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Community Paramedic Program
Auggiersquos Hope
Nick Watts ParamedicAuggiersquos Hope FounderDirector
Auggiersquos Hope IncAdvocating and Educating for Special Needs
P O Box 3181Bay City OR 97107auggieshopegmailcom503-812-3652
Objectives
bull Adventist Health Tillamook and our Missionbull AHTMrsquos Community Paramedic Programbull Our thinking outside the box approachbull Supportive Databull Anecdotal evidence lets talk about itbull Patients perceptionbull Ramps and Rails and other durable medical equipmentbull Recourses and how to get them and keep thembull Collective Impactbull Auggiersquos Hopebull Conclusion and questions
What pain calls for is empathy Empathy chooses to enter the dark places of anotherrsquos world to shiver in the cold with them and to wait with them ~Adam McHugh
Adventist Health TillamookLiving Gods love by inspiring health wholeness and hope
Tillamook County is comprised of 1133 square milesand 78 miles of coastline
Seals at Netarts Bay
bull 25000 permanent county residentsbull 100000 - 150000 during the summer months
The Program Goals
bull Reduce readmissionsbull High Utilizer Group
Impactbull Improve community
wellnessbull Maintain our positive
public perceptionbull Live our Mission
The Programs HurdlesPrimary Care Providers
Building relationshipsbull Trustbull Patient responsebull Outcomebull Referrals
The Programs HurdlesLoved Ones
Familybull Perception is the rulebull Passing musterbull Availabilitybull Itrsquos not just medical
The Program HurdlesThe Patients
Referring the right patientsbull Risk assessment toolbull Intuitionbull Family vibebull When in doubt refer it outbull Of course patient wishesbull Warm introduction
The Day
bull Meet with Acute Care Management to discuss patients
bull Meet with new patients in the hospital
bull Visit clinic and talk with staff bull Visit patients at home and respond to
911 calls when available and in the areabull Visit with clinic and hospital
To Date The Community Paramedic Program
Number of Visits1944
Number of Patients619
Average 3 Visits per Patient
The Approach
bull Help patients and family navigate medicallybull Connect patients with resourcesbull Help patients find appropriate caregiver(s)bull Assess need for DMEbull Advocate for the patientbull Take care of the whole patient do what needs to be donebull Point of contact for the patientbull Resource collaboration
ldquoWe were just in the area rdquoA paramedic roaming the community is very often near a call
bull Quick response with ALS Unit when in the areabull Begin assessment and life saving interventionsbull Added benefits if known CP patient
bull Knowledge of patientbull Good history reportbull Reduce patient stressbull Continuity of carebull Better outcome
Collective Impactbull We are out in the community we serve and we are easily
recognizablebull We work with Fire and Law Enforcement when they have a concern
about the wellbeing of somebody in their district
bull Health Department clinicians often refer patients they are concerned about
Partnerships in the Field
bull Home Health referralsbull Patient concernsbull Progress to goal follow-upbull Patients home alone
bull Fill gap between discharge and Home Health
This is cool bull Safely direct patients to proper levels of care bull Consult with patientrsquos care team real time
bull Ensure post-discharge PCP appointment follow-upbull Reduce unnecessary emergency transports and visits
179172
139
163
246
271
153
115
191192206
152 16
126132
163
12102
127
273
096
015
159
205
117 11
07086
159
1109
084102
162149
088
117101
06
0
05
1
15
2
25
3
0
2
4
6
8
10
12
14
16
18
20
Jan-
16
Feb-
16
Mar
-16
Apr-
16
May
-16
Jun-
16
Jul-1
6
Aug-
16
Sep-
16
Oct
-16
Nov
-16
Dec-
16
Jan-
17
Feb-
17
Mar
-17
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Mar
-19
Risk
Adj
uste
d O
E
Obs
erve
d amp
Exp
ecte
d Vo
lum
e
AHTM Appropriate Hospital Use (Readmissions)
Observed Expected (Care Science) Risk Adjusted OE Linear (Risk Adjusted OE)
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
Objectives
bull Adventist Health Tillamook and our Missionbull AHTMrsquos Community Paramedic Programbull Our thinking outside the box approachbull Supportive Databull Anecdotal evidence lets talk about itbull Patients perceptionbull Ramps and Rails and other durable medical equipmentbull Recourses and how to get them and keep thembull Collective Impactbull Auggiersquos Hopebull Conclusion and questions
What pain calls for is empathy Empathy chooses to enter the dark places of anotherrsquos world to shiver in the cold with them and to wait with them ~Adam McHugh
Adventist Health TillamookLiving Gods love by inspiring health wholeness and hope
Tillamook County is comprised of 1133 square milesand 78 miles of coastline
Seals at Netarts Bay
bull 25000 permanent county residentsbull 100000 - 150000 during the summer months
The Program Goals
bull Reduce readmissionsbull High Utilizer Group
Impactbull Improve community
wellnessbull Maintain our positive
public perceptionbull Live our Mission
The Programs HurdlesPrimary Care Providers
Building relationshipsbull Trustbull Patient responsebull Outcomebull Referrals
The Programs HurdlesLoved Ones
Familybull Perception is the rulebull Passing musterbull Availabilitybull Itrsquos not just medical
The Program HurdlesThe Patients
