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The Relationship Between a Worksite Wellness Clinic and Hospital Emergency Department Visits

Tao, Xuguang (Grant) MD, PhD; Fagan, Peter J. PhD, MDiv; LeNoach, Elizabeth BA; Hawkins, Michelle DNP, MBA; Ross-Gavin, Michelle RN, BSN, CCM; Bernacki, Edward J. MD, MPH

Journal of Occupational and Environmental Medicine: December 2014 - Volume 56 - Issue 12 - p 1313–1318
doi: 10.1097/JOM.0000000000000259
Original Articles

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.

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.

Address correspondence to: Edward J. Bernacki, MD, MPH, Division of Occupational and Environmental Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21287 (

No authors received funding for this work.

There are no conflicts of interest.

Copyright © 2014 by the American College of Occupational and Environmental Medicine