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Background and Methods The project focused on assessment of patients with 10+ visits (MVPs) to the Emergency Center (ER) within a rolling 12 months. This closer evaluation of MVPs ensured post discharge care plans were developed and followed up on. In April 2024, we captured the voice of the customer through surveys and Gemba walks, mapping the ‘as-is’ process. Facility senior leadership played crucial roles in frontline engagement throughout the project. By January 2025, using the new Epic system, the team had successfully implemented robust care processes, and create a dashboard providing real-time analytics to identify appropriate MVP action plans. A reduction in ER utilization and readmissions will continue to play a crucial role in improving Memorial Hermann Vizient rankings as the system transforms services and delivers high-quality, reliable and value-based care ( figure 1).Results and Implications The baseline data (March 2023 - February 2024) showed 17% (36% Site #1, 28% Site #2) of readmitted patients were identified as MVPs. Of those readmitted from Oct 2023-Sept 2024, the top drivers of utilization (DOUs) were: Inadequate plan for recurrent issue (46%); and Inadequate supports and services (28%).DOU completion rate (10/5/24 - 3/31/25) was 34% (Site #1) and 34% (Site #2).% Readmission from MVP (10/5/24 - 3/31/25) was 10% (Site #1) and 9% (Site #2) (table 1).Abstract 4 Figure 1Abstract 4 Table 1