Referring the right patientsbull Risk assessment toolbull Intuitionbull Family vibebull When in doubt refer it outbull Of course patient wishesbull Warm introduction
The Day
bull Meet with Acute Care Management to discuss patients
bull Meet with new patients in the hospital
bull Visit clinic and talk with staff bull Visit patients at home and respond to
911 calls when available and in the areabull Visit with clinic and hospital
To Date The Community Paramedic Program
Number of Visits1944
Number of Patients619
Average 3 Visits per Patient
The Approach
bull Help patients and family navigate medicallybull Connect patients with resourcesbull Help patients find appropriate caregiver(s)bull Assess need for DMEbull Advocate for the patientbull Take care of the whole patient do what needs to be donebull Point of contact for the patientbull Resource collaboration
ldquoWe were just in the area rdquoA paramedic roaming the community is very often near a call
bull Quick response with ALS Unit when in the areabull Begin assessment and life saving interventionsbull Added benefits if known CP patient
bull Knowledge of patientbull Good history reportbull Reduce patient stressbull Continuity of carebull Better outcome
Collective Impactbull We are out in the community we serve and we are easily
recognizablebull We work with Fire and Law Enforcement when they have a concern
about the wellbeing of somebody in their district
bull Health Department clinicians often refer patients they are concerned about
Partnerships in the Field
bull Home Health referralsbull Patient concernsbull Progress to goal follow-upbull Patients home alone
bull Fill gap between discharge and Home Health
This is cool bull Safely direct patients to proper levels of care bull Consult with patientrsquos care team real time
bull Ensure post-discharge PCP appointment follow-upbull Reduce unnecessary emergency transports and visits
179172
139
163
246
271
153
115
191192206
152 16
126132
163
12102
127
273
096
015
159
205
117 11
07086
159
1109
084102
162149
088
117101
06
0
05
1
15
2
25
3
0
2
4
6
8
10
12
14
16
18
20
Jan-
16
Feb-
16
Mar
-16
Apr-
16
May
-16
Jun-
16
Jul-1
6
Aug-
16
Sep-
16
Oct
-16
Nov
-16
Dec-
16
Jan-
17
Feb-
17
Mar
-17
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Mar
-19
Risk
Adj
uste
d O
E
Obs
erve
d amp
Exp
ecte
d Vo
lum
e
AHTM Appropriate Hospital Use (Readmissions)
Observed Expected (Care Science) Risk Adjusted OE Linear (Risk Adjusted OE)
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
Adventist Health TillamookLiving Gods love by inspiring health wholeness and hope
Tillamook County is comprised of 1133 square milesand 78 miles of coastline
Seals at Netarts Bay
bull 25000 permanent county residentsbull 100000 - 150000 during the summer months
The Program Goals
bull Reduce readmissionsbull High Utilizer Group
Impactbull Improve community
wellnessbull Maintain our positive
public perceptionbull Live our Mission
The Programs HurdlesPrimary Care Providers
Building relationshipsbull Trustbull Patient responsebull Outcomebull Referrals
The Programs HurdlesLoved Ones
Familybull Perception is the rulebull Passing musterbull Availabilitybull Itrsquos not just medical
The Program HurdlesThe Patients
Referring the right patientsbull Risk assessment toolbull Intuitionbull Family vibebull When in doubt refer it outbull Of course patient wishesbull Warm introduction
The Day
bull Meet with Acute Care Management to discuss patients
bull Meet with new patients in the hospital
bull Visit clinic and talk with staff bull Visit patients at home and respond to
911 calls when available and in the areabull Visit with clinic and hospital
To Date The Community Paramedic Program
Number of Visits1944
Number of Patients619
Average 3 Visits per Patient
The Approach
bull Help patients and family navigate medicallybull Connect patients with resourcesbull Help patients find appropriate caregiver(s)bull Assess need for DMEbull Advocate for the patientbull Take care of the whole patient do what needs to be donebull Point of contact for the patientbull Resource collaboration
ldquoWe were just in the area rdquoA paramedic roaming the community is very often near a call
bull Quick response with ALS Unit when in the areabull Begin assessment and life saving interventionsbull Added benefits if known CP patient
bull Knowledge of patientbull Good history reportbull Reduce patient stressbull Continuity of carebull Better outcome
Collective Impactbull We are out in the community we serve and we are easily
recognizablebull We work with Fire and Law Enforcement when they have a concern
about the wellbeing of somebody in their district
bull Health Department clinicians often refer patients they are concerned about
Partnerships in the Field
bull Home Health referralsbull Patient concernsbull Progress to goal follow-upbull Patients home alone
bull Fill gap between discharge and Home Health
This is cool bull Safely direct patients to proper levels of care bull Consult with patientrsquos care team real time
bull Ensure post-discharge PCP appointment follow-upbull Reduce unnecessary emergency transports and visits
179172
139
163
246
271
153
115
191192206
152 16
126132
163
12102
127
273
096
015
159
205
117 11
07086
159
1109
084102
162149
088
117101
06
0
05
1
15
2
25
3
0
2
4
6
8
10
12
14
16
18
20
Jan-
16
Feb-
16
Mar
-16
Apr-
16
May
-16
Jun-
16
Jul-1
6
Aug-
16
Sep-
16
Oct
-16
Nov
-16
Dec-
16
Jan-
17
Feb-
17
Mar
-17
