Building Engagement to Address Complex Needs
(BEACN)

Project BEACN is piloting improvements to the healthcare system so that complex care patients are proactively identified and receive coordinated services.

These efforts are coordinated with BHN’s Adult Emergency Room Enhancement program (ERE). These improvements include:

• Electronic information sharing including alerting systems so if a complex care patient visits one hospital’s ED, other hospitals (including those in a different health system) will be notified

• Development of a standard, high-quality care plan for complex care patients

• Case staffings across hospital systems and community providers to better coordinate care

Clinical BEACN provides a “care transition team” to complex care patients through a subcontract with Places for People.

These patients receive case management services, flexible funds to meet short-term needs, and housing support for up to 12 months.

Treatment stipends are provided to the provider agency for up to six months while applications are made for Medicaid or other payor sources.

Data from this project is closely analyzed to determine the impact on patient outcomes and hospital costs.