The “Bigger Than Idaho”

Project

Nick Nudell, NREMT-PRegional Operations Manager

Idaho EMS Bureau

• Nikiah “Nick” Nudell, NREMT-P, CCEMT-P

• Regional Operations Manager• Previously Worked

– as a rural Montana critical care paramedic/ER Tech/neonatal resuscitator/in-patient care provider/educator/SWAT team medic

– frontier town volunteer EMT & firefighter– as a disaster planner & EMS Agency

Specialist for SFDPH EMS Agency

Idaho EMS Bureau

Idaho EMS Bureau

Regional Operations SectionMISSIONThe mission of the Regional Operations Section is to provide leadership and technical expertise to local EMS stakeholders in order to develop and improve the Idaho EMS System.

VISIONThe Regional Operations Section envisions leading a cohesive effort to enable local EMS systems to develop and adopt practices resulting in improved patient care.

Idaho EMS Bureau

Idaho EMS BureauRegional Operations

•Five offices with 11 employees

•Strategic Planning Process identified our Wildly Important Goals (WIGs) for the next year

Idaho EMS Bureau

• Idaho quick facts:– 1.4 million population (ranks

39th)– 43% rural population– 28.5% ten year population

growth– 83,557 sq mi (214,321

sq/km)– 15.6 persons/sq mi (6.7 per

sq/km)– 17% uninsured population

(15.7 U.S. avg)

Idaho EMS Bureau

• Idaho quick facts continued:– 191 licensed EMS

agencies– 55% volunteer

providers– 4,169 certified EMS

providers• 563 First Responders• 2,436 EMT-B• 750 Advanced EMT• 420 EMT-P

• Idaho has per 100,000 population:– 40 First Responders– 174 EMT-B’s– 54 Advanced EMT’s – 30 Paramedics

Idaho EMS Bureau

• 36 of 44 counties do NOT have ground ALS

• Idaho has one paramedic per:– 112.5 miles highway

(181 km’s)– 198 sq/mi (513 sq/km)– 7.5 miles of river (12

km’s)– 14,291 acres of

cropland (5,784 hectares)

Idaho EMS Bureau

Idaho EMS Bureau

• Idaho has:– Per 100,000 population:

• 298 EMS providers• 175 physicians• 25 PA’s• 657 RN’s• 25 hospital beds• 34,400 ED visits

– 26 counties designated as HPSA

– 36 counties designated as MUA/MUP

Idaho EMS Bureau

• The Bigger Than Idaho Project– Goal: To improve

regionalized access to preventive, primary, and tertiary health care services for rural Idahoans.

• Project Tasks/Objectives:– Rural Community Health Needs Assessment– Catalog of rural health care infrastructure– Identify model expanded EMS/hospital

health care programs– CAH/EMS integrated Program Development– Curriculum Review– Scope of Practice development

Idaho EMS Bureau

• Project Tasks/Objectives:– Deployment Modeling– Curriculum development– Education delivery methods

development– Draft Memorandums Of Understanding– Draft legislation/rule changes– Process, Impact, Outcome evaluation of

project

Idaho EMS Bureau

• Project Timeline– Two Years

• Research• Work Groups• Draft legislation/administrative rules• Curriculum development• Social Marketing

– Year Three• Generate funding• Begin training• Institute deployment

Idaho EMS Bureau

Idaho EMS Bureau

• Project Funding– CMS Flex Grant Program request $60,000– Idaho EMS Bureau $10,000– In-kind (time & travel) $10,000

• Additional project funding desired for project team travel to:

• Canada• UK• Australia

Idaho EMS Bureau

• Idaho Project Participants– Idaho EMS Bureau– Idaho State Office of Rural Health– Idaho State University– WWAMI Program – University of Idaho– Idaho EMS Agencies– Idaho EMS Providers– Idaho EMS Medical Directors

Idaho EMS Bureau

• Non-Idaho Project Participants– Montana State University– University of Washington School of

Medicine– University of North Carolina– Gene Gandy, Paramedic/Educator/Attorney– King County Public Health-Medic One– George Washington University Medical

Center

Idaho EMS Bureau

• International model system development

• Project Participation– Conference calls– Workgroup tasks– Up to three Boise meetings– One Seattle/King County Medic One site

visit– U.S. and International participation desired

Idaho EMS Bureau

• Contact:Nick NudellIdaho EMS BureauO: (208) 334-4000C: (208) 867-3870F: (208) 224-4015nudelln@idhw.state.id.uswww.idahoems.orggroups.google.com/group/IdahoEMS

Idaho EMS Bureau