1. Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility

3. Allina Health Non-Profit lead by Community Board of Directors

4. MN Largest Employers 1.State of Minnesota53,824 2.United States Govt.44,543 3.Mayo Clinc33,389 4.Target Corporation30,773 5.University of MN25,166 6.Allina Health23,869

6. Large Geographic Area (urban, suburban, & rural) Population of 1,000,000 in PSA 240 Responses each day – 90k/year

7. 560 Total Staff Members 457 full-time-equivalents (FTE’s) 0-5 yrs 6-10 11-15 16-20 21 plus

8. 2012 Volume Activity for Allina Health - EMS

9. Future Pie Chart???

11. Positives:  Part of a large integrated health system  Large, EMS agency with large number of senior paramedics  Active Medical Directors  Minnesota Jobs Skill Partner grant for Community Paramedic Challenges:  Part of large integrated health system  Competition with other projects  No established connection with Primary Care and in- hospital providers

12.  Readmissions ◦ Transition Care Management  Geographic Challenges  Staffing Challenges  EMS to the Rescue ◦ Paramedic Outreach Project  On-duty staff positioned to assist  Small population

13.  Trained 4 paramedics to provide home visits ◦ Specific tasks based on Transition Care steps  Small population ◦ 4 patients in 30 days ◦ Patient Satisfaction equaled or exceeded RN visits  In lower volume location, could use on-duty resources without detriment to 911 response

14.  Partner with HTC grant  Provided venue to engage non-traditional clinical sites for paramedics  CP students helped educate providers

15.  Helped us identify partners  Jump started training of staff  Built infrastructure needed

16.  Northwest Alliance  Mercy Hospital  Anoka County Crisis Services

17.  Congested Heart Failure  Diabetes/ Wound care  Mental Health  High Utilization

18.  Monday Through Friday  1200-0000  8 Community Paramedics

19.  57 Home Visits  34 Transports

20.  Excellian (Epic)  Controlling Growth

21.  Senior Care Transitions  Allina Hospitals  The sky is the limit