COMMUNITY HEALTH PARAMEDIC (15)
WITH COMPLETE SOLUTIONS
Community Health paramedic program overview - ANSWER-Connecting the RIGHT pt
to the RIGHT Resource at the RIGHT time
Goal of the program - ANSWER-- Connect pt to resources that address their needs and
benefit their well being
- collaborate with resources to develop comprehensive solutions for our pt
- prevent the pt from reaching a point where the 911 system is their only option
Concept of the program - ANSWER-Paramedics that are:
- aware of the various health and social issues that impact our community
- familiar with a variety or resources that can be a benefit to our pt
- trained to ID and address specific needs
- Capable of connecting pt with agencies that serve their needs (navigation)
Target of the program - ANSWER-- Frequent users of ATCEMS services
- pt that are vulnerable or at risk of deteriorating (chronic disease, service needs, etc)
- Pt populations that benefit from prompt follow up after 911 contact (high risk refusals)
Design of the Program - ANSWER--Dictated by needs, capabilities and available
resources in our community. Our program may not look like others due to different
resources, needs and objectives.
- Changes in the healthcare system will provide future opportunities (medicaid 1115
waiver program)
- Goals appear to be aligned with other programs that have demonstrated success
Concomitant injuries - ANSWER-- minor injuries, such as superficial abrasions and
lacerations, are common
- Does the wound require further evaluation and treatment?
- Is the bleeding controlled
Engagement and Interaction - ANSWER-- Pt must be able to engage in a conversation
and remain reasonably calm
- pt is not and does not threaten violence
- MCOT has access to interpretation services, including ASL interpretation
Ability to preform ADL's - ANSWER-- pt should be able to sit/stand/walk, toilet, dress,
eat/drink, etc.
- If pt is normally in a wheel chair or some other adaptive aid, MCOT is still appropriate
- can they still safely participate in the service being provide
, Exclusionary Factors - ANSWER-Patient should not:
-Have any acute medical complaints (Alarm
S&S)
- Experienced any recent trauma
- Ingested any prescription or OTC medications outside normal/prescribed ranges
- Have wounds requiring repair (i.e. sutures) or have ongoing bleeding
- Have any unexplained/persistent changes in mentation
What if pt is Intoxicated? - ANSWER-Intoxicated patients that otherwise meet all of the
other criteria must be able to demonstrate:
- The ability to participate in the evaluation process AND
- The ability to ambulate safely without assistance
Collaborative Partners - ANSWER-Adult Protective Services (APS)
APD-CIT
Austin-Travis County Integral Care (ATCIC) Central Health
Community Care Collaborative
CommUnity Care Clinic System
Seton Healthcare System
St. David's Healthcare System
Other health and social service providers
Case Process outline - ANSWER-Intake → Background → Assessment → Intervention
→ Discharge
Goals of the Case Process - ANSWER-- Attempt contact within 1 business day
- assess needs and identify resources
- make referral as soon as possible
- follow-up as necessary to ensure efforts are working (may require multiple follow-ups)
- Discharge pt within 30 days
What information should I NOT send to CHP? - ANSWER-Identifying information such
as Name, SSN, DOB, Address, etc.
What information should I send to CHP? - ANSWER--Long incident number (13123-
0123)
-Brief description of situation, suspected needs.
- Any safety concerns
- Your contact number for call back if necessary
Where do I send the information? - ANSWER-- Email:
- Phone Main number: 512-978-1030
- Paging system: EMS-CHP (all), EMS-CHP on call
WITH COMPLETE SOLUTIONS
Community Health paramedic program overview - ANSWER-Connecting the RIGHT pt
to the RIGHT Resource at the RIGHT time
Goal of the program - ANSWER-- Connect pt to resources that address their needs and
benefit their well being
- collaborate with resources to develop comprehensive solutions for our pt
- prevent the pt from reaching a point where the 911 system is their only option
Concept of the program - ANSWER-Paramedics that are:
- aware of the various health and social issues that impact our community
- familiar with a variety or resources that can be a benefit to our pt
- trained to ID and address specific needs
- Capable of connecting pt with agencies that serve their needs (navigation)
Target of the program - ANSWER-- Frequent users of ATCEMS services
- pt that are vulnerable or at risk of deteriorating (chronic disease, service needs, etc)
- Pt populations that benefit from prompt follow up after 911 contact (high risk refusals)
Design of the Program - ANSWER--Dictated by needs, capabilities and available
resources in our community. Our program may not look like others due to different
resources, needs and objectives.
- Changes in the healthcare system will provide future opportunities (medicaid 1115
waiver program)
- Goals appear to be aligned with other programs that have demonstrated success
Concomitant injuries - ANSWER-- minor injuries, such as superficial abrasions and
lacerations, are common
- Does the wound require further evaluation and treatment?
- Is the bleeding controlled
Engagement and Interaction - ANSWER-- Pt must be able to engage in a conversation
and remain reasonably calm
- pt is not and does not threaten violence
- MCOT has access to interpretation services, including ASL interpretation
Ability to preform ADL's - ANSWER-- pt should be able to sit/stand/walk, toilet, dress,
eat/drink, etc.
- If pt is normally in a wheel chair or some other adaptive aid, MCOT is still appropriate
- can they still safely participate in the service being provide
, Exclusionary Factors - ANSWER-Patient should not:
-Have any acute medical complaints (Alarm
S&S)
- Experienced any recent trauma
- Ingested any prescription or OTC medications outside normal/prescribed ranges
- Have wounds requiring repair (i.e. sutures) or have ongoing bleeding
- Have any unexplained/persistent changes in mentation
What if pt is Intoxicated? - ANSWER-Intoxicated patients that otherwise meet all of the
other criteria must be able to demonstrate:
- The ability to participate in the evaluation process AND
- The ability to ambulate safely without assistance
Collaborative Partners - ANSWER-Adult Protective Services (APS)
APD-CIT
Austin-Travis County Integral Care (ATCIC) Central Health
Community Care Collaborative
CommUnity Care Clinic System
Seton Healthcare System
St. David's Healthcare System
Other health and social service providers
Case Process outline - ANSWER-Intake → Background → Assessment → Intervention
→ Discharge
Goals of the Case Process - ANSWER-- Attempt contact within 1 business day
- assess needs and identify resources
- make referral as soon as possible
- follow-up as necessary to ensure efforts are working (may require multiple follow-ups)
- Discharge pt within 30 days
What information should I NOT send to CHP? - ANSWER-Identifying information such
as Name, SSN, DOB, Address, etc.
What information should I send to CHP? - ANSWER--Long incident number (13123-
0123)
-Brief description of situation, suspected needs.
- Any safety concerns
- Your contact number for call back if necessary
Where do I send the information? - ANSWER-- Email:
- Phone Main number: 512-978-1030
- Paging system: EMS-CHP (all), EMS-CHP on call