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Mar
-19
Risk
Adj
uste
d O
E
Obs
erve
d amp
Exp
ecte
d Vo
lum
e
AHTM Appropriate Hospital Use (Readmissions)
Observed Expected (Care Science) Risk Adjusted OE Linear (Risk Adjusted OE)
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
Tillamook County is comprised of 1133 square milesand 78 miles of coastline
Seals at Netarts Bay
bull 25000 permanent county residentsbull 100000 - 150000 during the summer months
The Program Goals
bull Reduce readmissionsbull High Utilizer Group
Impactbull Improve community
wellnessbull Maintain our positive
public perceptionbull Live our Mission
The Programs HurdlesPrimary Care Providers
Building relationshipsbull Trustbull Patient responsebull Outcomebull Referrals
The Programs HurdlesLoved Ones
Familybull Perception is the rulebull Passing musterbull Availabilitybull Itrsquos not just medical
The Program HurdlesThe Patients
Referring the right patientsbull Risk assessment toolbull Intuitionbull Family vibebull When in doubt refer it outbull Of course patient wishesbull Warm introduction
The Day
bull Meet with Acute Care Management to discuss patients
bull Meet with new patients in the hospital
bull Visit clinic and talk with staff bull Visit patients at home and respond to
911 calls when available and in the areabull Visit with clinic and hospital
To Date The Community Paramedic Program
Number of Visits1944
Number of Patients619
Average 3 Visits per Patient
The Approach
bull Help patients and family navigate medicallybull Connect patients with resourcesbull Help patients find appropriate caregiver(s)bull Assess need for DMEbull Advocate for the patientbull Take care of the whole patient do what needs to be donebull Point of contact for the patientbull Resource collaboration
ldquoWe were just in the area rdquoA paramedic roaming the community is very often near a call
bull Quick response with ALS Unit when in the areabull Begin assessment and life saving interventionsbull Added benefits if known CP patient
bull Knowledge of patientbull Good history reportbull Reduce patient stressbull Continuity of carebull Better outcome
Collective Impactbull We are out in the community we serve and we are easily
recognizablebull We work with Fire and Law Enforcement when they have a concern
about the wellbeing of somebody in their district
bull Health Department clinicians often refer patients they are concerned about
Partnerships in the Field
bull Home Health referralsbull Patient concernsbull Progress to goal follow-upbull Patients home alone
bull Fill gap between discharge and Home Health
This is cool bull Safely direct patients to proper levels of care bull Consult with patientrsquos care team real time
bull Ensure post-discharge PCP appointment follow-upbull Reduce unnecessary emergency transports and visits
179172
139
163
246
271
153
115
191192206
152 16
126132
163
12102
127
273
096
015
159
205
117 11
07086
159
1109
084102
162149
088
117101
06
0
05
1
15
2
25
3
0
2
4
6
8
10
12
14
16
18
20
Jan-
16
Feb-
16
Mar
-16
Apr-
16
May
-16
Jun-
16
Jul-1
6
Aug-
16
Sep-
16
Oct
-16
Nov
-16
Dec-
16
Jan-
17
Feb-
17
Mar
-17
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Mar
-19
Risk
Adj
uste
d O
E
Obs
erve
d amp
Exp
ecte
d Vo
lum
e
AHTM Appropriate Hospital Use (Readmissions)
Observed Expected (Care Science) Risk Adjusted OE Linear (Risk Adjusted OE)
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
Seals at Netarts Bay
bull 25000 permanent county residentsbull 100000 - 150000 during the summer months
The Program Goals
bull Reduce readmissionsbull High Utilizer Group
Impactbull Improve community
wellnessbull Maintain our positive
public perceptionbull Live our Mission
The Programs HurdlesPrimary Care Providers
Building relationshipsbull Trustbull Patient responsebull Outcomebull Referrals
The Programs HurdlesLoved Ones
Familybull Perception is the rulebull Passing musterbull Availabilitybull Itrsquos not just medical
The Program HurdlesThe Patients
Referring the right patientsbull Risk assessment toolbull Intuitionbull Family vibebull When in doubt refer it outbull Of course patient wishesbull Warm introduction
The Day
bull Meet with Acute Care Management to discuss patients
bull Meet with new patients in the hospital
bull Visit clinic and talk with staff bull Visit patients at home and respond to
911 calls when available and in the areabull Visit with clinic and hospital
To Date The Community Paramedic Program
Number of Visits1944
Number of Patients619
Average 3 Visits per Patient
The Approach
bull Help patients and family navigate medicallybull Connect patients with resourcesbull Help patients find appropriate caregiver(s)bull Assess need for DMEbull Advocate for the patientbull Take care of the whole patient do what needs to be donebull Point of contact for the patientbull Resource collaboration
ldquoWe were just in the area rdquoA paramedic roaming the community is very often near a call
bull Quick response with ALS Unit when in the areabull Begin assessment and life saving interventionsbull Added benefits if known CP patient
bull Knowledge of patientbull Good history reportbull Reduce patient stressbull Continuity of carebull Better outcome
Collective Impactbull We are out in the community we serve and we are easily
recognizablebull We work with Fire and Law Enforcement when they have a concern
about the wellbeing of somebody in their district
