Download presentation
Presentation is loading. Please wait.
1
Knowing life matters
7
Acadian is one of the largest ambulance providers in the U.S.
460+ ambulances 34 Louisiana parishes 37 Texas counties 1 Mississippi county
8
Mobile Integrated Healthcare and Community Paramedicine are not the exactly same thing.
9
Where did this concept come from?
10
What is driving the evolution of MIH/CP?
11
Who are the providers? EMT AEMT Paramedic Physician LPN RN NP LPC LCSW
12
Integrate into existing programs
Focus on high risk populations Education Disease management Crisis intervention Call center Remote patient monitoring
13
Call Center 24/7 access Three bi-directionally redundant centers
Certified EMD call takers Emergency call roll-over to EMS communication centers MHP dispatch Provider and client notification of calls
14
Personal Emergency Response Remote Patient Monitoring (RPM)
Instant emergency assistance RPM technology Data collected via wearable device ECG Heart rate Respiratory rate Body posture/position Activity level Data collected via wireless ancillary devices Blood pressure Blood glucose Pulse oximetry Body weight
15
Potential partners Hospitals Hospital systems Public health clinics
Private clinics Public & private payers Other EMS agencies Law enforcement Behavioral healthcare providers Specialty care physician groups
16
Program implementation
Initial communication Define the opportunity Establishing goals Resources Cost Reimbursement Implementation Monitor program and implement change Evaluate results
17
Program implementation
Initial communication Often times they won’t know what they’re asking for Discuss challenges Discuss current efforts/programs Discuss opportunities or lack thereof
18
Program implementation
Define the opportunity Population/demographics Evaluate the data Discuss capabilities Integration into existing programs/efforts
19
Program implementation
Establishing goals Define success
20
Program implementation
Resources Yours & theirs Personnel Equipment Technology
21
Program implementation
Cost What is your cost?
22
Program implementation
Reimbursement Is their a mutually beneficial reimbursement model? Fee for service Shared savings Combination
23
Program implementation
Education PCR Receipt of referrals Referral contact Seeing patients
24
Program implementation
Monitor program and implement change Plan to make changes
25
Program implementation
Evaluate results Success? Expansion?
26
Mobile Healthcare Programs
Pediatric asthma – New Orleans Sickle Cell – New Orleans Population management – New Orleans Crisis intervention – New Orleans Hospice – Dallas, San Antonio & Houston Diabetes – Lafayette Beginning soon CHF & COPD – New Orleans & Lafayette
27
Pediatric Asthma Program
Trigger for referral = high ED utilizer Average enrollment = 59 days 90 day post-graduation hospital admission – 50% decrease 90 day post-graduation ED utilization – 59% decrease ED visit resulting in admission pre-enrollment – 38% ED visit resulting in admission post-enrollment – 100% ACT upon enrollment – 19 ACT score upon graduation – 24 Average initial peak flow – 290.5 Average peak flow upon graduation – 307.4
28
Hospice Program Education for high risk patients/families
Crisis intervention Q data for 80 patient contacts 91% of patients remained in the home 99% of patients remained with client Reported 3.59% revocation (12% national average) calendar year 2015
29
Population Management Program
Trigger for referral = high ED utilization Multiple disease processes Education Crisis intervention
30
Challenges Reimbursement PCR Education
Similar presentations
