Community Paramedics

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Community Paramedics

• Ada County Community Paramedics
• 370 North Benjamin Lane, Boise ID 83704
• 208-287-2995/208-287-2998
• Dawn Rae emdawnr_at_adaweb.net

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• Public Education 911 Service
• Funding
• Established Partnerships (Trauma/STEMI/CVA/SEPSIS)
  
• Medical Scope of Practice/Licensure/Medical
  Oversight
• ePCR/Equipment
• Other

• CP Beginnings
• Needs Assessments/Education
• Stakeholder Engagement
• Plan/Data Analysis
• Pilots
• Programs
• Sustainability

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• Community Paramedic Program
• Additional Education Completed.
• Combination of Didactic/Clinical Hours
• 100 Plus Clinical Hours
• Saint Alphonsus Eagle Emergency Department, St
  Lukes Eagle Urgent Care, St Lukes Pulmonary
  Associates, St Lukes Idaho Cardiology
  Associates, Saint Alphonsus Neurology
  Department, Health and Welfare Mobile Crisis
  Unit, Terry Reilly Health Services, St Lukes
  Childrens Hospital.

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• Ada County Community Paramedic Program
• Mobile Seasonal Flu Vaccination Program for all
  County employees. Increased Vaccination Rates by
  12.
• System Wide At Risk Patient Referral/Education/Car
  e Coordination Program.
• In-Home Patient Follow-Up with Post Hospital
  Discharged Patients
• In home visit, 30-day follow
• Collaboration, Care Coordination
• In System 911 Community Paramedics High/Low
  Acuity Patient Type. 4000 Costs Savings in Two
  Months.
• Collaboration with APS, MCU

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• Pilots
• Medical Clearance of Mental Holds in the field
• Evaluate, PD transport to psych facility
• ED savings
• Hypertension Identification and Care
  Coordination.
• Treat and Release Patients
• Phone call follow up
• In home re-evaluation of HTN, care coordination
• In-Home Follow Up/Care Coordination with ED
  Discharged Fall Patients
• In home follow up and care coordination with
  identified fall patient from Senior ED.

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• PROOF OF CONCEPT
• OR HOW I LEARNED TO STOP WORRYING AND LOVE EXCEL
• -What are we looking for?
• -How do we keep track of data?
• -Standardization of data quality
• -ePCR vs. surveys vs. Excel
• -Output Research? Evaluation?

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LESSONS LEARNEDthus far

• Community Education
• Resource Identification
• Sustainability Concerns
• DATA COLLECTION
• Irons in the fire
• ACA-the great unknown

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• Questions/Comments?