bull Health Department clinicians often refer patients they are concerned about
Partnerships in the Field
bull Home Health referralsbull Patient concernsbull Progress to goal follow-upbull Patients home alone
bull Fill gap between discharge and Home Health
This is cool bull Safely direct patients to proper levels of care bull Consult with patientrsquos care team real time
bull Ensure post-discharge PCP appointment follow-upbull Reduce unnecessary emergency transports and visits
179172
139
163
246
271
153
115
191192206
152 16
126132
163
12102
127
273
096
015
159
205
117 11
07086
159
1109
084102
162149
088
117101
06
0
05
1
15
2
25
3
0
2
4
6
8
10
12
14
16
18
20
Jan-
16
Feb-
16
Mar
-16
Apr-
16
May
-16
Jun-
16
Jul-1
6
Aug-
16
Sep-
16
Oct
-16
Nov
-16
Dec-
16
Jan-
17
Feb-
17
Mar
-17
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Mar
-19
Risk
Adj
uste
d O
E
Obs
erve
d amp
Exp
ecte
d Vo
lum
e
AHTM Appropriate Hospital Use (Readmissions)
Observed Expected (Care Science) Risk Adjusted OE Linear (Risk Adjusted OE)
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
The Program Goals
bull Reduce readmissionsbull High Utilizer Group
Impactbull Improve community
wellnessbull Maintain our positive
public perceptionbull Live our Mission
The Programs HurdlesPrimary Care Providers
Building relationshipsbull Trustbull Patient responsebull Outcomebull Referrals
The Programs HurdlesLoved Ones
Familybull Perception is the rulebull Passing musterbull Availabilitybull Itrsquos not just medical
The Program HurdlesThe Patients
Referring the right patientsbull Risk assessment toolbull Intuitionbull Family vibebull When in doubt refer it outbull Of course patient wishesbull Warm introduction
The Day
bull Meet with Acute Care Management to discuss patients
bull Meet with new patients in the hospital
bull Visit clinic and talk with staff bull Visit patients at home and respond to
911 calls when available and in the areabull Visit with clinic and hospital
To Date The Community Paramedic Program
Number of Visits1944
Number of Patients619
Average 3 Visits per Patient
The Approach
bull Help patients and family navigate medicallybull Connect patients with resourcesbull Help patients find appropriate caregiver(s)bull Assess need for DMEbull Advocate for the patientbull Take care of the whole patient do what needs to be donebull Point of contact for the patientbull Resource collaboration
ldquoWe were just in the area rdquoA paramedic roaming the community is very often near a call
bull Quick response with ALS Unit when in the areabull Begin assessment and life saving interventionsbull Added benefits if known CP patient
bull Knowledge of patientbull Good history reportbull Reduce patient stressbull Continuity of carebull Better outcome
Collective Impactbull We are out in the community we serve and we are easily
recognizablebull We work with Fire and Law Enforcement when they have a concern
about the wellbeing of somebody in their district
bull Health Department clinicians often refer patients they are concerned about
Partnerships in the Field
bull Home Health referralsbull Patient concernsbull Progress to goal follow-upbull Patients home alone
bull Fill gap between discharge and Home Health
This is cool bull Safely direct patients to proper levels of care bull Consult with patientrsquos care team real time
bull Ensure post-discharge PCP appointment follow-upbull Reduce unnecessary emergency transports and visits
179172
139
163
246
271
153
115
191192206
152 16
126132
163
12102
127
273
096
015
159
205
117 11
07086
159
1109
084102
162149
088
117101
06
0
05
1
15
2
25
3
0
2
4
6
8
10
12
14
16
18
20
Jan-
16
Feb-
16
Mar
-16
Apr-
16
May
-16
Jun-
16
Jul-1
6
Aug-
16
Sep-
16
Oct
-16
Nov
-16
Dec-
16
Jan-
17
Feb-
17
Mar
-17
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Mar
-19
Risk
Adj
uste
d O
E
Obs
erve
d amp
Exp
ecte
d Vo
lum
e
AHTM Appropriate Hospital Use (Readmissions)
Observed Expected (Care Science) Risk Adjusted OE Linear (Risk Adjusted OE)
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
The Programs HurdlesPrimary Care Providers
Building relationshipsbull Trustbull Patient responsebull Outcomebull Referrals
The Programs HurdlesLoved Ones
Familybull Perception is the rulebull Passing musterbull Availabilitybull Itrsquos not just medical
The Program HurdlesThe Patients
Referring the right patientsbull Risk assessment toolbull Intuitionbull Family vibebull When in doubt refer it outbull Of course patient wishesbull Warm introduction
The Day
bull Meet with Acute Care Management to discuss patients
bull Meet with new patients in the hospital
bull Visit clinic and talk with staff bull Visit patients at home and respond to
911 calls when available and in the areabull Visit with clinic and hospital
To Date The Community Paramedic Program
Number of Visits1944
Number of Patients619
Average 3 Visits per Patient
The Approach
bull Help patients and family navigate medicallybull Connect patients with resourcesbull Help patients find appropriate caregiver(s)bull Assess need for DMEbull Advocate for the patientbull Take care of the whole patient do what needs to be donebull Point of contact for the patientbull Resource collaboration
ldquoWe were just in the area rdquoA paramedic roaming the community is very often near a call
bull Quick response with ALS Unit when in the areabull Begin assessment and life saving interventionsbull Added benefits if known CP patient
