1. Macomb County EMS Medical Control Authority (MCMCA) Orientation Debbie Condino, Executive Director Dr. Antonio Bonfiglio, Medical Director Luke Bowen, Operations Manager Anne Wronikowski, Executive Secretary

2. Today’s Topics MCA Overview Major Initiatives Q & A
Responsibility/Authority
Structure
Board/Committees
Major Initiatives
Operation Rx / Hope Not Handcuffs
Community Paramedicine
Q & A

3. PLEASE: Feel free to ask questions as we move through the presentation today.

4. Who We Are
Health systems and Life Support Agencies comprise the EMS system
28 licensed Life Support Agencies (LSA’s)
17 Advanced Life Support (ALS)- Paramedics
7 Basic Life Support (BLS)
4 Medical First Responder (MFR/EMR)
23 fire-based
Macomb County
483.7 Square Miles
865,000 Residents (3rd most in Michigan)
3 of 10 most populous communities in Michigan
92,000+ EMS Responses/Year (911)

5. Who We Are
Not-for-profit corporation owned by the health systems in and adjacent to Macomb County (9 member-owner hospitals)
Beaumont Hospital- Grosse Pointe
Beaumont Hospital- Troy
Henry Ford Hospital Macomb
*Henry Ford Hospital Sterling Heights
McLaren Macomb
St. John Macomb-Oakland Hospital, Madison Heights
*St. John Medical Center- Macomb Township
St. John Macomb-Oakland Hospital, Warren
St. John Hospital & Medical Center
* Free-standing emergency services

6. What We Do
Michigan Public Health Code ( ) details the responsibilities of the EMS Section of the Division of EMS & Trauma
This law and associated administrative rules grants to the MCA the authority to:
Oversee protocols*
Creation, proliferation, enforcement
Medical Direction*
Provide Medical Director who:
Observes and improves quality of care
Recommends agency licensure to the state based upon protocol compliance
Provides privilege for each provider to function at their licensed EMS level

7. MCA Board of Directors
Board comprised of a representative from each member-owner hospital (appointed by Chief Executive of hospital), and is supported by the MCA Medical Director and MCA Staff
Governing body responsible for all clinical and operational issues of the MCA including Medical Director and staff appointments
Supported by the following staff:
Debbie Condino, Executive Director
Dr. Antonio (Tony) Bonfiglio, MCA Medical Director
Luke Bowen, Operations Manager
Anne Wronikowski, Executive Secretary

9. Partnerships
The MCA is actively involved in building relationships with and working cooperatively with:
Law Enforcement (EMD)
State and local legislators
MDHHS EMS Division
Region 2 North Healthcare Coalition (R2N)
Macomb County Executive’s Office
Macomb County Emergency Management
Macomb County Public Health
Other community partners

10. Committee Memberships
Debbie Condino
Regional Trauma Network (RTN Chair)
Regional Trauma Advisory Council (RTAC)
Regional MCA Network
Region 2 North Planning Board
Macomb Emergency Mgt. LPT & EOC
EMSCC: Emergency Medical Services Coordinating Committee
EMS Subcommittee
MDHHS Community Paramedicine Workgroup
Michigan Assoc. of EMS Systems
Operation Rx: Steering Committee Member, EMS Subcommittee Chair
Luke Bowen
Regional Trauma Advisory Council: Data Workgroup Chair
Regional MCA Network
Region 2 North T&E Subcommittee
Macomb Emergency Mgt. LPT & EOC
MDHHS EMS Data Taskforce
Operation Rx: Data Subcommittee Chair
SaveMiHeart: EMS Workgroup Lead

11. Major Initiatives Operation Rx / Hope Not Handcuffs
Initiative to reduce morbidity and mortality from opiate overdose
Multiple stakeholder groups
Courts/Prosecutors Office
Law enforcement
EMS
Public Health
School systems
Health care: hospitals, physicians, dentists, pharmacists
Substance Abuse programs
Community Groups
Faith based organizations

12. Major Initiatives
Community Paramedicine / Mobile Integrated Health Programs
“Community Paramedicine (CP) is an innovative and evolving model of community-based healthcare designed to provide more effective and efficient services at a lower cost. Community Paramedicine allows paramedics to function outside their traditional emergency response and transport roles to help facilitate more appropriate use of emergency care resources while enhancing access to primary care.”
Moving healthcare out of traditional settings (acute care hospitals- most expensive) and into the community.
Many programs partner with existing home healthcare agencies.

13. Major Initiatives
Community Paramedicine / Mobile Integrated Health Programs
There are a variety of program types, with the two most common being
Readmission prevention
Identifying certain patient groups that after hospital discharge are likely to return to the hospital
Managing their medications, doctors appointments, etc.
Complex patient management
Identifying patients with complex health histories and working to provide assessment and support outside of the hospital to avoid admission

14. Major Initiatives
Community Paramedicine / Mobile Integrated Health Programs
In Macomb County
One active program
Medstar Ambulance
Originally developed with McLaren Macomb Hospital and Henry Ford Macomb
Now primary source of patients is McLaren Macomb Hospital
Focus: readmission prevention for patients with specific conditions (congestive heart failure, pneumonia, etc.)

15. Questions CONTACT: (586) 792-1350 www.mcemsmca.org

16. Thank you for allowing us to be with you today.