Tidewater EMS Council
Community
Paramedicine Workgroup
November 12, 2013
1305 Welcome
and Introductions
Review of meeting notes from October 11, 2013
·
Accepted-unofficial
Updates from EMS symposium meetings and classes
·
VAOEMS advisory board- (Jeff Meyer) Chesterfield
program will start up next month. Their focus is on frequent flyers/loyal
customers, an education program and the CHF patient population. They will start
training next month with a two week course involving social services, CIT
training, and rounds with a cardiologist visiting CHF patients. The program
will use 3 FT paramedics and one program manager. They seem to be going for the
same type of service we are trying for.
·
Home health challenge; license or not? OEMS is
waiting on opinion from AG office. The advisory board has not yet met with
Home-Healthcare providers. Individual agencies may get their own license but
are taking a “wait and see” approach.
·
State workgroup- (Tom Schwalenberg) State
workgroup is still in the “trying to figure it out” phase.
·
MEDSTAR- (Thom Schwalenberg) Met with Director
of Med-Star. Examined the Med-Star process and what they learned. They started dialog
with stakeholders got their foot in the door and facilitated a collaborative
vs. adversarial relationship to identify service gaps in the community.
General Discussion
·
Are we headed toward a regional CP program or
and individual agency approach, a single call, single service may work better.
·
Council may consider a coordination role for a
regional program with a central dispatch point following a nurse triage of each
call with other alternative destinations using EMD.
·
We should examine MEDSTAR and RAA nurse triage
systems.
·
RAA is no longer doing this due to problems with
their system.
·
(Melody Siff) Wilmington and other systems have
had growing pains- we should expect the same.
·
Hospice patients should also be considered.
Education/Awareness
Sub-Group
MOC Presentation discussion
·
Need to add hospice patients to proposal.
·
Community Paramedic curriculum may be available
locally if adopted. Distance learning is available approx. cost is $3000 per
student.
·
Need to provide examples of successful programs
to demonstrate what it will look like, what they did and why it worked.
·
Recommendation will be to develop a regional
program.
·
Benefits of program are: Single contact point,
greater efficiency, improved agency cooperation, Shared patient data.
·
Needs to be condensed to a 10 minute
presentation
·
Need to define what “community paramedicine” is,
what the pros/cons are locally, and provide a recommendation.
·
Legal and regulatory concerns related to expanded
role vs. expanded scope, this is where we are today.
·
Concerns that workgroup is setting program up
for an adversarial vs. cooperative pathway for the regions program by not
getting stakeholders involved in the process yet.
·
(Travis) We need to get all involved parties
input first- before moving forward.
·
(Schwalenberg) Informally, this information is
being communicated.
·
(Foster) Is there potential for TEMS/PEMS
cooperation?
·
Can this presentation be given to OMD’s?
·
This presentation must include an advisory that
the next step must be identifying all of the stakeholders, educating them and
do GAP analysis.
Regional
Community Paramedicine Model (handout)
·
Document submitted to group for review and
comment
Review of data supporting scope of problem
·
Readmission reports; handouts for Bon Secours
data (Travis), CGH data (Schwalenberg).
·
CHF patients with readmissions from Portsmouth,
Chesapeake, Norfolk. Data is unconfirmed due to inconsistent coding
·
Data seems to suggest the problem is real but
may be declining
·
Various hospitals have taken independent actions
themselves which have had a dramatic effect on the significance of the problem.
·
Data from agencies going to Travis for case
studies
Committee Reports
None
OEMS
Report
None
Old Business
·
Will this workgroup request from MOC to be
formalized as a committee?
·
Will wait to see what/how the group and data are
received.
·
Stakeholder sub-group will be Jennifer Foster,
Darren? And Liz?
New Business
·
OMD meeting will receive community paramedicine
update information.
·
MOC presentation will not be presented to OMD
meeting.
Good of the order
1438 Adjournment
Next meeting
will be December 5, 2013 at 1300 in the TEMS conference room.
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