bull Knowledge of patientbull Good history reportbull Reduce patient stressbull Continuity of carebull Better outcome
Collective Impactbull We are out in the community we serve and we are easily
recognizablebull We work with Fire and Law Enforcement when they have a concern
about the wellbeing of somebody in their district
bull Health Department clinicians often refer patients they are concerned about
Partnerships in the Field
bull Home Health referralsbull Patient concernsbull Progress to goal follow-upbull Patients home alone
bull Fill gap between discharge and Home Health
This is cool bull Safely direct patients to proper levels of care bull Consult with patientrsquos care team real time
bull Ensure post-discharge PCP appointment follow-upbull Reduce unnecessary emergency transports and visits
179172
139
163
246
271
153
115
191192206
152 16
126132
163
12102
127
273
096
015
159
205
117 11
07086
159
1109
084102
162149
088
117101
06
0
05
1
15
2
25
3
0
2
4
6
8
10
12
14
16
18
20
Jan-
16
Feb-
16
Mar
-16
Apr-
16
May
-16
Jun-
16
Jul-1
6
Aug-
16
Sep-
16
Oct
-16
Nov
-16
Dec-
16
Jan-
17
Feb-
17
Mar
-17
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Mar
-19
Risk
Adj
uste
d O
E
Obs
erve
d amp
Exp
ecte
d Vo
lum
e
AHTM Appropriate Hospital Use (Readmissions)
Observed Expected (Care Science) Risk Adjusted OE Linear (Risk Adjusted OE)
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
The Programs HurdlesLoved Ones
Familybull Perception is the rulebull Passing musterbull Availabilitybull Itrsquos not just medical
The Program HurdlesThe Patients
Referring the right patientsbull Risk assessment toolbull Intuitionbull Family vibebull When in doubt refer it outbull Of course patient wishesbull Warm introduction
The Day
bull Meet with Acute Care Management to discuss patients
bull Meet with new patients in the hospital
bull Visit clinic and talk with staff bull Visit patients at home and respond to
911 calls when available and in the areabull Visit with clinic and hospital
To Date The Community Paramedic Program
Number of Visits1944
Number of Patients619
Average 3 Visits per Patient
The Approach
bull Help patients and family navigate medicallybull Connect patients with resourcesbull Help patients find appropriate caregiver(s)bull Assess need for DMEbull Advocate for the patientbull Take care of the whole patient do what needs to be donebull Point of contact for the patientbull Resource collaboration
ldquoWe were just in the area rdquoA paramedic roaming the community is very often near a call
bull Quick response with ALS Unit when in the areabull Begin assessment and life saving interventionsbull Added benefits if known CP patient
bull Knowledge of patientbull Good history reportbull Reduce patient stressbull Continuity of carebull Better outcome
Collective Impactbull We are out in the community we serve and we are easily
recognizablebull We work with Fire and Law Enforcement when they have a concern
about the wellbeing of somebody in their district
bull Health Department clinicians often refer patients they are concerned about
Partnerships in the Field
bull Home Health referralsbull Patient concernsbull Progress to goal follow-upbull Patients home alone
bull Fill gap between discharge and Home Health
This is cool bull Safely direct patients to proper levels of care bull Consult with patientrsquos care team real time
bull Ensure post-discharge PCP appointment follow-upbull Reduce unnecessary emergency transports and visits
179172
139
163
246
271
153
115
191192206
152 16
126132
163
12102
127
273
096
015
159
205
117 11
07086
159
1109
084102
162149
088
117101
06
0
05
1
15
2
25
3
0
2
4
6
8
10
12
14
16
18
20
Jan-
16
Feb-
16
Mar
-16
Apr-
16
May
-16
Jun-
16
Jul-1
6
Aug-
16
Sep-
16
Oct
-16
Nov
-16
Dec-
16
Jan-
17
Feb-
17
Mar
-17
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Mar
-19
Risk
Adj
uste
d O
E
Obs
erve
d amp
Exp
ecte
d Vo
lum
e
AHTM Appropriate Hospital Use (Readmissions)
Observed Expected (Care Science) Risk Adjusted OE Linear (Risk Adjusted OE)
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
The Program HurdlesThe Patients
Referring the right patientsbull Risk assessment toolbull Intuitionbull Family vibebull When in doubt refer it outbull Of course patient wishesbull Warm introduction
The Day
bull Meet with Acute Care Management to discuss patients
bull Meet with new patients in the hospital
bull Visit clinic and talk with staff bull Visit patients at home and respond to
911 calls when available and in the areabull Visit with clinic and hospital
To Date The Community Paramedic Program
Number of Visits1944
Number of Patients619
Average 3 Visits per Patient
The Approach
bull Help patients and family navigate medicallybull Connect patients with resourcesbull Help patients find appropriate caregiver(s)bull Assess need for DMEbull Advocate for the patientbull Take care of the whole patient do what needs to be donebull Point of contact for the patientbull Resource collaboration
ldquoWe were just in the area rdquoA paramedic roaming the community is very often near a call
bull Quick response with ALS Unit when in the areabull Begin assessment and life saving interventionsbull Added benefits if known CP patient
bull Knowledge of patientbull Good history reportbull Reduce patient stressbull Continuity of carebull Better outcome
