b'What is the Care Gap?The Care Gap starts when a patient leaves the hospital, and ends when they either get better or fully engage in meaningful follow-up care (such as primary care, an appropriate specialist, or an outpatient facility). In order to better understand this Gap, SCP analyzed more than a million patient encounters during the 2019 calendar year. We reviewed patients discharged from approximately 300 emergency departments. We assessed patients with high-focus conditions for 30 days after their initial emergency department visit.We wanted to know which patients were at risk for either a re-visit to the ED or a subsequent hospitalization, and when those visits were most likely to occur. THE GAP THE GAPBEGINS WHEN: ENDS WHEN:the patient the patient leaves the ED gets better orfully engages in follow-up careWITHOUT CARE IN THE GAP WITH CAREIN THE GAPPATIENTS MUST: IN THE GAP Outcomes worsenBetter outcomes Decreased patient Understand and follow discharge Increased patienttrust and satisfactioninstructionssatisfaction Avoidable costs riseFill new prescriptionsDecreased cost Increased demand Take medications differentlyImproved qualityand stress in the EDFollow a new plan of careof care Obtain a follow-up appointment in Better performance ina physicians office value-based models Gradually get betterSOLUTIONS IN THE GAP Care Navigation (Supporting Care) Clinical Care (Delivering Care)Finding PCPs for patients without oneSupport ongoing care Encouraging patients to follow Provide low intensity clinical encountersdischarge instructionswith a physician, NP, or PA Encouraging patients to fill and Bridges to longitudinal care take prescriptionsprimary and specialty careTogether, we healTogether, we heal 2Together, we heal SCP HEALTHITHE GAP: WHY WE SHOULD CARE'