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Project ETHAN: How Houston Used Innovation and Technology to Achieve
Greater Value for EMS
Diaa Alqusairi, PhD
October 2015
Houston Fire Department
Outline
The Challenge
The Solution
Did it work?
The Challenge
HealthcareCost
The Challenge
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Growing demand• Growing population• Increased # of EMS calls• Lowe-acuity calls (80%)
System inefficiency• Low quality• High cost• Specialized resources
Limited access to healthcare• Uninsured • Lack of transportation• Health illiteracy• Misconceptions
The Challenge
The Challenge
The Solution
Safe
Easy to use
Efficient
The Solution
Emergency Telehealth and Navigation Program (ETHAN)
• Reduce number of unnecessary transports
• Improve unit availability and dispatch times
• Focus on emergencies
• Connect patients with a medical home
• Improve quality and reduce cost
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It is a partnership
How does it work?
911 CallField
AssessmentVideo Call Disposition Navigation
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911 Call & Field Assessment
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Video Call-Physician Assessment
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• Clinic appt by cab• ER by Taxi• ER by ambulance• Home Care
Disposition
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• Healthcare navigators• Social needs• Establish medical home• Prevent future 911 calls?• Answer the patients concerns • Cancel/reschedule clinic appointments and cab rides
Navigation-Care Houston Links
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ETHAN IT Structure
Video Call, Medical Record
Pt
Info
, Ap
pt
Co
nfi
rmat
ion
• ImageTrend• Cisco Jabber• Panasonic FZ G1
• Web-based Scheduling System
• HIE-Healthconnect
• Web-based Dispatch System
• Verizon Wireless
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Did it work?
• Patient outcomes• Time/Cost saving
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Did it work?
Patient outcomes
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Did it work?
Patient outcomes
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Did it work?
Patient outcomes
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Did it work?
Patient outcomes
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Did it work?
Time/Cost saving
56 min saving
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Did it work?
Time/Cost saving
22
ETHAN Partners