Collective Impactbull We are out in the community we serve and we are easily
recognizablebull We work with Fire and Law Enforcement when they have a concern
about the wellbeing of somebody in their district
bull Health Department clinicians often refer patients they are concerned about
Partnerships in the Field
bull Home Health referralsbull Patient concernsbull Progress to goal follow-upbull Patients home alone
bull Fill gap between discharge and Home Health
This is cool bull Safely direct patients to proper levels of care bull Consult with patientrsquos care team real time
bull Ensure post-discharge PCP appointment follow-upbull Reduce unnecessary emergency transports and visits
179172
139
163
246
271
153
115
191192206
152 16
126132
163
12102
127
273
096
015
159
205
117 11
07086
159
1109
084102
162149
088
117101
06
0
05
1
15
2
25
3
0
2
4
6
8
10
12
14
16
18
20
Jan-
16
Feb-
16
Mar
-16
Apr-
16
May
-16
Jun-
16
Jul-1
6
Aug-
16
Sep-
16
Oct
-16
Nov
-16
Dec-
16
Jan-
17
Feb-
17
Mar
-17
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Mar
-19
Risk
Adj
uste
d O
E
Obs
erve
d amp
Exp
ecte
d Vo
lum
e
AHTM Appropriate Hospital Use (Readmissions)
Observed Expected (Care Science) Risk Adjusted OE Linear (Risk Adjusted OE)
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
The Day
bull Meet with Acute Care Management to discuss patients
bull Meet with new patients in the hospital
bull Visit clinic and talk with staff bull Visit patients at home and respond to
911 calls when available and in the areabull Visit with clinic and hospital
To Date The Community Paramedic Program
Number of Visits1944
Number of Patients619
Average 3 Visits per Patient
The Approach
bull Help patients and family navigate medicallybull Connect patients with resourcesbull Help patients find appropriate caregiver(s)bull Assess need for DMEbull Advocate for the patientbull Take care of the whole patient do what needs to be donebull Point of contact for the patientbull Resource collaboration
ldquoWe were just in the area rdquoA paramedic roaming the community is very often near a call
bull Quick response with ALS Unit when in the areabull Begin assessment and life saving interventionsbull Added benefits if known CP patient
bull Knowledge of patientbull Good history reportbull Reduce patient stressbull Continuity of carebull Better outcome
Collective Impactbull We are out in the community we serve and we are easily
recognizablebull We work with Fire and Law Enforcement when they have a concern
about the wellbeing of somebody in their district
bull Health Department clinicians often refer patients they are concerned about
Partnerships in the Field
bull Home Health referralsbull Patient concernsbull Progress to goal follow-upbull Patients home alone
bull Fill gap between discharge and Home Health
This is cool bull Safely direct patients to proper levels of care bull Consult with patientrsquos care team real time
bull Ensure post-discharge PCP appointment follow-upbull Reduce unnecessary emergency transports and visits
179172
139
163
246
271
153
115
191192206
152 16
126132
163
12102
127
273
096
015
159
205
117 11
07086
159
1109
084102
162149
088
117101
06
0
05
1
15
2
25
3
0
2
4
6
8
10
12
14
16
18
20
Jan-
16
Feb-
16
Mar
-16
Apr-
16
May
-16
Jun-
16
Jul-1
6
Aug-
16
Sep-
16
Oct
-16
Nov
-16
Dec-
16
Jan-
17
Feb-
17
Mar
-17
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Mar
-19
Risk
Adj
uste
d O
E
Obs
erve
d amp
Exp
ecte
d Vo
lum
e
AHTM Appropriate Hospital Use (Readmissions)
Observed Expected (Care Science) Risk Adjusted OE Linear (Risk Adjusted OE)
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
To Date The Community Paramedic Program
Number of Visits1944
Number of Patients619
Average 3 Visits per Patient
The Approach
bull Help patients and family navigate medicallybull Connect patients with resourcesbull Help patients find appropriate caregiver(s)bull Assess need for DMEbull Advocate for the patientbull Take care of the whole patient do what needs to be donebull Point of contact for the patientbull Resource collaboration
ldquoWe were just in the area rdquoA paramedic roaming the community is very often near a call
bull Quick response with ALS Unit when in the areabull Begin assessment and life saving interventionsbull Added benefits if known CP patient
bull Knowledge of patientbull Good history reportbull Reduce patient stressbull Continuity of carebull Better outcome
Collective Impactbull We are out in the community we serve and we are easily
recognizablebull We work with Fire and Law Enforcement when they have a concern
about the wellbeing of somebody in their district
bull Health Department clinicians often refer patients they are concerned about
Partnerships in the Field
bull Home Health referralsbull Patient concernsbull Progress to goal follow-upbull Patients home alone
bull Fill gap between discharge and Home Health
This is cool bull Safely direct patients to proper levels of care bull Consult with patientrsquos care team real time
bull Ensure post-discharge PCP appointment follow-upbull Reduce unnecessary emergency transports and visits
179172
139
163
246
271
153
115
191192206
152 16
126132
163
12102
127
273
096
015
159
205
117 11
07086
159
1109
084102
162149
088
117101
06
0
05
1
15
2
25
3
0
2
4
6
8
10
12
14
16
18
20
Jan-
16
Feb-
16
Mar
-16
Apr-
16
May
-16
Jun-
16
Jul-1
6
Aug-
16
Sep-
16
Oct
-16
Nov
-16
Dec-
16
Jan-
17
Feb-
17
Mar
-17
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Mar
