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HomeMy WebLinkAboutSupplemental Communication for Agenda Item No. 1 - Orange Co 10/5/2015 ,- J� 9� - ORANGE COUNTY ALTERNATE DESTINATION PILOT STUDY Working Definition of Community Paramedicine A community based model of healthcare that utilizes paramedics with expanded training to fill gaps in healthcare needs identified in the community ■ New models of community-based health care that bridge primary and emergency care SUPPLEMENI AL COMMUNICATION AgendaMeeting Date: /0 Item No, Goals of Healthcare Reform The "Triple Aim" framework describes an approach to optimizing health system performance by simultaneously achieving the following: • Improving the patient experience of care (including quality and satisfaction) 10/5/2015 • Improving the health of rI rlpopulations • Reducing the per capital cost ' of healthcare Community Paramedicine in California ■ State EMS Authority and California Healthcare Foundation contracted with UC Davis to provide a report of the feasibility of CP programs in California ■ Report published - Community Paramedicine: A Promising Model for Integrating Emergency and Primary Care, July 2013 ■ Recommended CP Programs in California Role of Cal-EMSA ■ Recommended that CP programs be further developed in California through pilot studies Proposed pilot projects to OSHPD ■ EMSA Medical Director provides ultimate medical authority over all pilot projects Howard Backer- Cal-EMSA Medical Director ■ Oversees the individual pilot projects via State CP Advisory Committee: Project Manager Director of Research Benefits of Community Paramedicine More appropriate use of emergency departments 10/5/2015 Increased access to primary care Increased opportunities to enhance the skills and development of Paramedics Provides an opportunity to partner with other health system participants ORANGE COUNTY PILOT STUDY SPECIFICS OC CP Pilot Study Partners ■ Support from major stakeholders: All Orange County Fire Departments-OCFCA Orange County EMS Agency Hospital Association of Southern California Hospital Networks: Kaiser, St.Joseph/Hoag Health Hospitals, MemorialCare Urgent Care Centers California Emergency Nurses Association—OC UCI Centerfor Disaster Medical Services Hoag Hospital Foundation OC Pilot Project Participants ■ Three Fire Departments: FVFD, HBFD, NBFD ■ One Private Ambulance Company Care Ambulance ■ Three Hospital/UCC Networks: St Joseph/Hoag Health MemorialCare Kaiser Permanente • Urgent Care Centers: Five designated Alternate Destination Urgent Care (ADUC) Our UCC's Locations • Hoag Urgent Care - 19582 Beach Blvd Suite 180, Huntington Beach • Hoag Urgent Care - 500 Superior Ave #160, Newport Beach • MemorialCare Medical Group Urgent Care Center - 18561 Beach Blvd (Beach & Ellis), Huntington Beach • Family Care Center Urgent Care - 18785 Brookhurst, Fountain Valley • Kaiser Permanente Harbor-MacArthur Medical Offices - 3401 S. Harbor Blvd, Santa Ana UCI Center for Disaster Medical Sciences (CDMS) • Local level conducted as a "Research Study" • Providing Primary Investigator-Dr. Shira Schlesinger • UCI Internal Review Board (IRB) allows the research. • Published Research to prove paramedics can safely 10/5/2015 transport patients to alternate destination sites • Peer Reviewed — Highest level of validation • 1 year Study with 1 year extension • Goal of 150 enrolled transported patients Local Steering Committee Accomplishments So Far. . . ■ Established committee and sub committees For: Training Data/Research Grant Funding ■ Approved by Office of Statewide Planning Department (OSHPD) • Pre-study Data collection through ePCR tab • Developed local protocols • Developed training curriculum • Began training April 3rd How is this funded? ■ California Healthcare Foundation (CHCF) - $16,600 ■ Hoag Hospital Foundation— Department of Community Benefit - $175,000 ■ Memorial Care Foundation 4 Primary Impressions INCLUSION CRITERIA ■ Isolated closed extremity injuries ■ Soft tissue injuries ■ Laceration with controlled bleeding ■ Isolated fever or cough ■ i00% voluntary participation Timeline ✓ Jan - Feb 2015-One Paramedic from all Fire Departments attend full training ✓ April 2015- Training Alternate Destination Pilot Paramedics (ADP) ✓ Sept 2015 Implementation of Pilot Study Next Steps ■ Community education of AD Pilot Study ■ Ongoing data analysis ■ Continuous quality improvement Evaluate feedback from all stakeholders AD Medics, UCC Staff, OCEMS, UC Irvine and hospital networks ■ Final Report ■ State recommendations ■ Legislative Changes