project ethan: how houston used innovation and technology ...€¦ · project ethan: how houston...
TRANSCRIPT
Project ETHAN: How Houston Used Innovation and Technology to Achieve
Greater Value for EMS
Diaa Alqusairi, PhD
October 2015
Houston Fire Department
Outline
The Challenge
The Solution
Did it work?
The Challenge
HealthcareCost
The Challenge
4
Growing demand• Growing population• Increased # of EMS calls• Lowe-acuity calls (80%)
System inefficiency• Low quality• High cost• Specialized resources
Limited access to healthcare• Uninsured • Lack of transportation• Health illiteracy• Misconceptions
The Challenge
The Challenge
The Solution
Safe
Easy to use
Efficient
The Solution
Emergency Telehealth and Navigation Program (ETHAN)
• Reduce number of unnecessary transports
• Improve unit availability and dispatch times
• Focus on emergencies
• Connect patients with a medical home
• Improve quality and reduce cost
9
It is a partnership
How does it work?
911 CallField
AssessmentVideo Call Disposition Navigation
10
911 Call & Field Assessment
11
Video Call-Physician Assessment
12
• Clinic appt by cab• ER by Taxi• ER by ambulance• Home Care
Disposition
13
• Healthcare navigators• Social needs• Establish medical home• Prevent future 911 calls?• Answer the patients concerns • Cancel/reschedule clinic appointments and cab rides
Navigation-Care Houston Links
14
ETHAN IT Structure
Video Call, Medical Record
Pt
Info
, Ap
pt
Co
nfi
rmat
ion
• ImageTrend• Cisco Jabber• Panasonic FZ G1
• Web-based Scheduling System
• HIE-Healthconnect
• Web-based Dispatch System
• Verizon Wireless
15
Did it work?
• Patient outcomes• Time/Cost saving
16
Did it work?
Patient outcomes
17
Did it work?
Patient outcomes
18
Did it work?
Patient outcomes
19
Did it work?
Patient outcomes
20
Did it work?
Time/Cost saving
56 min saving
21
Did it work?
Time/Cost saving
22
ETHAN Partners
