HomeMy WebLinkAboutevolving-patient-and-community-needs-presentationEVOLVING PATIENT AND COMMUNITY NEEDS
AN ALAMEDA COUNTY EMS SYSTEM REDESIGN WORKGROUP
A HUGE THANK YOU TO OUR CONTRIBUTORS
Co-Lead Gail Porto
Arnold Colin
John Costenbader
Chief John Geissberger
Joseph Greaves
Jesus Guerrero
Julie Haslam
Johnrey Hassan
Elsie Kusel
Christine Martin
David McPartland
Michael Olivera
Rosa Ramos
Hannah Robbins
Rebecca Rozen
Leslie Simmons
Yolanda Takahashi
Dr. Michael Villania
METHODOLOGY
Gather Expert and Experiential Data
Group Formed December 2019
Analyze and Formulate Data
9 meetings held over 14 months
with additional offline work
conducted
Provide Recommendations
Today
Recommendations:
1.
2.
Call to Fire/EMS
PSAP
Needs Urgent
FRALS/EMT-P
Ambulance
YES NO
FRALS/EMT-P Respond
Benefit to Patient If
Referred to Alternate
Services
NO
YES Alternate Response/
Community Paramedic
Handled by
FRALS/EMT-P
Ambulance
…See Next Slide
… NO
Behavioral Health Client
(non-combative, non-medical)YES NO
CAT Team With
Transport Capability
NO
Alternate Response /
Community Paramedic
Behavioral Health –Combative
or Minor Health Issue
Additional Screening Finds Positive
Benefit of Field Response
NO
Telephone/Video Assistance
1. Telemedicine
2. Referral to Social Services
3. Referral to Behavioral Health
YES
EMT
Ambulance
YES
Options: Call for transport,
arrange services, treat &
release
*THE ASTERISKS
* At any point, a call that is found to be urgent can be bumped up for FRALS/EMT-P Ambulance Response
* Transport can be to Emergency Rooms or Alternate Destinations, particularly where EMT-P ambulance is not used
* “Telemedicine” is used in the flow chart to describe the wide variety of remote health care options
OTHER KEY RECOMMENDATIONS
Legislative Action Workgroup
Need to weave existing services into a highly integrated and accessible platform
Specialty Care and Populations –some equipment needs, but really should be a mandatory focus of Continuing
Education
Type of Contract –single bidder (alliance or private), no preference determined beyond that
THANK YOU FROM THE
EVOLVING PATIENT AND COMMUNITY NEEDS WORKGROUP
Questions
Follow-Up
Joe Testa jtesta@lpfire.org
Gail Porto gailporto@gmail.com