Consistent Care


We can help you improve care for patients that over utilize the emergency department.


What is Consistent Care?

 Consistent Care is a program providing personalized  case management services for patients that over utilize the emergency department (ED). 

Every Consistent Care patient has individualized ED care guidelines stored in the Washington Emergency Department Information Exchange (EDIE).

Guidelines are created by a multi-disciplinary committee of health care professionals who review each case and make treatment recommendations for emergency department care of the patient.

  Patients who over utilize the ED are difficult to treat in a consistent fashion on every ED visit. Consistent Care reduces over utilization of the ED by employing individualized case management services and facilitating consistent treatment on every ED visit.


Consistent Care is operated in the emergency departments of Providence Sacred Heart Medical Center and Children's Hospital and Providence Holy Family Hospital in cooperation with Spokane Emergency Physicians, PS.

  Consistent Care is a member of the Washington Emergency Department Information Exchange (EDIE) that connects Washington Emergency Departments with real time ED visit information.

  Consistent Care staff are members of the Washington Department of Health Interagency Work Group on Opioid Abuse, Misuse and Overdose. 

This work group has created ED Opioid Prescribing Guidelines that are being sponsored by the Washington Chapter of the American College of Emergency Physicians and endorsed by  Washington State Hospital Association, Washington State Medical Association, and the Washington Emergency Nurses Association.  The final guidelines are available here

Posters for the ED waiting room and ED exam room explaining these guidelines to patients were created by the WA Department of Health and are available here.

  Contact us if you would like assistance in starting a Consistent Care program for your ED.  ED Care Guidelines may already be accessible to your ED from the INHS Meditech PCI system.


Spokane City-Wide Dental Pain Referral Protocol for Medicaid and self pay patients.

Letter sent to Medicaid clients on 9/1/11 by WA Health Care Authority regarding three visits non-emergent ED visit limit..


Dr. Neven uses and reccomends this small and very bright pen flashlight for the ED physician to visualize rashes, the pharynx, and for direct visualization of the nostril for epistaxis treatment.