powerpoint presentation - maryland...2012/06/18 · powerpoint presentation author michael carroll...
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MCNICMontgomery County Non-Emergency Intervention &
Community Care CoordinationCaptain Jamie Baltrotsky, BS, NRP
Captain Ashley Robinson, MS, MBA, NRPMontgomery County Fire & Rescue Services
3
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0
10000
20000
30000
40000
50000
60000
70000
80000
90000
100000
CY2013 CY2014 CY2015 CY2016 CY2017
EMS DISPATCHES BY TYPE AND RESULTING TRANSPORT
ALS1 ALS2 BLS Total Number Patients Transported
The Problem
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The Problem
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The Problem
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The Solution?
• Sharing data
• Forming partnerships with other community stakeholders
• Follow-up
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Break Down The Silos!!
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Trying to Avoid
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The Data
• FY15 – 14 enrollees – 55% drop in 911 usage (90 days)
• FY16 – 33 enrollees – 55% drop in 911 usage (6 months)
• FY17 – 115 enrollees – 47% drop in 911 usage (6 months)
• FY18 – 353 enrollees – data not yet available
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161People who called 911 (4) times or
more in 2018
Stats at a Glance
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1591Calls to 911 from the 161 people in previous slide
Stats at a Glance
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Relationship Building
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Who Do We Share Data With?
• Health & Human Services
• All of our county hospitals• Transitional Care/Population Health
• NEXUS Montgomery
• HEALTH Partners
• WISH
• Opioid Intervention Taskforce
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Where Do We Refer?
46%
31%
10%
6%5%2%
Referral destinations
Behavioral Health APS WISH
Homeless Outreach LTC Ombudsman Housing
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MCNIC3 Program Referral Flow Chart
Montgomery County Fire & Rescue ServiceMCNIC3 Intake
Referral to Community Resource
Wait & Watch
Behavioral Health
MCNIC Home Visit TeamSenior Housing Resident Counselors
MC Health & Human Services
Adult Protective Services
Homeless Outreach
Long-Term Care Ombudsman (SNF’s)
Washington Adventist Hospital
Shady Grove Adventist Hospital
Holy Cross Silver Spring
Holy Cross Germantown
Suburban Hospital
Elizabeth House
Charter House
Arcola
Bauer Drive
MC Paramedic
MC Social Worker
MC Senior Outreach
Transitional Care or Case M
anagement Team
sComing Soon!
MC Elder/Vulnerable Adult Abuse Task Force
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How do we enroll?
• Provider referrals via eMEDs/RMS
• Firstwatch Superuser Surveillance • Email alerts
• Hospital Transition Care Referrals
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• Varies Depending on Patient Need• MCFRS Paramedic/CHW
• Nurse (from hospital pt is most transported to)
• APS Social Worker
• Community Health Nurse (coming soon!)
Patient Home Visit Team
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• Public trust
• 911 is often the only contact with healthcare environment
• No loyalties to a particular organization or insurance type
• We have a unique view into a persons living environment
Why Us?
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• Getting the patient to answer the phone
• Underlying behavioral health issues
• Resources
Barriers to Success
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• Start information sharing agreements immediately!
• Sometimes you have to just go knock on their door
• Some people just don’t want help and that is okay
Lessons Learned
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Why is this so important?
• Allowing outside agencies to get a view into a patient issue they don’t necessarily know about
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The End