Kentuckys Rural EMS Assessment Kayla Combs Flex Director, KORH - - PowerPoint PPT Presentation

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Kentuckys Rural EMS Assessment Kayla Combs Flex Director, KORH - - PowerPoint PPT Presentation

Kentuckys Rural EMS Assessment Kayla Combs Flex Director, KORH Why? What are the issues Kentuckys rural emergency services are facing? Are they interested in or ready for Community Paramedicine? What are other pressing needs?


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Kentucky’s Rural EMS Assessment

Kayla Combs Flex Director, KORH

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Why?

  • What are the issues Kentucky’s rural emergency

services are facing?

  • Are they interested in or ready for Community

Paramedicine?

  • What are other pressing needs?
  • Flex grant requirement
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How?

  • Partnered with the Kentucky Board of EMS

(KBEMS) to complete the assessment

  • Partnership of 3+ years
  • 129 Total respondents to the survey
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Results

10 20 30 40 50 60 70 80 90 100 Public Private Volunteer

Are you a public, private or volunteer service?

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Results

10 20 30 40 50 60 70 80 90 8 Hour Shifts 12 Hour Shifts 24 Hour Shifts Other

What are your staffing hours?

Other includes:

  • 12 and 24 depending
  • n full/part time
  • All of the above
  • 24/16
  • Varies on EMT
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Results

20 40 60 80 100 120 Yes No

Do you feel that your service fulfills your staff's training and education needs?

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Results

20 40 60 80 100 120 Yes No

Do you feel you have adequate equipment for your service?

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Results

20 40 60 80 100 120 Yes No

Do you feel that you have adequate facilities?

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Results

20 40 60 80 100 120 Yes No

Does your service seek out public or private grants?

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Results

10 20 30 40 50 60 70 80 Yes No

Do you feel that you have adequate staff?

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Results

10 20 30 40 50 60 70 80 Yes No

Do you have staff retention issues?

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Results

10 20 30 40 50 60 70 80 90 100 Yes No

Is your service interested in Community Paramedicine?

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Results

20 40 60 80 100 120 140 Yes No

Do you have a relationship with your local hospital?

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Results

  • How could the relationship with your local hospital be improved?

– Do not have a local hospital – Community Paramedicine would improve the working relationship significantly – Would love to help them out with outpatient and swing bed services – Could have a better relationship between crews and docs – Integrate hospitals and EMS, train them together, have hospital staff ride alongs, etc. – Lack of respect for EMS/They are not our boss – Meetings with hospital staff to see where we can improve – Be understanding, regulations/cost may keep us from being able to transfer some patients (non-emergent) – Apply for grants together – Improve communication – Understanding the role/capabilities of EMS (“no way to fix bias”, “we are professionals, not just ambulance drivers”) – Partner with hospital to work on reducing readmissions – Positive relationship with the hospital – Some are hospital owned

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Conclusion

  • Many services are ready and anxious to start

community paramedicine projects

  • 4 Pilot Projects starting soon, 3 Urban, 1 Rural
  • LOTS of data will be collected to show

effectiveness of the program to state legislature

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Questions?

Kayla Combs Kayla.combs2@uky.edu