healthcare transformation and fire service ems mark stevens ba, emtp
DESCRIPTION
Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP. Primary Care Specialty Care Ambulatory Care Emergency Dept. Urgent Care Nursing Home Home Health Pharmacy. Reporting. Hospitals - 2007 Physicians - 2009. “Failure to submit data for FY - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/1.jpg)
Healthcare Transformationand Fire Service EMS
Mark Stevens BA, EMTP
![Page 2: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/2.jpg)
![Page 3: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/3.jpg)
![Page 4: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/4.jpg)
Primary Care
Specialty Care
Ambulatory Care
Emergency Dept
Urgent Care
Nursing Home
Home Health
Pharmacy
![Page 5: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/5.jpg)
Hospitals - 2007Physicians - 2009
Reporting“Failure to submit data for FY2007 and beyond results in a
2%decrease in Medicare reimbursement.”…
(Additional impact after Oct 1, 2012.)
17 Clinical care measures in 5 categories: (AMI, Heart failure, Pneumonia, HC assoc infection, Surg improve)
8 Consumer assessments: (doc/nurse communication, staff responsiveness Pain mgmt, Cleanliness/quietness of environ.)
![Page 6: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/6.jpg)
Physicians: 3 Financial incentive plans
- Quality reporting (199)- Electronic Prescribing- Electronic Health Records
2011
2012
2013
2014
2015
2016
2017
2018
2019
Quality Reporting
1.5% 1.5% 1.5% 1.5% -1.5%
- 2% - 2% - 2% - 2%
Electronic Prescribing
1% 1% 0.5% 0% 0% 0% 0% 0% 0%
E-Health Records
Spec amt
Spec amt
Spec amt
Spec amt
-1% -2% -3% -4% -5%
![Page 7: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/7.jpg)
- Quality Measures- Accreditation/Certification- Electronic Records- Consumer Satisfaction- Efficiencies
EMS/Ambulance
![Page 8: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/8.jpg)
HealthcareInformationExchange
Labs
Hospitals
Pharmacy
Physicians
GovtMedicaid/Pub H
Payers
Consumers
Clinics
EMS
![Page 9: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/9.jpg)
The first call of the day was a 43 yo male that was
found laying in the front yard of a residence. I was
able to find the pt’s medical hx of seizure, and his
last ER visit to OUMC.
SMRTNET was used to confirm pt’s information she provided to me. Pt stated she had no
allergies, however SMRTNET found allergies in hx. Upon questioning pt remembered “yes” to
allergic to…
Health Information Exchange
EMSA, Oklahoma City
![Page 10: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/10.jpg)
80% of HC $’s spent on 20% of people
Known causes and preventable.
Current direction will bankrupt State/Country
![Page 11: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/11.jpg)
Oregon’s “Triple Aim” (HB3650)
-Improve lifelong health of all Oregonians.
-Increase quality, reliability and availability of care for all Oregonians.
-Lower or contain the cost of care so it is affordable for everyone.
