Community Paramedicine: the Hennepin EMS pilot
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Transcript Community Paramedicine: the Hennepin EMS pilot
Doug Gesme, MBA, EMT-P
Dave Johnson, CP, CCEMT-P
Our program at present
One Community Paramedic
M-F 0700-1600ish
15 Current regular clients
20 clients is goals load
Ages 7 to 105
~50 total client interacted with
Ideal and Actual clients are often
different
Target Population
Chronic, Non-Transmittable Disease
Cardiovascular, Diabetes
Most have subordinate Chemical
Dependency / Mental Health Issues
High-Risk for readmission or avoidable
ER use
Ineligible/Unwilling/Inaccessible to
Home Care RN/PHN
Identify your Players
Advanced Practice Providers
Innovative, Respected and ACCESSIBLE
Administration
Care Coordination groups
Healthcare Home, Clinical Coordinators,
Case Managers, Discharge Planning
Our next steps
Executive Leadership Blessing
Completion of Clinicals for 12 students
10 HTC, 2 Inver
May have three certified late January 2014
When EMS wants to do something, we do it.
When the corporate world wants to do
something, they have meetings about
meetings.
Patience!
Clinical Process
Hennepin Tech has quality offerings
Not a perfect match for HCMC’s program
Clinicals should be based on
organizational needs
Great opportunity to identify needs
Clinicals are a great relationship building
opportunity
Clinical Experience
HCMC
ER
Coordinated Care
Center Clinic
Senior Care Clinic
Home Visiting Program
Burn Center ICU
Medicine Clinic
Community Health
Workers
Hennepin Co HSPHD
Healthcare for the
Homeless
Project Homeless
Connect
Minnesota Visiting
Nurse Agency
Home Care
Hospice of the Twin
Cities
Hospice of the Valley
St. Stephen’s Human
Services
Street Outreach
Scott County PH
Mobile Free Clinic
Golden Valley
Health/Rehab
Wound Care
Our Resources
VisiCAD Integration
“EMS-CP1”
PNC “EMS Scheduled Event” used
ARMER Radio Resources
“HC_BUS” for primary operations
HCMC IT Connection
Epic Department “HCMC COMM PARAMEDIC”
Sprint 4GLTE Connection
Cell Phone & Pager
iSTAT Point of Care (CHEM8, CG4+, PT/INR)
EMS Administrative Vehicle (Thanks Doug)
Our Learning Points
Relationships are Everything
Ensure you are not stepping on toes
Less Productive time is VERY Productive time
Understand your target population
Don’t try to re-invent to wheel
Share in and support existing success
Profit is a very funny word
~3% reimbursement of our pittance
Cost Avoidance
Relationships
Some are obvious
Primary Care
Home Care
Agencies
Ambulatory Care
Many are not
Laboratory
Pharmacy
EHR
Social Services
Food Shelf
Homeless Services
Interpreters
And on and on
and…
MY Learning Points
You are not managed by dispatch.
Productivity is no longer UHU’s
Design your workload and manage it well
Work Life / Personal Life Balance
You will bring work and Progress Notes home
with you
Your SO will get sick and tired
Client Access is key
Don’t let admissions bother you. They are
inevitable.
Questions
David Johnson
[email protected]
612 396 6935
Doug Gesme
[email protected]
612 393 5437