The AU COMPLEX CARE Initiative: Student Hotspotting
Definition: Healthcare hotspotting is the strategic use of data to target resources to high-needs,
Purpose: The AU Complex Care Initiative (i.e. ‘student hotspotting’) seeks to partner with
patients with high rates of hospital utilization to achieve their health goals and
improve their health outcomes. We accomplish this goal by building relationships with
patients and walking alongside them to strategically overcome barriers to care and
target areas of specific need.
Structure: Each patient is paired with a student team composed of nursing, pharmacy, medical,
physical therapy, and occupation therapy students. Teams have approximately 6 members.
We partner with 3-5 patients per yearly cohort of students.
Image courtesy AAMC
Goals for Patients:
- Improve patients’ coordination of care across the AU health system.
- Visit patients in their homes to better understand their care goals, social needs,
values, and abilities.
- Enroll in and accompany patients to consistent primary care visits to address any
- Equip patients with the knowledge and confidence to address their health needs through
the appropriate avenues, reducing their need to utilize the emergency department for
Goals for Students:
- Build relationships with patients to better understand how social determinants of
health impact patient care and health outcomes.
- Foster interdisciplinary teamwork among a diverse group of students.
- Better understand the capabilities and expertise of other health professions.
Goals for the Health System:
- Reduce costs and frequency of ED visits by patients for non-emergent care.
- Promote more efficient and appropriate use of resources.
David Newton, firstname.lastname@example.org
Katie Fitton, email@example.com
Shaun Goh, firstname.lastname@example.org
Denise Kornegay, MSW, email@example.com
Phillip Coule, MD