Working with First Responders Lt. Matthew Parrish LISW Diana - - PowerPoint PPT Presentation

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Working with First Responders Lt. Matthew Parrish LISW Diana - - PowerPoint PPT Presentation

Jan 01, 2023 139 likes •542 views

Working with First Responders Lt. Matthew Parrish LISW Diana Kubovcik Safety Net for Older Adults Oops, wrong kind of Net!!! Let try Again 912 to call a social worker ARE we speaking the Same Language? Community Paramedicine!!

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Working with First Responders

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  • Lt. Matthew Parrish LISW Diana Kubovcik
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Safety Net for Older Adults

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Oops, wrong kind of Net!!! Let’ try Again

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912 to call a social worker

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ARE we speaking the Same Language? Community Paramedicine!!

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Mobile Integrated Health Care or Community Paramedicine?

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CURRENT TRENDS

  • MIH Programs continue to grow –

especially in Fire Based EMS Systems

  • Changes made at state level in

paramedic’s scope of practice

  • Specialized Curriculums
  • Co-Responder Models
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CURRENT TRENDS 2009 = 4 Programs 2014 = 160 Programs 2017 = 251 Programs

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THE 411 on the 614

  • Upper Arlington / Stay UA
  • Norwich Township / FOCUS
  • Mifflin Township
  • Hamilton Township
  • Violet Township
  • Truro Township
  • Whitehall Fire Department
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UNDERSTANDING THE NEED

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Columbus By the Numbers

14th Largest City 225 Square Miles 825,000 residents 170,000 EMS Runs 38 Medic Transport Units 1550 FF/ EMT or FF/Paramedic Single Tiered System- ALS

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EMS DATA

  • Captures real time data that is relative to

your service area

  • Customizable and Adaptive
  • HN1N, EBOLA, Opioids, ???
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2018 – 55 and over

  • 34,000 calls for service YTD
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OUR FOCUS

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CHALLENGES FOR EMS

  • Time on Scene – 10 mins or less
  • Patient’s Full Medical History
  • Patient’s Connections
  • Medication compliance
  • Poor documentation
  • Medics are trained to transport people to the ER
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SOLUTIONS

  • Pilot program with COAAA
  • Predictive Analytics
  • Individual Case Review
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WHY COAAA?

  • City of Columbus Agency
  • CFD doesn’t have a LSW job description
  • Hippa Compliant
  • COAAA already serves thousands of

people

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WHY COAAA?

EXPERIENCE!

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WHY PARTNER WITH YOUR LOCAL FIRE DEPARTMENT?

  • Bi-directional Communication
  • Real time notifications
  • Increased level of Access
  • Residences, hospitals, LE, etc.
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WHY PARTNER WITH YOUR LOCAL FIRE DEPARTMENT?

  • Firefighters have cool trucks with Lights
  • Cool Shirts with Logo’s
  • Free coffee and discounts
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CFD Social Worker Pilot Project

  • Started January 2018
  • Partially Grant Funded
  • Paired a LSW with CFD Paramedic
  • Enhanced our previous referral process
  • Additional Focus on Opioid Epidemic
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CFD REFERRAL PROCESS

Multiple ways to initiate a referral

  • 1. Paramedic generates referral form after

EMS Call – ES214 form

  • 2. Paramedic submits referral through EMR
  • 3. 72 hour call report – surveillance report
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CFD REFERRAL PROCESS

Working Cases

  • 1. ES 214 reviewed by paramedic & LSW - TRIAGED
  • 2. Patient is cross referenced against existing databases
  • 3. If found to already be linked – Case manager is

contacted

  • 4. If no connection with low acuity, case is referred to CPH
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CFD REFERRAL PROCESS

Working Cases

  • 5. Determine patients need
  • 6. Visit patient while still in the Hospital
  • 7. Home Visit with community partners
  • 8. ON SCENE visits when need is urgent
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TYPES of Referrals

  • Personal Assistance
  • Substance use Disorder
  • Psychiatric issues
  • Self neglect – Elder Abuse
  • Environmental Concerns
  • APS Referrals
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ACCESS is Key

  • Patient Records- CFD, COAAA,

Hospital

  • They always answer the door for the

Fire Department

  • Navigating the Hospitals
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OUR SUCCESSS 2016- 160 Cases referred to CPH 2017- 200 Cases referred to CPH 2018 YTD – 420 cases opened

  • 109 referred to CPH
  • 332 Cases closed YTD
  • 287 Cases re-linked with service provider = 68%
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OPIOID EPIDEMIC EMS DATA

  • Where – by zip code
  • When – time of day, day of week
  • WHO – demographics, ethnicity, age
  • How – doses of Narcan, type of Opiates
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EMS Data

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OPIOID EPIDEMIC

IMPACT on Individuals and Families

  • Treatment Options and Access
  • Impact on Older Adults
  • Financial exploitation
  • Grandparents raising grandchildren
  • Lacking family support
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Rapid Response Emergency Addiction Crisis Team (RREACT)

Partnership with Southeast Health Partnership with Columbus Police - CIT Targeted Outreach DOJ Grant- Family/Childhood Trauma Family and Children First Council

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FINAL THOUGHTS

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QUESTIONS??

Columbus Division of Fire Columbus Division of Fire Lieutenant Matt Parrish LISW-S Diana Kubovcik Mparrish@Columbus.Gov DLKubovcik@columbus.gov 614-645-7384 614-645-7384