PINNACLE CONFERENCE REPORT (Wednesday) by A.J. Heightman, JEMS Editor-in-chief

Executive Forum on Mobile Integrate Health (MIH) / Community Paramedicine (CP) Underway at Pinnacle Conference in Florida

MIH Forum Attendees

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

 

Sunrise at the Omni Plantation - Amelia Island, Florida       Relaxing environment at the the Omni Plantation - Amelia Island, Florida - Very conducive for learning and open discussions

Omni Plantation resort – Great setting for learning, sharing of information and networking

The MIH/CP concept – which has 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 policy makers.

The MIH/Community Paramedicine Forum, sponsored by Medtronic Philanthropy, 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 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.

MIH WORKSHOP AGENDA

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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 (Go to www.emstoday.com)

Faculty/Moderators

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

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

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

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)

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

Some of the Current Program Focuses

  • 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

  • Governmental support
  • Health Network
  • 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)

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

QA/QI/CE

  • Most are doing it internally at present

 Successes

  • 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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