki), Department of Medicine; Department of Psychiatry and Behavioral Sciences (Dr Fagan), Johns Hopkins University School of Medicine; and Johns Hopkins Health Care (Ms LeNoach, Dr Hawkins, and Ms Ross-Gavin), Johns Hopkins Health Systems, Baltimore, Md.
authors.forename: Xuguang Grant
authors.initials: XG
authors.lastname: Tao
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Fagan
authors.forename: Elizabeth
authors.initials: E
authors.lastname: LeNoach
authors.forename: Michelle
authors.initials: M
authors.lastname: Hawkins
authors.forename: Michelle
authors.initials: M
authors.lastname: Ross-Gavin
authors.forename: Edward J
authors.initials: EJ
authors.lastname: Bernacki
mesh_terms: D000328:Adult; D000367:Age Factors; D015331:Cohort Studies; D017046:Cost Savings; D004636:Emergency Service, Hospital / Q000191:economics / Q000706:statistics & numerical data*; D017050:Episode of Care; D005260:Female; D006264:Health Benefit Plans, Employee; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006785:Hospitals, University / Q000191:economics* / Q000706:statistics & numerical data*; D006801:Humans; D007348:Insurance, Health / Q000191:economics; D008297:Male; D008875:Middle Aged; D009786:Occupational Health Services / Q000706:statistics & numerical data*; D012737:Sex Factors; D017132:Workplace