Pinnacle Conference Features Executive Forum on Mobile Integrated Healthcare and Community Paramedicine

Confident that the concept of mobile integrated healthcare and community paramedicine (MIH-CP) fits within the broader healthcare model, EMS leaders are meeting today at the Pinnacle Conference at the Omni Plantation in Amelia Island, Florida.

The MIH-CP concept, which places the patient at the center of all decisions related to the who, what, when, where, and why of care, has made real headway in the past several years and has caught the attention of state and federal policymakers.

The MIH-CP Forum, sponsored by Medtronic Philanthropy and designed for senior leaders actively engaged in operating MIH-CP programs, is being attended by private, third service and fire-based EMS system administrators as well as program administrators from programs successfully operating MIH-CP programs.

Operating in small groups, participants are sharing their experiences, current issues and future sustainability options, as well as comparing and analyzing results and discerning best practices.

The group’s efforts will be reported in a session later in the conference as well as in a special full-day MIH Pre-Conference Workshop on February 24, 2016, at the JEMS EMS TODAY Conference and Exposition in Baltimore, Md. Go to www.emstoday.com for more details.

Faculty/Moderators:


Dan Swayze, Vice President of the Center for Emergency Medicine, which is affiliated with the University of Pittsburgh.


Matt Zavadsky, director of public affairs for MedStar Mobile Health in Ft. Worth, Texas


Brenda Staffan, Medicare Innovation Grant project manager at the Regional EMS Authority in Reno, Nevada.


Eric Beck, associate chief medical officer of Evolution Health and American Medical Response (AMR). Former medical director of the Chicago Fire Department.

Current Program Focuses Include:

  • Frequent (high) users/abusers
  • Readmission avoidance
  • Psych referrals
  • RAP: (San Diego) Resource Allocation Program
  • Safe Landing Program: Focus on health & welfare of newborns
  • Wellness protocols
  • Hospice partnerships (particularly for night/weekend and hard-to-serve times)
  • Telemedicine from ALL Fire/EMS vehicles (Panasonic G1 tablets — ETHAN: Emergency Tele-Health and Navigation in Houston, Texas. Watch for a special feature article on the ETHAN program in JEMS soon.)

Early Data from ETHAN (based on 1,992 patients)

  • Patients who declined referral — sent by cab (commissioned through tablet computers on EMS/Fire rigs = 52%
  • Referred to the ED via EMS transport = 19%
  • Referred to an ETHAN-affiliated clinic = 12% (Significant)
  • Referred to the patient’s primary care physician (PCP or Home Health Care = 7% (Significant)
  • Unable to complete ETHAN referral due to early technical difficulties = 2%
  • Other means = 7%

Funding Sources:

  • Governmental support
  • Health networks
  • Hospitals
  • Grants
  • Cost avoidance
  • Blue Cross
  • Tax-based
  • Enrollment fee
  • Savings by freeing upon valuable resources to handle higher acuity (and reimbursable) call (particularly ALS)

QA/QI/CE:

  • Most are doing it internally at present

Successes

  • Decrease in infant morbidity and mortality of Infants
  • Fire-based systems (Some are using contracted Nurse Triage)
  • 50-80% reductions in frequent users in some systems
  • Physician — Telemedicine
  • Cost avoidance
  • Systems (including fire-based) are beginning to see very positive results in decreasing abuse and call volume and increase resource availability / increase reimbursement by “free up” units now able to handle more ALS calls

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