Community EMS and Mobile Integrated Health Care Update Home Care Alliance of Massachusetts September 18, 2019 Scott Cluett, NRP Director, Office of Emergency Medical Services Department of Public Health
Massachusetts Program Overview 1 2 3 MIH with ED COMMUNITY EMS MIH AVOIDANCE • EMS-based programs, in • Utilizes EMS and other health • Component of an approved MIH partnership with municipalities care personnel to deliver a Program that must be applied coordinated continuum of care for separately, with a goal to • Focus on prevention of illness or prevent unnecessary injury through needed high • Addresses gaps in service hospitalizations value public health services with delivery within a community low risk potential • Operated by an MIH Program • Proactively prevents and includes the community’s • Approved services defined by unnecessary hospitalizations or primary ambulance service DPH, with option to petition to other harmful and wasteful add new services resource delivery • Follows a primary ambulance service response, patient • Change to EMS care settings and • Care is provided outside of the assessment, consultation with patient access points, not the hospital environment on-line medical direction, and scope of care patient consent to treatment at an alternate destination 2 Massachusetts Department of Public Health mass.gov/dph
Creation of MIH & CEMS in Massachusetts MIH and Community DPH accepts CEMS Mobile Integrated DPH promulgates EMS (CEMS) applications in Health Advisory Council regulations, 105 CMR established by Chapter October 2018 and convened, engaging 19 173.000, Mobile 111O of the General MIH and MIH with ED experts to guide Laws of Massachusetts, Integrated Health establishment of a Avoidance as inserted by section Care and Community regulatory framework applications in 93 of chapter 46 of the EMS Programs for the creation of MIH December 2018 Acts of 2015 3 Massachusetts Department of Public Health mass.gov/dph
Approved CEMS Program Services CHRONIC DISEASE SUBSTANCE USE HOUSING STABILITY/HOMELESSNESS FOCUS ON CANCER, DISORDERS (SUDS) HEART DISEASE & DIABETES • Naloxone Information & Training • Assistance with Environmental Lead (Pb) Testing • Asthma Evaluation • Sharps Awareness • Assistance with Radon/Air Quality Testing • Health Promotion Screening • Substance Use Disorders Education • Child Passenger Safety • Provision of Primary Care Resource List & Referral • Children with Special Care Needs Evaluation • Sharps Awareness • Emergency Preparedness Individual Evaluation • Vaccinations (by Paramedics ONLY) • Fire and Burn Prevention and Education • Well-being check MENTAL ILLNESS AND • Home and Community Falls Prevention o Home Weight check MENTAL HEALTH • Home Safety Evaluation o Blood Pressure check • Housing instability/homelessness risk • Behavioral Health Home and o Blood Sugar check • Poison Control Home Evaluation Community Referrals o Medication Confirmation check • Water Safety • Depression and Suicide Prevention (Post-discharge instructions) • Welcome Family (Home Evaluation for New Resource Lists in the Community Caregivers) • Firearms Safety • Windows Falls Prevention 4 Massachusetts Department of Public Health mass.gov/dph
Current Snapshot of CEMS Programs Pittsfield: Substance Use Disorders Education, Naloxone Information & Training, Sharps Awareness Burlington: 7 Programs Region 3 Boston: Vaccination (by Paramedics) Region 1 Region 2 Brockton (Brewster Ambulance): Region 4 Home Safety Evaluations, Well Being Checks Hanover: Fire & Burn Prevention & Education Duxbury: 7 Programs Mansfield: 19 Programs Region 5 Taunton (Brewster Ambulance): Edgartown: Fire & Burn Prevention & Home Safety Evaluations, Well Being Checks Education, Home and Community Falls Prevention Fall River: Home Safety Evaluations, Well Being Checks Acushnet: Sharps Awareness Approved Programs as of September 16, 2019 5 Massachusetts Department of Public Health mass.gov/dph
Current Snapshot of CEMS Programs, cont’d MOST COMMON SERVICES OFFERED • Fire and Burn Prevention & Education • Home Safety Evaluations 11 52 • Well-being Checks • Sharps Awareness CITIES & CEMS TOWNS PROGRAMS • Naloxone Training • Behavioral Health Home & Community Approved Programs as of September 16, 2019 Referrals • Vaccinations (Paramedics Only) 6 Massachusetts Department of Public Health mass.gov/dph
Resources • MIH and Community EMS Website www.mass.gov/mih • Community Program applications https://www.mass.gov/how-to/apply-to-operate-a-community-ems-program • List of approved CEMS services https://www.mass.gov/info-details/approved-community-ems-services • Past MIH and CEMS educational webinar presentations: https://www.mass.gov/service-details/mih-and-community-ems-educational-resources • Contact Information: MIH Program | MIH@state.ma.us | 617-753-8484 7 Massachusetts Department of Public Health mass.gov/dph
Questions Thank you for joining today’s presentation! Scott Cluett Director, Office of Emergency Medical Services william.scott.cluett@state.ma.us 617-753-8110 8 Massachusetts Department of Public Health mass.gov/dph
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