Administration and Leadership, Equipment & Gear, Mobile Integrated Healthcare, Special Topics

MIH-CP Programs Realize Benefit of All-in-One, Integrated Technology

JEMS: Describe the basic overview of various ZOLL solutions and what they do.

ZOLL: ZOLL is the largest EMS solutions partner that offers organizations seamless integration across all products, enabling them to provide the best care possible to the communities they serve. ZOLL products include dispatch, monitors (X Series), electronic patient care reporting (ePCR), billing, driver feedback/safety (Road Safety), fire records management and more.

ZOLL is a pioneer in EMS and was first to market with the following:

  • EMS and fire ePCR product;
  • Dispatch system built from the ground up for EMS; and
  • Automated coding billing product for Windows.

ZOLL continues to innovate with EMS Mobile Health, the first standalone product on the market designed specifically for MIH-CP.

JEMS: How does ZOLL EMS Mobile Health assist with the delivery of EMS and the latest transformation for EMS into MIH-CP?

ZOLL: ZOLL EMS Mobile Health is a new product specifically designed for MIH-CP that’s connected to a patient’s electronic medical record (EMR) that enables home-based visits, interventions and sharing data with other care providers. EMS Mobile Health supports numerous types of MIHCP programs. Some of the key features that enable success are:

  • Track a patient’s medical history in order to manage care plans/goals and identify areas of concern.
  • Built-in alerts for vitals and lab values notify the medical specialist when parameters are out of normal range.
  • Quickly reconcile a patient’s medications to help prevent errors.
  • Use any mobile device with internet access and a Web browser. (No other software is required.)
  • Integrate with hospital systems and/or health information exchanges (HIEs) via HL7.

The Regional EMS Authority (REMSA) in Reno, Nev., was the first to deploy this module in support of their Health Care Innovation Award grant from the Centers for Medicare and Medicaid.

JEMS: What’s your vision on EMS’ transformation of this service delivery model and the enhanced role ZOLL may play in the future to assist with the overall integration of EMS into the larger healthcare system?

ZOLL: ZOLL believes that EMS providers are critical to achieving the Institute for Healthcare Improvement’s Triple Aim. Traditional EMS will continue to be essential to the healthcare system. At the same time, EMS must evolve to become a more integrated part of the healthcare system through MIH-CP programs. ZOLL EMS Mobile Health is another example of ZOLL’s strong support of the EMS community. ZOLL has been a leader in EMS for over two decades and continues to be. ZOLL is helping to lead conversations and is creating solutions to empower EMS to evolve.

JEMS: Describe the similarities and differences between traditional EMS software and MIH-CP software. Can you use the same software for both?

ZOLL: ZOLL’s vision is to help providers deliver care seamlessly for both traditional EMS and MIH-CP by taking advantage of overlaps while recognizing unique requirements. One of the most important differences is that MIHCP records must be longitudinal (i.e., showing patient history) whereas traditional ePCR records are event-based (i.e., one-time events). ZOLL’s EMS Mobile Health tracks patient records over time, enables easy comparison, and flags significant changes in a patient’s vitals and lab values.

Data analytics are absolutely critical for MIHCP and are also becoming increasingly important for traditional EMS. Providers must be able to show the impact of the care that they’re providing in terms of outcomes, reductions in cost and patient satisfaction. ZOLL’s solution includes reports that are valuable to other care providers in the healthcare system as well as the ability to integrate with HIEs and hospital systems via the HL7 data standard.

In many cases, caregivers deliver both EMS services and MIH-CP services. Similarly, an EMS patient can be enrolled in an MIH-CP program or an MIH-CP patient might need emergency services. As MIH-CP solutions mature, data integration and unified administration will be essential. ZOLL’s vision is to make this as simple as possible, so that you can focus on running your operation and taking care of patients.

Lastly, we all know the phrase, “If you’ve seen one EMS system, you’ve seen one EMS system.” That’s equally true with MIH-CP programs. It’s important to pick a solution that provides enough configurability to meet your programs’ unique requirements. For example, in ZOLL EMS Mobile Health, you can create different types of MIH-CP programs (e.g., readmission avoidance, system abusers, hospice revocation avoidance, etc.) and customize your medication list.

JEMS: Describe the role of MIH-CP programs as part of a bigger system of care.

ZOLL: Anne Robinson-Montera of the Paramedic Foundation said that if EMS wants to be a bigger part of the healthcare system, we’ve got to act like the rest of the healthcare system. Among other things, that means that we need to speak the language of healthcare. For example, ZOLL EMS Mobile Health includes patient narratives in SOAP (subjective, objective, assessment, plan) format, which is what doctors and other medical professionals expect to see. In addition, EMS Mobile Health provides reports that are relevant to others in a patient’s system of care—not just hospitals but also primary care, home health, hospice, social services, urgent care, clinics, mental health organizations and even the patient.

Lastly, integration with hospital systems and HIEs is essential. ZOLL delivers integration via HL7, the standard international language of healthcare.

JEMS: What’s your vision of the future for EMS and MIH-CP technology?

ZOLL: At ZOLL, we feel that our devices and software will bring clinical healthcare providers, patients and systems of care closer together. Through healthcare integration, technology will transcend from a diagnostic or clinical documentation tool to a true member of the healthcare team. Technology will assist in clinical decisions, error reduction and the implementation of new healthcare delivery models such as MIH-CP. Technology will be the thread that binds and connects EMS to the overall healthcare network, empowering the Triple Aim.

Matt Pesce is the vice president of marketing and product strategy for ZOLL data management products. He can be reached at [email protected].