The Integrated Healthcare Collaborative (IHC) is a multi-agency effort led by DC Fire and Emergency Medical Services (FEMS) to implement a nurse triage line (NTL) for low acuity 911 callers. The IHC aims to offload the overtaxed EMS agency, reduce Emergency Department (ED) overcrowding, and provide more efficient and improved patient care. We will conduct a randomized, prospective trial over a 12-month period to evaluate how the NTL will impact 911 call volume, primary care physician visits, ED use, healthcare expenditures, and health outcomes pertaining to hypertension and diabetes control.
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