Community Paramedicine/ Mobile Integrated Healthcare

Elizabeth Westfall, IDHSNathanial Metz, Prompt Ambulance ServiceSteve Davison, Fishers Fire Department

Goals of this presentation.

•For our audience to learn about the Community Paramedicine role in MIHS and how Indiana is collaborating to make this program operational

•Learn how other providers can collaborate with your EMS agencies to develop Community Paramedic programs in your communities.

• Identify some of the potential roadblocks that exist for the programs creation.

Understanding our environment. •Per Capita Spending.

Guess Who?

The proliferated problem •Population?

▫2010-2031 population over 65 will triple.

Will we be Healthy? CDC states:

In that population,1 in 3 will be Obese1 in 4 will have diabetes1 in 2 arthritis3 in 5 will have a chronic medical condition

The Emergency Dilemma…

•CDC and RAND corporation

▫Over reliance on ER for Primary Care

▫Expensive care in an unnecessarily expensive setting.

“Regardless of your position on the Affordable Care Act(ACA), its intent is to move the U.S. healthcare system away from

one that provides financial incentivesbased on the quantity of services to incentives based on the

outcomes of care. Two of the most significantdrivers of this change are payments to groups of providers based on

the outcome of the bundled episode ofcare, and shared savings programs where groups of providers

collaborate to share the savings generatedfrom quality and logical courses of care.”

“What Community Paramedicine is and why it’s the future of our profession” by Matt Zavadsky

MOVIE BREAK!

What is Community Paramedicine?

Remember This?

Look Familiar?

A service designed for health care cost reduction

A service to increase continuity of care between providers

Specified response to health care gaps in our individual communities

Roles of the Community Paramedic

Primary Care

Public Health

Public Education

Readmission Reduction

Wellness

Discharge Continuity

Disease Management

Lab and STD testing

Prevention

Emergency Care

Stakeholders!!!

“Collaboration is the key to success”

Hospitals

EMS Services

Rural Health Associations

Nurses and their associations

Educators

Case Managers

Social Services

Government Health Agencies

Home Healthcare

Hospice

Our surrounding statesCanada

Nova Scotia

Trailblazers!

•Canada▫Nova Scotia, Toronto, Manitoba, Winnipeg

•United States•Minnesota, Colorado, Texas, North

Carolina, South Carolina, Pennsylvania

GAP ANALYSIS!

Resources:

FIND YOUR RESOURCES AND STUDY YOUR COMMUNITIES NEEDS!!

Indiana’s Direction

•Current implementation•Mobile Integrated Healthcare Summit

▫Curriculum▫Credentialing▫Financial Reimbursement▫Legislative Plan▫System Development

What’s Next?

•Identifying future hurdles for the programs

•Getting Involved

Survey

•Please take this time to complete our short survey.

•https://www.surveymonkey.com/s/F6JLBFW

Contact info:•Nathaniel Metznmetz@promptambulance.com765-237-7128•Elizabeth Westfallewestfall@dhs.in.gov317-519-8976•Steve Davisondavisons@fishers.in.us317-595-3200