County explains 'familiar faces' algorithm and tracking for referrals to pilot

Sep 30, 2026

Staff described an algorithmic 'top 50' familiar faces list — weighting ED visits, TRC visits, mobile response runs, ambulance calls and jail days — and said partners review that list every Monday to reach a consensus about referrals to Monarch units.

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Douglas County staff told commissioners the familiar faces referral process combines automated scoring with partner review. "It sifts through my RC and weights those things based on cost and intensity of service," Bob Trojanski said, describing an algorithm originally developed by an internal IT staffer and refined with Johnson County.

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