telemedicine in ems kyle r. gorman, mba, cmod clackamas fire district 1 clackamas county, or
TRANSCRIPT
TELEMEDICINE IN EMS
Kyle R. Gorman, MBA, CMOD
Clackamas Fire District 1Clackamas County, OR
WHY TELEMEDICINE IN EMS?
• Medical Complexity• Prevention• Reducing readmissions• Rural access, including
correction facilities• Video documentation of
scenes to improve medical decision-making.
• Disaster medicine• Accuracy
WHY NOW IS THE TIME
• This is not a new idea. • Convergence of
technology--telemedicine and videoconferencing.
• Smaller and more powerful mobile devices,
• Widespread wireless broadband mobile data,
• An emphasis on healthcare cost reduction,
• Documentation of improved quality and patient satisfaction.
TYPICAL PROGRAM GOALS
• Maximize quality• Reduce costs• Improve patient safety• Improve decision making• Reach the medically underserved—rural areas,
incarcerated patients, wilderness misadventures• Improve resource availability by reducing high
utilizers.
IS IT WORTH IT?
Financial Benefits
• Reduce transports• Reduce admissions• Free-up resources• Reduce wait times• Improved quality• Reduce costs and• Improve access to
medically underserved
The 7 Deadly Wastes
• Overproduction• Inefficient Transport
(all transport is waste!)• Unnecessary Motion• Waiting Times• Poor Quality• Inappropriate
Processing• Unnecessary Inventory
BARRIERS TO IMPLEMENTATION
• Getting over the “Telemedicine Funding” issue• Certification—will additional be needed?• Scopes of practice• Paucity of evidence-based research • Integrating data• Patient tracking (without confusing patients)
WHO’S USING THE TECHNOLOGY?
United States Government
• Military—especially forward outposts• NASA• Remote outposts—
Dr. Jerri Nielson (Antarctica)
WHO’S USING THE TECHNOLOGY?
E. Baton Rouge Parish, Louisiana
• Used primarily to prevent hospital readmissions
• COPD patients, diabetics and substance abusers
• Moving toward pediatric asthmatics and corrections patients
WHO’S USING THE TECHNOLOGY?
Liberty County, Texas
• Used DREAMS Ambulance in Katrina• Dr. “Red” Dukes• Contributed to PA
assistance during complex hand surgery.
• Others in disaster medicine:• Loma Linda University
THANK YOU!
• For more information:
Kyle R. Gorman, MBA, CMODClackamas Fire District [email protected](503) 939-8664