Community Paramedicine: the Hennepin EMS pilot

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Doug Gesme , MBA, EMT-P Dave Johnson, CP, CCEMT-P. Community Paramedicine: the Hennepin EMS pilot. Our program at present. One Community Paramedic M-F 0700-1600ish 15 Current regular clients 20 clients is goals load Ages 7 to 105 ~50 total client interacted with - PowerPoint PPT Presentation

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Community Paramedicine: the Hennepin EMS pilot

Community Paramedicine: the Hennepin EMS pilotDoug Gesme, MBA, EMT-PDave Johnson, CP, CCEMT-POur program at presentOne Community ParamedicM-F 0700-1600ish15 Current regular clients20 clients is goals loadAges 7 to 105~50 total client interacted withIdeal and Actual clients are often different

Target PopulationChronic, Non-Transmittable DiseaseCardiovascular, DiabetesMost have subordinate Chemical Dependency / Mental Health IssuesHigh-Risk for readmission or avoidable ER useIneligible/Unwilling/Inaccessible to Home Care RN/PHNIdentify your PlayersAdvanced Practice ProvidersInnovative, Respected and ACCESSIBLEAdministrationCare Coordination groupsHealthcare Home, Clinical Coordinators, Case Managers, Discharge Planning

Doug4Our next stepsExecutive Leadership BlessingCompletion of Clinicals for 12 students10 HTC, 2 InverMay have three certified late January 2014

When EMS wants to do something, we do it. When the corporate world wants to do something, they have meetings about meetings.Patience!Clinical ProcessHennepin Tech has quality offeringsNot a perfect match for HCMCs programClinicals should be based on organizational needsGreat opportunity to identify needsClinicals are a great relationship building opportunity

Clinical ExperienceHCMCERCoordinated Care Center ClinicSenior Care Clinic Home Visiting ProgramBurn Center ICUMedicine ClinicCommunity Health WorkersHennepin Co HSPHDHealthcare for the HomelessProject Homeless ConnectMinnesota Visiting Nurse AgencyHome CareHospice of the Twin CitiesHospice of the ValleySt. Stephens Human Services Street OutreachScott County PHMobile Free ClinicGolden Valley Health/RehabWound CareOur ResourcesVisiCAD IntegrationEMS-CP1PNC EMS Scheduled Event usedARMER Radio ResourcesHC_BUS for primary operationsHCMC IT ConnectionEpic Department HCMC COMM PARAMEDICSprint 4GLTE ConnectionCell Phone & PageriSTAT Point of Care (CHEM8, CG4+, PT/INR)EMS Administrative Vehicle (Thanks Doug)

Our Learning PointsRelationships are EverythingEnsure you are not stepping on toesLess Productive time is VERY Productive timeUnderstand your target populationDont try to re-invent to wheelShare in and support existing successProfit is a very funny word~3% reimbursement of our pittanceCost AvoidanceRelationshipsSome are obviousPrimary CareHome Care AgenciesAmbulatory CareMany are notLaboratoryPharmacyEHRSocial ServicesFood ShelfHomeless ServicesInterpretersAnd on and on andMY Learning PointsYou are not managed by dispatch.Productivity is no longer UHUsDesign your workload and manage it wellWork Life / Personal Life BalanceYou will bring work and Progress Notes home with youYour SO will get sick and tiredClient Access is keyDont let admissions bother you. They are inevitable.QuestionsDavid Johnsondavid.johnson@hcmed.org612 396 6935Doug Gesmedouglas.gesme@hcmed.org612 393 5437