Community ParamedicsAda County Community Paramedics

370 North Benjamin Lane, Boise ID 83704208-287-2995/208-287-2998

Dawn Rae emdawnr@adaweb.net

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

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

Community Paramedic Program

Additional Education Completed. -Combination of Didactic/Clinical Hours

-100 Plus Clinical Hours –Saint Alphonsus Eagle

Emergency Department, St Luke’s Eagle Urgent Care, St Luke’s Pulmonary Associates, St Luke’s Idaho Cardiology

Associates, Saint Alphonsus Neurology Department, Health and

Welfare Mobile Crisis Unit, Terry Reilly Health Services, St Luke’s Children’s Hospital.

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/Care 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

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.

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?

LESSONS LEARNED…thus far• Community Education

• Resource Identification

• Sustainability Concerns

• DATA COLLECTION

• Irons in the fire

• ACA-the great unknown

Questions/Comments?