-19
Risk
Adj
uste
d O
E
Obs
erve
d amp
Exp
ecte
d Vo
lum
e
AHTM Appropriate Hospital Use (Readmissions)
Observed Expected (Care Science) Risk Adjusted OE Linear (Risk Adjusted OE)
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
The Approach
bull Help patients and family navigate medicallybull Connect patients with resourcesbull Help patients find appropriate caregiver(s)bull Assess need for DMEbull Advocate for the patientbull Take care of the whole patient do what needs to be donebull Point of contact for the patientbull Resource collaboration
ldquoWe were just in the area rdquoA paramedic roaming the community is very often near a call
bull Quick response with ALS Unit when in the areabull Begin assessment and life saving interventionsbull Added benefits if known CP patient
bull Knowledge of patientbull Good history reportbull Reduce patient stressbull Continuity of carebull Better outcome
Collective Impactbull We are out in the community we serve and we are easily
recognizablebull We work with Fire and Law Enforcement when they have a concern
about the wellbeing of somebody in their district
bull Health Department clinicians often refer patients they are concerned about
Partnerships in the Field
bull Home Health referralsbull Patient concernsbull Progress to goal follow-upbull Patients home alone
bull Fill gap between discharge and Home Health
This is cool bull Safely direct patients to proper levels of care bull Consult with patientrsquos care team real time
bull Ensure post-discharge PCP appointment follow-upbull Reduce unnecessary emergency transports and visits
179172
139
163
246
271
153
115
191192206
152 16
126132
163
12102
127
273
096
015
159
205
117 11
07086
159
1109
084102
162149
088
117101
06
0
05
1
15
2
25
3
0
2
4
6
8
10
12
14
16
18
20
Jan-
16
Feb-
16
Mar
-16
Apr-
16
May
-16
Jun-
16
Jul-1
6
Aug-
16
Sep-
16
Oct
-16
Nov
-16
Dec-
16
Jan-
17
Feb-
17
Mar
-17
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Mar
-19
Risk
Adj
uste
d O
E
Obs
erve
d amp
Exp
ecte
d Vo
lum
e
AHTM Appropriate Hospital Use (Readmissions)
Observed Expected (Care Science) Risk Adjusted OE Linear (Risk Adjusted OE)
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
ldquoWe were just in the area rdquoA paramedic roaming the community is very often near a call
bull Quick response with ALS Unit when in the areabull Begin assessment and life saving interventionsbull Added benefits if known CP patient
bull Knowledge of patientbull Good history reportbull Reduce patient stressbull Continuity of carebull Better outcome
Collective Impactbull We are out in the community we serve and we are easily
recognizablebull We work with Fire and Law Enforcement when they have a concern
about the wellbeing of somebody in their district
bull Health Department clinicians often refer patients they are concerned about
Partnerships in the Field
bull Home Health referralsbull Patient concernsbull Progress to goal follow-upbull Patients home alone
bull Fill gap between discharge and Home Health
This is cool bull Safely direct patients to proper levels of care bull Consult with patientrsquos care team real time
bull Ensure post-discharge PCP appointment follow-upbull Reduce unnecessary emergency transports and visits
179172
139
163
246
271
153
115
191192206
152 16
126132
163
12102
127
273
096
015
159
205
117 11
07086
159
1109
084102
162149
088
117101
06
0
05
1
15
2
25
3
0
2
4
6
8
10
12
14
16
18
20
Jan-
16
Feb-
16
Mar
-16
Apr-
16
May
-16
Jun-
16
Jul-1
6
Aug-
16
Sep-
16
Oct
-16
Nov
-16
Dec-
16
Jan-
17
Feb-
17
Mar
-17
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Mar
-19
Risk
Adj
uste
d O
E
Obs
erve
d amp
Exp
ecte
d Vo
lum
e
AHTM Appropriate Hospital Use (Readmissions)
Observed Expected (Care Science) Risk Adjusted OE Linear (Risk Adjusted OE)
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
Collective Impactbull We are out in the community we serve and we are easily
recognizablebull We work with Fire and Law Enforcement when they have a concern
about the wellbeing of somebody in their district
bull Health Department clinicians often refer patients they are concerned about
Partnerships in the Field
bull Home Health referralsbull Patient concernsbull Progress to goal follow-upbull Patients home alone
bull Fill gap between discharge and Home Health
This is cool bull Safely direct patients to proper levels of care bull Consult with patientrsquos care team real time
bull Ensure post-discharge PCP appointment follow-upbull Reduce unnecessary emergency transports and visits
179172
139
163
246
271
153
115
191192206
152 16
126132
163
12102
127
273
096
015
159
205
117 11
07086
159
1109
084102
162149
088
117101
06
0
05
1
15
2
25
3
0
2
4
6
8
10
12
14
16
18
20
Jan-
16
Feb-
16
Mar
-16
Apr-
16
May
-16
Jun-
16
Jul-1
6
Aug-
16
Sep-
16
Oct
-16
Nov
-16
Dec-
16
Jan-
17
Feb-
17
Mar
-17
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Mar
-19
Risk
Adj
uste
d O
E
Obs
erve
d amp
Exp
ecte
d Vo
lum
e
AHTM Appropriate Hospital Use (Readmissions)
Observed Expected (Care Science) Risk Adjusted OE Linear (Risk Adjusted OE)
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
Partnerships in the Field
bull Home Health referralsbull Patient concernsbull Progress to goal follow-upbull Patients home alone
bull Fill gap between discharge and Home Health
This is cool bull Safely direct patients to proper levels of care bull Consult with patientrsquos care team real time
