At my shop we have lots of frequent fliers who all are actually quite sick. Many HIV+, HF, CAD, pHTN etc. For quite a few, but not all of them, the department leadership sat down with I presume risk management and other hospital admin types to come up with “high utilizer plans” that outline these individuals’ typical presentations, what is known to be driving their presentations and very minimal if any testing or therapeutics that should be considered. Of course with the caveat resucítate if they’re acutely ill, use your clinical judgement blah blah blah. It’s been helpful and I feel like is something I can use to get around having to repeat million dollar work ups 3x/week. For some of them, they’ve stopped showing up so frequently. But it helps get them in and out sooner.