MIH-Consortium Kellie Burnam, Community Health Manager, Schertz EMS - - PowerPoint PPT Presentation
MIH-Consortium Kellie Burnam, Community Health Manager, Schertz EMS Brandon Kludt, EMS Chief, Canyon Lake Fire/EMS Chris Velasquez, MIH Coordinator, San Antonio Fire Department Richard Britz, MIH Paramedic, HIS Centre (Bulverde/Spring Branch
Kellie Burnam, Community Health Manager, Schertz EMS Brandon Kludt, EMS Chief, Canyon Lake Fire/EMS Chris Velasquez, MIH Coordinator, San Antonio Fire Department Richard Britz, MIH Paramedic, HIS Centre (Bulverde/Spring Branch EMS)
Staffing Projects Overview
Most expensive route to most expensive care
Domestic Product, almost $3.5 Trillion
$5.7 Trillion
0.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% 7.0% 8.0%
Medicare Medicaid
Improve Patient Experience Improve Health
Reduce per Capital Cost of Healthcare
Patient has a medical complaint
Patient calls 911 EMS transports the patient to the ER Patient is treated Patient is discharged
Patient has a medical complaint
Patient calls 911 EMS transports the patient to the ER Patient is treated Patient is discharged
Continuity
Resources
medications
Education
medications
physical activity
“the provision of healthcare using
✓System High Utilizers
Overutilization of the 911 system Overutilization of Emergency Department
✓Hospice Revocation ✓Hospital Re-Admissions ✓At-Risk Populations ✓Address social determinants of health
Why EMS?
Trusted resource in the Community Tied into 911 Trained to recognize emergencies and immediate life
threats
Comfortable in less than favorable conditions Delegated Practice (Texas) 24/7 availability Fully mobile Flexibility in projects
Regional approach to MIH
“One-stop shop” for organizations seeking MIH
services
✓One contract to negotiate ✓One process ✓One point of contact to correct issues ✓One coverage map, made up of multiple MIH teams
* Member Agencies must be the municipal or contracted 911/Emergency Medical Service provider for the jurisdiction they serve under the MIH Program. As such, the Membership Application must be signed/recognized by the governmental authority having jurisdiction.
Patient Care Referral Community Based Care Local EMS Involvement Continuity of Care Patient Focus Improved Health
Consortium Responsibilities:
(Backbone Organization)
Simplify & streamline: ✓ Contract Process ✓ Data Collection (input & output) ✓ Information Sharing ✓ Quality Improvement ✓ Regulatory Compliance
MIH Chief level meetings Special project meetings Data Management
between STRAC & 911 provider regarding MIH
meet all contractual requirements
(contracted by BSB Fire & EMS)
2016-2017 Highlights:
High Utilizer
shot clinic for community & schools
supplies to Bulembu Swaiziland 2018 Initiatives: Continue current programs Focus on senior homelessness (collaborative project to build homes)
Richard Britz, Director of Community Health
Brandon Kludt, Division Chief of EMS Gregory Eckert, MIH Paramedic M – F (8am-5pm)
MIH Services:
TOTAL MIH Contacts (6 Month Pilot) 32 Average Age 70 Minimum Age 11 Maximum Age 95 Female Patients 14 Male Patients 17 Average # of Calls for Service Pre 1st MIH 5.9 Average # of Calls for Service Post 1st MIH 1 TOTAL MIH Contacts (Jan– Dec 2017) 101 Average Age 74 Minimum Age 11 Maximum Age 99 Female Patients 28 Male Patients 27 Average # of Calls for Service Pre 1st MIH 5.8 Average # of Calls for Service Post 1st MIH 1.2
Program)
*This data excludes patients seen during the monthly health screenings
Projected cost savings (call abatement)
intervention, it can be assumed that a cumulative total of 319 9-1-1 calls for service would have been made by the 55 patients involved in the MIH Program.
patient post MIH intervention, it can be assumed that a cumulative total of 253 9-1-1 calls for service were avoided by the district.
calls for service result in ED transport, the district observed a savings of $145,811.49 as a result of MIH intervention.
Utilizers
to the ED
FD
Consortium
Add members to the Consortium Negotiate larger contracts to sustain programs National Model for regional approach to MIH