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!!
Mobile Integrated Health Care or Community Paramedicine?
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
CURRENT TRENDS 2009 = 4 Programs 2014 = 160 Programs 2017 = 251 Programs
THE 411 on the 614 • Upper Arlington / Stay UA • Norwich Township / FOCUS • Mifflin Township • Hamilton Township • Violet Township • Truro Township • Whitehall Fire Department
UNDERSTANDING THE NEED
Columbus By the Numbers 14 th 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
EMS DATA • Captures real time data that is relative to your service area • Customizable and Adaptive • HN1N, EBOLA, Opioids, ???
2018 – 55 and over • 34,000 calls for service YTD
OUR FOCUS
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
SOLUTIONS • Pilot program with COAAA • Predictive Analytics • Individual Case Review
WHY COAAA? • City of Columbus Agency • CFD doesn’t have a LSW job description • Hippa Compliant • COAAA already serves thousands of people
WHY COAAA? EXPERIENCE!
WHY PARTNER WITH YOUR LOCAL FIRE DEPARTMENT? • Bi-directional Communication • Real time notifications • Increased level of Access • Residences, hospitals, LE, etc.
WHY PARTNER WITH YOUR LOCAL FIRE DEPARTMENT? • Firefighters have cool trucks with Lights • Cool Shirts with Logo’s • Free coffee and discounts
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
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
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
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
TYPES of Referrals - Personal Assistance - Substance use Disorder - Psychiatric issues - Self neglect – Elder Abuse - Environmental Concerns - APS Referrals
ACCESS is Key • Patient Records- CFD, COAAA, Hospital • They always answer the door for the Fire Department • Navigating the Hospitals
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%
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
EMS Data
OPIOID EPIDEMIC IMPACT on Individuals and Families - Treatment Options and Access - Impact on Older Adults - Financial exploitation - Grandparents raising grandchildren - Lacking family support
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
FINAL THOUGHTS
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
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