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EMS/Trauma Programming in the FLEX Program
Office of Rural Health PolicyGrantee Partnership Meeting
September 1, 2009
EMS/Trauma Programming in the FLEX Program
Allowable Activities (FLEX guidance):•Trauma/EMS System Assessment•Trauma Designation•Trauma Training•EMS Medical Direction•EMS Recruitment/Retention•Reimbursement/Finance•EMS Leadership Development•EMS “Restructuring” - “Community Paramedicine”
Trauma System Assessment
• HRSA Model Trauma System Planning and Evaluation– Uses public health framework for state and/or
regional trauma system development– System assessment offered through American
College of Surgeons (including Benchmarks, Indicators and Scoring, or BIS)
– Emerging body of research supports effectiveness of “inclusive” trauma systems
Our Vision – Healthy Kansans living in safe and sustainable environments.
Trauma Training
• Advance Trauma Life Support (physicians)
• Trauma Nurse Core Course
• Pre-hospital Trauma Life Support (EMTs/paramedics)
• Comprehensive Advanced Life Support
• Rural Trauma Team Development Course (ACS)
Our Vision – Healthy Kansans living in safe and sustainable environments.
EMS Medical Direction
• Limited training available for EMS Medical Directors
• www.medicaldirectoronline.org
• NOSORH working with NASEMSO on state-by-state compendium of EMS Medical Director training
Our Vision – Healthy Kansans living in safe and sustainable environments.
EMS Recruitment/Retention
• Limited “evidence-based” systems for EMS recruitment/retention
• http://www.vdh.virginia.gov/OEMS/Recruitment_Retention/RetentionResearch.htm
Our Vision – Healthy Kansans living in safe and sustainable environments.
Reimbursement/Finance
• Budgeting– Budget Model Training
(http://www.remsttac.org/products.html)
• Group purchasing– http://www.ncemsc.org/
Our Vision – Healthy Kansans living in safe and sustainable environments.
EMS Leadership Development
• Rural EMS Manager’s Awareness Program – http://www.remsttac.org/products.html
• NOSORH working with NASEMSO to develop state-by-state compendium of leadership development training for EMS service directors
Our Vision – Healthy Kansans living in safe and sustainable environments.
EMS Restructuring
Our Vision – Healthy Kansans living in safe and sustainable environments.
The Concept of Community Paramedicine•Extensive body of literature in other countries•Curriculum now available for “expanded role” (Universities of Nebraska, Minnesota, and Dalhousie)•Several states to conduct pilots this year•www.ircp.info
THE LONG AND BRIAR THE LONG AND BRIAR PROJECT...PROJECT...
*1,240 residents *Two *1,240 residents *Two islands *Two ferries islands *Two ferries *Regional hospital 1 *Regional hospital 1 hour distant hour distant
• Phase One: 24/7 paramedic coverage (ambulance base established on Long Island)
EHS 3-Year Pilot
• Phase Two: Paramedics administer immunizations, perform screenings (blood pressure checks), accept non-emergent calls (diabetic checks)
EHS 3-Year Pilot
• Phase Three: • Nurse Practitioner employed
on island• Paramedics participate in
wound care, flu clinics, falls prevention assessments, community prevention education sessions
EHS 3-Year Pilot
• Paramedics were taught: • Phlebotomy• CHF assessment• Urinalysis assessment• Suture/staple removal• Diabetic assessments• Medication compliance
EHS 3-Year Pilot
• Outcomes• Patient satisfaction• Employee satisfaction• Reduced hospitalizations
EHS 3-Year Pilot
Contact Information
Our Vision – Healthy Kansans living in safe and sustainable environments.
Chris TildenDirector, Bureau of Local and Rural HealthKansas Dept of Health & Environment(785) [email protected]
