HomeMy WebLinkAboutRFA 2015-05-13 Item 4 - Fire Department Community Assistance, Referral and Education Services (CARES) PowerpointProfessionally and
Compassionately Helping People
TM
Fire Department Community Assistance,
Referral, and Education Services
DEFINING THE FUTURE
N
Non - Emergency Medical Services Plan
Vision Statement
FDCARES has fully integrated EMS into the broader
healthcare system to improve the health outcomes of
individuals in need of non - emergency services. We
provide the proper level of response, education,
advocacy, and medical systems navigation. Utilizing a
combination of public and private resources, FDCARES
has increased access to the appropriate level of
healthcare and social services in a timely and cost
effective manner.
Dfining work for the division
FDCARES staff is addressing:
> Low acuity /non - emergent 911 incident response
> Navigation of patients to lower cost, appropriate care facilities
> Proactively addressing High Utilizers of the 911 system
> Proactively addressing High Utilizers of the local Emergency Departments
➢ Emergency Department and Hospital admission and readmission prevention
> Improved Continuity of patient care
CARE COORDINATORS
RRr'c!nRr§
Establishing what level of training is needed for this type
of work and who is best suited to perform these duties.
The Kent Fire Department will be using Firefighter EMT's
and Registered Nurses.
NEMS Respon5e
Non - Emergency Medical Services
➢ Smaller response vehicles
➢ Appropriate response times
➢ Addressing chronic and incident causation
➢ Advocating for patients (not case management)
are Coordinators take the time to determine the underlying cause of the 911 request.
Determine the most appropriate solution to the problem.
Stabilize patients in their home when appropriate.
Navigate patients to appropriate care provider.
Primary Care
Walk in clinics
Urgent Care
Crisis Clinic's
Sobering Clinic's
Establish the most appropriate transportation method.
Developing long term solutions and providing non - emergent resource for patients.
253 - 856 -CARE (2273)
Patient needs assessment - Proactive services
Non-Emergency On Scene
Objectives
Partnering with Hospitals
Avoidable readmissions
>Pneumonia
>CHF
>Acute MI
>COPD
>Geriatric Fall Patients
30 Day Radmii2n
Prevention
Definitions:
911 high utilizer - Any patient who utilizes the 911 system 3
or more times in a 12 month period.
ED high utilizers - Any patient who is admitted to an
emergency department 4 or more time in a 12 month period.
System abuser - Any patient who utilizes a combination of the
911 system and admits to an emergency department 25 or
more times in a 12 month period for low acuity events.
High Utilizer
911(P
Ifltifypg Patient
FDCARES DATABASE: Data is a critical
component for the day to day operations of
N EMS.
➢ General Patient Information
➢ Clean data for optimizing patient
Identification
➢ Proactive workload prioritization
N
O
FD CARES
PripritWng P§tiot;
PATIENT PRIORITY' ALGORITHM
Enter contact into the FDCJARES Databasethen follow this
algorithm to establish the correct Tier— Priority level.
Has the Pt called 911
THREE OR MORE times
in the past 12 months?
Has the Pt utilized an ED Does the Pt have a history
FOUR OR MORE `imes in of Substance Abuse or
the past 12 months? Mental Health Issues?
TIER 5
GO TO PAGE 6
Has the Pt utilized an ED
FOUR OR MORE times in
the past 12 months?
..............
Does the Pt have a histor
of Substance Abuse or
Mental Health Illness?
TIER 6
GO TO PAGE 7
TIER 2
GO TO PAGE 3
Does the Pt have a history
of Substance Abuse or
Mental Health Illness?
TIER 4
GO TO PAGE 5
................................... ...............................
Was the Pt
Referred? Disk P_ic
TIER
0 TO PAGE
TIER 1 PATIENT
Is -he! a
LELI
HIGH PRIORITY
!stills a fall Pt?
HIGH PRIORITY
1.1.3.YR.MO
HIGH PRIORITY
1.1.4.YR.MO
APRIL 27th 2013 - Delivered to the Governor
May 15th 2013 - Governor signed
FDCARES
I.Ii6T!PM
>Relationship building
>Education exchange
>Response calculations
>Senior Wellness Event
Senior Assisted Living
tgpfing
Cost Savings aspciate� with FD
>More cost effective low acuity medical response
>Reduced repetitive use of the 911 system
>Improved costs associated with unit reliability
versus staffing additional emergency units
>Improved emergency response times
16.00%
14.00%
12.00%
10.00%
8.00%
6.00%
4.00%
2.00%
0.00%
of Time Devoted to Y -Code Incidents
A70 A71 E71 E72 E73 E74 A74 L74 E75 E76 E77 E78
• 2012
2011
2010
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R��1��lI1xX
Annual Reporting
Better Defining Medical
Call Types
EMS = Advanced Life
Support
BLS = Basic Life Support
NEMS = Non Emergency
PAVS = Pro - Active Visit
Services
Downgraded
Annual Fire Department Response Numbers
and Percentages
FIRE -624 3.01%
Service -639 3.07%
Haz Mat -284 1.36%
Other -1698 8.17%
EMS /ALS -1302 6.28%
BLS -6914 33.3%
NEMS -2000 9.64%
PHV's -5000 24.07%
Downgrade -2304 11.10%
N
0)
cm savings
Hospital /Emergency Departments
➢ Reduced low acuity admissions and readmissions
➢ Reduced number of uninsured /underinsured patients
Reduced overcrowding
Reduced admissions and readmissions (30 day)
➢ Improved patient outcomes and patient satisfaction.
Partnershi
>Healthcare Partnerships
>Payer Partnerships
>Employer Insurance provider Partnerships
Mitch Snyder
Msnyder@kentfirerfa.org
www.FDCARES.com
commend the Kent Pegional Fir=
Authority for originating the FDCARFS
program and' support efforts to expand
it in other areas of Washington State..
– Governor Christine O. Gregoire
'The Kent Fire Duper been! CARES
program is a.onderfal program and wall
seta slumlord for other cafes throughout
the region. This program helps people
and theres ohot!!, allabouH"
. - De Kelsey Eisenberg
Reg Calmly Emergency
etedmlSernmr
T.Fned 6mbulance
Polley Medical Center
Milner sponsors
0Erenze Sponsors
Kent Firefighters Foundation
51ofFord Sidles Assisted Living
Valley Cities Counseling
Farrington Court Retirement Comm.
6 & H Stares
oFDCA RFS,
lust responder
aach b myroWrtg
the crucial, of health cede
and redid ipg costs by identifying
opportunities to prevent emergencies
before Key happen."
— Senator Kneen Keiser
Offering
you a
helping
hand
before- you have
an emergency
253- 856 -CARE
(253 -558 -2273)
www,FDCARES.com
ft'e notjus! o wogron, it's our masslom —
Professionally and Compassionately
Helping People