bull Ensure post-discharge PCP appointment follow-upbull Reduce unnecessary emergency transports and visits
179172
139
163
246
271
153
115
191192206
152 16
126132
163
12102
127
273
096
015
159
205
117 11
07086
159
1109
084102
162149
088
117101
06
0
05
1
15
2
25
3
0
2
4
6
8
10
12
14
16
18
20
Jan-
16
Feb-
16
Mar
-16
Apr-
16
May
-16
Jun-
16
Jul-1
6
Aug-
16
Sep-
16
Oct
-16
Nov
-16
Dec-
16
Jan-
17
Feb-
17
Mar
-17
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Mar
-19
Risk
Adj
uste
d O
E
Obs
erve
d amp
Exp
ecte
d Vo
lum
e
AHTM Appropriate Hospital Use (Readmissions)
Observed Expected (Care Science) Risk Adjusted OE Linear (Risk Adjusted OE)
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
This is cool bull Safely direct patients to proper levels of care bull Consult with patientrsquos care team real time
bull Ensure post-discharge PCP appointment follow-upbull Reduce unnecessary emergency transports and visits
179172
139
163
246
271
153
115
191192206
152 16
126132
163
12102
127
273
096
015
159
205
117 11
07086
159
1109
084102
162149
088
117101
06
0
05
1
15
2
25
3
0
2
4
6
8
10
12
14
16
18
20
Jan-
16
Feb-
16
Mar
-16
Apr-
16
May
-16
Jun-
16
Jul-1
6
Aug-
16
Sep-
16
Oct
-16
Nov
-16
Dec-
16
Jan-
17
Feb-
17
Mar
-17
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Mar
-19
Risk
Adj
uste
d O
E
Obs
erve
d amp
Exp
ecte
d Vo
lum
e
AHTM Appropriate Hospital Use (Readmissions)
Observed Expected (Care Science) Risk Adjusted OE Linear (Risk Adjusted OE)
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
179172
139
163
246
271
153
115
191192206
152 16
126132
163
12102
127
273
096
015
159
205
117 11
07086
159
1109
084102
162149
088
117101
06
0
05
1
15
2
25
3
0
2
4
6
8
10
12
14
16
18
20
Jan-
16
Feb-
16
Mar
-16
Apr-
16
May
-16
Jun-
16
Jul-1
6
Aug-
16
Sep-
16
Oct
-16
Nov
-16
Dec-
16
Jan-
17
Feb-
17
Mar
-17
Apr-
17
May
-17
Jun-
17
Jul-1
7
Aug-
17
Sep-
17
Oct
-17
Nov
-17
Dec-
17
Jan-
18
Feb-
18
Mar
-18
Apr-
18
May
-18
Jun-
18
Jul-1
8
Aug-
18
Sep-
18
Oct
-18
Nov
-18
Dec-
18
Jan-
19
Feb-
19
Mar
-19
Risk
Adj
uste
d O
E
Obs
erve
d amp
Exp
ecte
d Vo
lum
e
AHTM Appropriate Hospital Use (Readmissions)
Observed Expected (Care Science) Risk Adjusted OE Linear (Risk Adjusted OE)
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
The Engaged Patient
0 0 0
3
2
7
1
0 0 0
3
9
11
6
00 0 0
1
0 0 0 0 0 0 0 0 0 0 00
2
4
6
8
10
12
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit542017
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
Patient Refused Community Paramedic
0
1
0 0 0 0 0 0 0
1
0
2
6
8
0
1
0 0 0 0 0 0 0 0 0 0 0 00
1
2
3
4
5
6
7
8
9
2005 2006 2007 2008 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
of
Visi
ts
Patient 1
ER Visits
Ambulance Visits
Initial Visit12272016 Not a utilizer of the Community Paramedic Program
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
Patient Perception and Hospital Benefit
bull Most patients feel well cared for and feel they matter
bull A six month study conducted by FM Ambulance in Moorhead MN found
bull 4 patients over a 6 month period with chronic conditions
bull $521000 savings by reducing ED visits and readmissions
INFORUM (2019) Community paramedics keep patients out of the ER hospital | INFORUM [online] Available at httpswwwinforumcomnews4040729-Community-paramedics-keep-patients-out-of-the-ER-hospitalfbclid=IwAR27Qpxq_9Rs5CFy07VaHcO3RBqETgsSasPHRp8etHOJLiASCA2gnZ7g06MXT5N_G80UCEfacebook [Accessed 12 Aug 2019]
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
Look in your community for RESOURCES
Food PantriesVeterinariansAnimal SheltersLock SmithsGroups support
bull Alzheimerrsquosbull Parkinsonrsquosbull Addiction
Hair stylistsDieticians
Trades peopleChurchesChaplainsThrift StoresDHSNWSDSAPSCARE (Local anti-poverty agency)Veterans AssociationsPedicurist for diabeticrsquos Caregivers
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
Help to Create ResourcesRamps and Rails
bull Founded by partnering with Habitat for Humanity and Northwest Senior and Disability Services (NWSDS)
bull Patients need a safe environment bull Grab Barsbull Heatbull A dryclean place to sleepbull Home repairsbull Stovefire place repairbull Many rampsbull We just hired a full time Project Manager
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
Meals on Wheels Medically Tailored Meals
bull New approach for Meals on Wheels
bull Pilot program targeting specific groups and changing their diets to reduce re-admissions and high utilizers
bull For Patients identified as food insecure
bull Currently 55 an older-Now any age qualifies
bull Diabetes and CHF for example
bull Cost per person is $300 a month
bull Assessed by case management
bull Food delivery will include a brief welfare check Deliverer will generate a referral to Community paramedic if concerned
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
Auggiersquos HopeWorking with First Responders on
bull How to recognize Autism bull Adjusting response for a better outcomebull De-escalate when necessary using Auggiersquos Bags
which contain tools to override negative stimulus with positive stimulus
We also provide Auggiersquos Bags to families in crisis free of charge and educate them on what
information Dispatch and first responders need
Thank you so much for listeningI hope you found this information helpful
Thank you so much for listeningI hope you found this information helpful
