Community Health Programs Sparks City Council November 24, 2014 - PowerPoint PPT Presentation

REMSA’s Community Health Programs Sparks City Council November 24, 2014

Acknowledgment This program was made possible by CMS Grant #1C1CMS330971-01-00 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this presentation are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services or any of its agencies.

Health Care Innovation Award (HCIA) • Funded by Affordable Care Act • REMSA awarded largest EMS grant, only urban EMS grant, only Nevada-based grants (in round one) • Community Health Programs improve access to appropriate levels of quality care and reduce overall health care costs • New health care personnel: o Community Health Paramedics o Nurse Navigators CMS Innovation Center “ New models of care and payment that continuously improve health and healthcare for all Americans” Responding to our community ’ s healthcare needs. 3

TRIPLE AIM Improve the quality and Improve the health experience of care of populations Better Better Care Health Lower Costs Source: Berwick, DM, et al; The Triple Aim: Care, Health & Cost ; Reduce per capita cost May/June 2008; Health Affairs Responding to our community ’ s healthcare needs. 4

Partners Critical to Success Health Care Community Data/Evaluation Implementation • Northern Nevada • State EMS Office • Federal CMS • First Watch – Medical Center Innovation Center Automated Data • State Health Triggers / Reports • Renown Health • University of Officer Nevada, Reno – • KPS3 – • Saint Mary’s • Washoe County School of Community Medical Center Health District Community Health Outreach Sciences • Urgent Care • Senior & • Priority Solutions Centers, Clinics, Community • Nevada Center for – Emergency Medical Groups Groups Health Statistics & Care Nurse Informatics System/Low Code • WestCare • Reno Fire Community Triage Department • RTI International – • ZOLL – Center Independent Community • Sparks Fire Evaluator Paramedic EMR • NNAMHS* & Department WestHills • Health Insight – • True Simple – • Truckee Meadows Readmission Data Performance • HAWC & HOPES Fire Prot District Improvement • Sierra Nevada Pharmacy

Community Health Programs

Ambulance Transport Alternatives • Advanced assessment by field personnel of 9-1-1 patients facilitating Alternative Pathways of Care including transport to: • Urgent Care Centers • Clinics/Medical Groups • Community Triage Center • Mental Health Hospitals Responding to our community ’ s healthcare needs. 7

Community Paramedicine Specially-trained Community Health Paramedics provide in-home services to improve the transition from hospital to home, including: o Medical care plan adherence o Medication reconciliation o Point of care lab tests o Personal health literacy Responding to our community ’ s healthcare needs. 8

Nurse Health Line 858-1000 Registered Nurses provide 24/7 medical guidance & triage patients to appropriate health care or community service: o Protocol-driven Assessment & Care Guidance  Emergency Care Nurse System o Recommended Level of Care  On-line Directory of Services o 24-hour Phone Follow-up o Access: Direct & Omega Protocol Responding to our community ’ s healthcare needs. 9

Three Interdependent Interventions Achieving a Balance Over- triage Under- triage Responding to our community ’ s healthcare needs. 10

REMSA’s Community Health Programs 1. Improve 24/7 access to assessment, triage, referral 2. Improve patient satisfaction scores & quality of care 3. Lower the total cost of care Goal – Develop new payment models to preserve and sustain savings gained Responding to our community ’ s healthcare needs. 11

AIM: Improve access to appropriate levels of quality care & reduce patient care expenditures Emergency Broad Enable ambulance community exchange Payment triage and & partner of data and system treatment engage- commun- reform redesign ment ications Responding to our community ’ s healthcare needs. 12

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Acknowledgment This program was made possible by CMS Grant #1C1CMS330971-01-00 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this presentation are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services or any of its agencies.