brian lacroix, president ahems susan long, director clinical services cory kissling, manager of...
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Allina Health EMSCommunity Paramedicine
Brian LaCroix, President AHEMSSusan Long, Director Clinical ServicesCory Kissling, Manager of Interfacility
Allina HealthNon-Profit lead by Community
Board of Directors
MN Largest Employers
1. State of Minnesota 53,8242. United States Govt. 44,5433. Mayo Clinc 33,3894. Target Corporation 30,7735. University of MN 25,1666. Allina Health 23,869
Allina Health-EMS What We Look Like
Large Geographic Area (urban, suburban, & rural)
Population of 1,000,000 in PSA240 Responses each day – 90k/year
Allina Health-EMS What We Look Like
560 Total Staff Members457 full-time-equivalents (FTE’s)45%
21%
12%7%
15%
0-5 yrs 6-10 11-15 16-20 21 plus
2012 Volume Activity forAllina Health - EMS
73%
16%
11%
Emergent Non-emergent Special Trans
Future Pie Chart???
Building CP Support
Allina Health EMS
Positives: Part of a large
integrated health system
Large, EMS agency with large number of senior paramedics
Active Medical Directors Minnesota Jobs Skill
Partner grant for Community Paramedic
Challenges: Part of large
integrated health system
Competition with other projects
No established connection with Primary Care and in-hospital providers
Readmissions◦ Transition Care Management
Geographic Challenges Staffing Challenges
EMS to the Rescue◦ Paramedic Outreach Project
On-duty staff positioned to assist Small population
Starting Point
Trained 4 paramedics to provide home visits◦ Specific tasks based on Transition Care steps
Small population◦ 4 patients in 30 days◦ Patient Satisfaction equaled or exceeded RN visits
In lower volume location, could use on-duty resources without detriment to 911 response
Pilot Results
Partner with HTC grant
Provided venue to engage non-traditional clinical sites for paramedics
CP students helped educate providers
Community Paramedic Grant
Helped us identify partners
Jump started training of staff
Built infrastructure needed
Benefits of Pilot & Grant
Northwest Alliance
Mercy Hospital
Anoka County Crisis Services
Where are we now?
Congested Heart Failure
Diabetes/ Wound care
Mental Health
High Utilization
Focus
Monday Through Friday
1200-0000
8 Community Paramedics
September 9, 2013
57 Home Visits
34 Transports
Impact to Date:
Excellian (Epic)
Controlling Growth
Challenges
Senior Care Transitions
Allina Hospitals
The sky is the limit
Where do we go from here?