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About Us

What is Consistent Care?Spokane, WA Consistent Care Program is designed to help patients who need frequent care in the Emergency Room by matching them with services that will help get and keep them well.

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

How it works

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.

Every Consistent Care patient has individualized ED care guidelines stored in the Washington Emergency Department Information Exchange. Guidelines are created by a multi-disciplinary committee of health care professionals, which include a:

  • Chaplain
  • ED Case Manager
  • ED Physician
  • ED Nurse
  • Pharmacist
  • Psychiatry Case Manager

The committee confidentially reviews each case, and makes treatment recommendations for emergency department care of the patient. The patient's primary care physician is contacted for input on the patient's care guidelines and notified committee's recommendations.


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.

The pilot program to link emergency-room prescription data was started by Dr. Darin Neven, medical director for the Consistent Care Program at Providence Sacred Heart Medical Center, and Lee Taylor, of the Spokane County Medical Society.

We are a member of the Washington Emergency Department Information Exchange 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.