![Page 12: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/12.jpg)
Oregon Health Policy BoardHB3650
CCOWork grp
GlobalBudgetWork grp
MetricsOutcom
eQuality
CMSIntegratio
nWork grp
![Page 13: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/13.jpg)
Health Homes
HospitalsHealth Homes
Food Mart
Specialty Clinics
Food Mart
Specialty ClinicsHealth Homes
Hospitals
Clinic
ClinicAccountable Care Organization
Health Plan Health PlanHealth Plan
http://www.emmisolutions.com/medicalhome/pcpcc/english.html
![Page 14: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/14.jpg)
![Page 15: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/15.jpg)
Public
Safety
Public
Health
Community
Health
ME S
![Page 16: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/16.jpg)
The “New Normal”
Integration of EPCR
Hospital records
Bundling
No Money
AlternateDestination
Never Events
EMS Agenda for the Future
Alternate funding
http://www.youtube.com/watch?v=Z1SBgCL1qTg
![Page 17: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/17.jpg)
![Page 18: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/18.jpg)
Be at the table
Be on the table
![Page 19: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/19.jpg)
![Page 20: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/20.jpg)
Non-Traditional Health Workers
Team: Community Health WorkersPeer Wellness SpecialistsPersonal Health Navigators
Training: Core CompetenciesCross-cultural communication/liaisonGroup/family dynamics, Advocacy skills,Knowledge of resources, Needs assessment
*Opportunity
![Page 21: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/21.jpg)
“Community Paramedic”
UK – Dispatch, NonTraditional & MD
Toronto – CREMS
U.S. – Minnesota, Eagle CO, MedStar, Wake Co, Nebraska… Tucson, TVF&R, King Co
Scope of Practice
Training Programs
![Page 22: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/22.jpg)
Medical Liability (next legislative session)
CMS Innovation Challenge Grant
Local CCO activity/relationships
Non-Traditional Training opportunities
Nursing Associations
Protocols & Scope of Practice
Things to watch for
![Page 23: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/23.jpg)
Things to watch (know your numbers)
Call breakdown:- Dry runs (# should drop)- No Pays (# should drop)- Freq caller (# should drop)- Number of transports to ED
Evaluate:- Effect on operations/staffing- Transport revenue- Alternate destinations- Innovative ways to get right resource/right pt- Alternate revenue streams
![Page 24: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/24.jpg)
What should we be doing?
- Be aware of state/local changes- Support medical liability changes for EMS- Build relationships (CCOs, Medical Homes, hospital)- Market the value of EMS- Assess degree of involvement for your agency- Performance-based culture- Electronic charting (Image Trends)
![Page 25: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/25.jpg)
Value of EMS
- We are healthcare providers.- Infrastructure for quick response to anywhere in our community.- EMS can assess/direct to alternate destination.- We can “fill the gaps” and support CCOs.- Clinics in fire stations?- Preventative health fairs?- Work under medical authority, QI.- Lessen hospital readmissions- Participate in care plans
![Page 26: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/26.jpg)
![Page 27: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/27.jpg)
What should we be doing?
- Think Innovation..right resource/pt/time- Accountability: Not just about response time-Work smarter (deployment, resource/demand)-Develop people for expanded roles-Become integrated with healthcare systems-Position external stakeholders to be advocates
![Page 28: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/28.jpg)
Diversify Revenues/Efficiencies
Training ServicesCommunication ServicesOcc HealthBillingVehicle maintenanceConsolidate medical directionShare cost savings with payors
![Page 29: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/29.jpg)
CMS Innovation Challenge Grant
- First grant for EMS eligibility- $1 – 30 million/grant- Three years to be self-sustaining
Portland metro area (4 counties)
-Dispatch triage (EMD & Nurse)-Alternate destination for 9-1-1 response-Post hospital discharge followup
![Page 30: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/30.jpg)
Shifting emphasis of medical care from crisis intervention to prevention.
![Page 31: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/31.jpg)
Don’t forget our mission…
Reduce lives lost
Reduce pain & suffering
![Page 32: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/32.jpg)
http://health.oregon.gov
![Page 33: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/33.jpg)
TestimonyRelationships/networkEHC GovernanceResourcesLinksLegislation
www.ofcaems.org
Your EMS Section
![Page 34: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/34.jpg)
Serenity Prayer
God, grant me the serenity to accept the things I cannot change,
Courage to change the things I can,
And wisdom to know the difference.
![Page 35: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/35.jpg)
Resources
www.health.oregon.gov
www.ofcaems.org
www.hitsp.org
http://communityparamedic.org
www.wecadems.com/cp.html
www.medstar911.org/community-health-program
www.wakegov.com/ems/staff/app.htm
http://www.emmisolutions.com/medicalhome/pcpcc/english.html
![Page 36: Healthcare Transformation and Fire Service EMS Mark Stevens BA, EMTP](https://reader036.vdocuments.net/reader036/viewer/2022081514/5681471f550346895db45540/html5/thumbnails/36.jpg)