COMMUNITY PARAMEDICINE:
THE HENNEPIN EMS PILOT
Doug Gesme, MBA, EMT-PDave Johnson, CP, CCEMT-P
Our program at present One Community Paramedic
M-F 0700-1600ish 15 Current regular clients
20 clients is goals loadAges 7 to 105~50 total client interacted with
Ideal and Actual clients are often different
Target Population Chronic, Non-Transmittable Disease
Cardiovascular, Diabetes Most have subordinate Chemical
Dependency / Mental Health Issues High-Risk for readmission or avoidable
ER use Ineligible/Unwilling/Inaccessible to
Home Care RN/PHN
Identify your Players Advanced Practice Providers
Innovative, Respected and ACCESSIBLE Administration Care Coordination groups
Healthcare Home, Clinical Coordinators, Case Managers, Discharge Planning
Our next steps Executive Leadership Blessing Completion of Clinicals for 12 students
10 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 Process Hennepin Tech has quality offerings
Not a perfect match for HCMC’s program Clinicals should be based on
organizational needs Great opportunity to identify needs Clinicals are a great relationship building
opportunity
Clinical Experience HCMC
ER Coordinated Care Center
Clinic Senior Care Clinic Home
Visiting Program Burn Center ICU Medicine Clinic Community Health
Workers Hennepin Co HSPHD
Healthcare for the Homeless
Project Homeless Connect
Minnesota Visiting Nurse Agency Home Care Hospice of the Twin Cities Hospice of the Valley
St. Stephen’s Human Services Street Outreach
Scott County PH Mobile Free Clinic
Golden Valley Health/Rehab Wound Care
Our Resources VisiCAD Integration
“EMS-CP1”PNC “EMS Scheduled Event” used
ARMER Radio Resources“HC_BUS” for primary operations
HCMC IT ConnectionEpic Department “HCMC COMM PARAMEDIC”Sprint 4GLTE Connection
Cell Phone & Pager iSTAT Point of Care (CHEM8, CG4+, PT/INR) EMS Administrative Vehicle (Thanks Doug)
Our Learning Points Relationships are Everything
Ensure you are not stepping on toesLess Productive time is VERY Productive time
Understand your target population Don’t try to re-invent to wheel
Share in and support existing success Profit is a very funny word
~3% reimbursement of our pittanceCost Avoidance
RelationshipsSome are obvious
Primary Care Home Care
Agencies Ambulatory Care
Many are not Laboratory Pharmacy EHR Social Services Food Shelf Homeless Services Interpreters And on and on and…
MY Learning Points You are not managed by dispatch. Productivity is no longer UHU’s
Design your workload and manage it well Work Life / Personal Life Balance
You will bring work and Progress Notes home with you
Your SO will get sick and tired Client Access is key Don’t let admissions bother you. They are
inevitable.
