Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of...

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Allina Health EMS Community Paramedicine Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility

Transcript of Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of...

Page 1: Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility.

Allina Health EMSCommunity Paramedicine

Brian LaCroix, President AHEMSSusan Long, Director Clinical ServicesCory Kissling, Manager of Interfacility

Page 2: Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility.
Page 3: Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility.

Allina HealthNon-Profit lead by Community

Board of Directors

Page 4: Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility.

MN Largest Employers

1. State of Minnesota 53,8242. United States Govt. 44,5433. Mayo Clinc 33,3894. Target Corporation 30,7735. University of MN 25,1666. Allina Health 23,869

Page 5: Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility.
Page 6: Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility.

Allina Health-EMS What We Look Like

Large Geographic Area (urban, suburban, & rural)

Population of 1,000,000 in PSA240 Responses each day – 90k/year

Page 7: Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility.

Allina Health-EMS What We Look Like

560 Total Staff Members457 full-time-equivalents (FTE’s)45%

21%

12%7%

15%

0-5 yrs 6-10 11-15 16-20 21 plus

Page 8: Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility.

2012 Volume Activity forAllina Health - EMS

73%

16%

11%

Emergent Non-emergent Special Trans

Page 9: Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility.

Future Pie Chart???

Page 10: Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility.

Building CP Support

Page 11: Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility.

Allina Health EMS

Positives: Part of a large

integrated health system

Large, EMS agency with large number of senior paramedics

Active Medical Directors Minnesota Jobs Skill

Partner grant for Community Paramedic

Challenges: Part of large

integrated health system

Competition with other projects

No established connection with Primary Care and in-hospital providers

Page 12: Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility.

Readmissions◦ Transition Care Management

Geographic Challenges Staffing Challenges

EMS to the Rescue◦ Paramedic Outreach Project

On-duty staff positioned to assist Small population

Starting Point

Page 13: Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility.

Trained 4 paramedics to provide home visits◦ Specific tasks based on Transition Care steps

Small population◦ 4 patients in 30 days◦ Patient Satisfaction equaled or exceeded RN visits

In lower volume location, could use on-duty resources without detriment to 911 response

Pilot Results

Page 14: Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility.

Partner with HTC grant

Provided venue to engage non-traditional clinical sites for paramedics

CP students helped educate providers

Community Paramedic Grant

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Helped us identify partners

Jump started training of staff

Built infrastructure needed

Benefits of Pilot & Grant

Page 16: Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility.

Northwest Alliance

Mercy Hospital

Anoka County Crisis Services

Where are we now?

Page 17: Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility.

Congested Heart Failure

Diabetes/ Wound care

Mental Health

High Utilization

Focus

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Monday Through Friday

1200-0000

8 Community Paramedics

September 9, 2013

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57 Home Visits

34 Transports

Impact to Date:

Page 20: Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of Interfacility.

Excellian (Epic)

Controlling Growth

Challenges

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Senior Care Transitions

Allina Hospitals

The sky is the limit

Where do we go from here?