CITY OF SATELLITE BEACH FIRE AND PARAMEDIC SERVICEMOBILE INTEGRATED HEALTH CARE OVERVIEW

CITY AND DEPARTMENT BACKGROUND

Demographics Estimated Population 10,500 Population of 32937 Zip Code 29,000

21% of population 65 or older

Satellite Beach Fire & Paramedic Services Full service Fire / Paramedic Agency

EMS and Patient Care a high priority component of our community

Key Performance Indicators relating to EMS Response Times Patient Care Delivery and Outcome Training Patient Satisfaction

Key Performance Indicates for Community Health include Reduction in Fall related events Reduction of the use of EMS and ED as primary care Enhanced ability for senior to remain in their home

TRADITIONAL FIRE/EMS DEPARTMENT WITH ONE EXCEPTION

A d m in istra t ive A id (A A R P -V o lu n te e r)R e cord s M a na g e m e nt

R e se rve F ire fig h te rs B o a rd o f D ire c to rs

F ire In sp e c to r

R e se rv e F ire f igh te r (s)

F ire fig h te r II /E M T

F ire figh te r II/P a ram e d icD rive r O p e ra to r

E n g in e 55O ffice r

F ire fig h te r II E M T

F ire figh te r II P a ram e d ic

F ire figh te r IID rive r O p e ra to r

T o w e r 63O ffice r

C a p ta inA S h ift

L o g is tics

R e se rv e F ire f igh te r (s)

F ire figh te r II/P a ram e d ic

F ire figh te r II/P a ram e d icD rive r O p e ra to r

E n g in e 55O ffice r

F ire fig h te r II /E M T

F ire figh te r II/P a ram e d ic

F ire fig h te r II /E M TD rive r O p e ra to r

T o w e r 63O ffice r

C a p ta inB S h ift

F ire /E M S T ra in ingT e ch n ica l R e sc ue

R e se rv e F ire f igh te r (s)

F ire fig h te r I I/ P a ra m e d ic

F ire figh te r iI /P a ram e d icD rive r O p e ra to r

E n g in e 55O ffice r

F ire fig h te r II / E M T

F ire figh te r II/P a ram e d ic

F ire fig h te r II /E M TD rive r O p e ra to r

T o w e r 63O ffice r

C a p ta inC S h ift

P re -F ire P la n n ing (IS O )

O p e ra tio ns C om m an d erF ire P re ven tion

F ire Co d e A d m in stra tion

F a ll P re ven tio n T e ch M o b ile In te rg ra te d H ea lth T e ch

M o b ile In te rg ra te d Co m m u n ity H e a lth P ro g ram

F ire C h ie fC ity E m e rg en cy M an a g er

COMMUNITY HEALTH

MOBILE INTEGRATED COMMUNITY HEALTH Satellite Beach Fire Department

provides two services that have positively impacted the community Senior Fall Prevention Community Health Medic Program.

COMMUNITY HEALTH MEDIC PROGRAM Satellite Beach Fire

provides in-home health evaluations for older citizens who have chronic health conditions and self manage their condition

Paramedic makes appointment to visit citizens in their homes as needed to conduct physical exam and check up.

COMMUNITY HEALTH MEDIC PROGRAM Services Provided

In-Home Paramedic exam on a weekly visit 12 Lead EGG Vitals including weight Blood Glucose Oxygen Saturation Medication review and compliance Nutrition review and compliance Link with Primary Care Provider to provider to

provide first hand observations about the patient.

COMMUNITY HEALTH MEDIC PROGRAM Program Expansion 2015

Evident that we needed to leverage technology to increase efficiency and effectiveness

Review of remote medical monitoring products was very costly

Made strategic decision to implementation “off the shelf” wireless home health monitoring equipment

BP / Pulse Pulse Oxygenation Glucose Weight / Body Mass/ Fluid %

Through Community Donations- Purchased equipment including ipad mini with build in cellular data

Data upload to a cloud based dashboard for daily review of patient data by Paramedic

COMMUNITY HEALTH MEDIC PROGRAM

Participants were taught to use the ipad and how to take their on vital signs each day and upload it to a cloud based service

Participant age- 74-93 years of age Data upload to a cloud based dashboard for daily

review of patient data by Paramedic This allows “Virtual” contact with the participant Requiring the participants to do this each day gave

them a sense of control and ownership on improving their on health status

SATELLITE BEACH SENIOR CARE NETWORK Local Coalition of Health

Care Providers, Hospice, Faith Based organizations, public transportation, senior adult civic groups, local government

Case-Management review of all participants Focus it to match the

needs with the appropriate solution.

PROGRAM OUTCOMES

For those patients who have been in the program, the patient has experienced Overall Health Improvement Greater ability to take an active role in their own

health care Reduction of 911 use Improved overall life outlook

Hospital Readmission 120 day review

Tracked 25 SBFD 911 Patients (911-Discharge) Community Medic was at Pt home within 24 hours of

Discharge Initiated Discharge Plan and Follow Up Coordinated Home Health Care for Patients who were

discharged without it .08% 30 day readmission

COMMUNITY HEALTH PARAMEDIC

Planned Expansion 24/7 Community Medic On-Duty

Unplanned Community Health Needs Work with Home Health Care patients in crisis Hospital readmission diversion

Community Medic to meet discharged patient at their home in 8 hours or less 90% on-time

Pilot Program – Video Tele-medicine with Primary Care

Provider and Patient in-home facilitated by Community Medic

COMMUNITY HEALTH PARAMEDIC

Pilot Programs Video Tele-Medicine

Video Link Primary Care Provider and Patient in-home facilitated by Community Medic