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4/4/2019 1 Welcome Vision “EMS of the future will be community-based health management that is fully integrated with the overall health care system.”

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  • 4/4/2019

    1

    Welcome

    Vision

    “EMS of the future will be community-based health management that is fully integrated with the overall health care system.”

  • 4/4/2019

    2

    One Size Fits All

    “You call 911, you get an ambulance.”

    “Ambulances take patients to the ER.”

    But Not All Patients Are The Same

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    3

    TRANSPORTPAYMENT

    EMS Reimbursement Policy

    Downstream Costs

    $0 $490 EMS + $969 ER= $1459

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    4

    What is Community Paramedicine? (Mobile Integrated Healthcare)

    The provision of healthcare using patient-centered, mobile resources in the out-of-hospital environment

    • Physician-Led• Multi-disciplinary• Fully Integrated

    • Data Driven• Evidence Based

    EMS is Uniquely Positioned to Help Patients and Communities

    EMS is available in every community.

    EMS is fully mobile.

    EMS can address patient needs 24/7.

    EMS is an expected, respected and welcomed source of medical assessment and care in people’s homes throughout the community.

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    5

    CP/MIH Around the Nation

    49% - Home Health Support

    45% - Primary Care / Physician Extender Model

    20% - Hospice Support

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    6

    MIH-CP Learning and

    Action Network (LAN)

    • https://mihcp.tmf.org• Developed by TMF and NAEMT• Online repository of MIH-CP-related resources• Multiple content areas aimed at MIH-CP

    stakeholders• Programs, MIH-CP practitioners, non-EMS

    partners, payers, patients• Includes moderated discussion boards, program

    profiles/datasets and map• Webinars with changing audience focus

    To improve the care provided to the people of New York by empowering New York EMS providers to play a larger, more integrated role within our healthcare system.

    We do this by fostering collaboration among advocates and practitioners of community paramedicine and mobile integrated healthcare in the State of New York and by advancing new models of out-of-hospital care, including elements to

    1) make EMS more adaptive to changes in the healthcare system, 2) align EMS with the continuum of healthcare providers and resource,3) integrate EMS into the public health infrastructure.

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    7

    Hospitals

    Local Gov’t

    Agencies

    State Gov’t

    Agencies

    PayersProvider Groups

    EMS Agencies

    Patients

    MIH Programs Represented Today

    Mount Sinai, Seniorcare EMS

    Northwell Health

    Empress EMSMontefiore,

    Rockland Paramedic

    Services

    University of Rochester Medical Center

    Cambridge Valley Rescue Squad

    Landmark Health

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