1. Community Medic Initiative

2. Community Medic Fulfilling our mission statement: DGEMS provides for the health and well-being of our communities with a team of professionals that are dedicated, knowledgeable, and have a vested interest in our neighbors. Public Relations – My Medic program Providing Healthcare Options to our community, by expanding services available. Potential Revenue increase & grants

3. Public Relations: My Medic Program  File of Life – information  Fall Prevention education  Polypharmacy awareness  Healthcare Service Needs  Blood Pressure Clinics

4. Health Care Service Options  911 Emergency System  Clinical visits and check-ups  Hospital based specialty resources  Home Health Care  Long Term Care facility  Assisted living  Hospice …….Community Paramedic

5. Baby Boomers want In-Home Healthcare options…. Ages 49 – 65, the Boomers are driving the increase of healthcare needs…

6. Examples of Expanded EMS Services  Patient education  Assessment Checking vital signs  Blood pressure screening and monitoring  Prescription drug compliance monitoring  Assessing patient safety risks (e.g., risk for falling)  Treatment/Intervention  Breathing treatments  Providing wound care, changing dressings  Intravenous monitoring & blood draws  Referrals Mental health and substance use disorder referrals  Social service referrals  Prevention and Public Health Immunizations  Well Baby Checks  Asthma management  Disease investigation

7. Bringing Healthcare In-Home… Doctors always use to make house calls… …Now your Paramedic can be an extension of that same old service. Comfortable – Affordable – In-Home Care

8. http://communityparamedic.org/Home.aspx On-line Resources… http://www.naemt.org/about_ems/CommunityParamedicine.aspx http://www.wakegov.com/ems/about/staff/Pages/advancedpracticeparamedics.aspx

9. National Movement in Health Care… According to a December 2011 report issued by The Commonwealth Fund and the National Academy for State Health Policy, public programs have taken the lead with medical homes, especially among individuals with chronic disease. “Public payers, especially Medicaid, have been leaders in these efforts, with the hopes of preventing illness, reducing wasteful fragmentation, and averting the need for costly emergency department visits, hospitalizations and institutionalizations.” A 2010 strategic plan by the Joint Committee on Rural Emergency Care recommended that EMS reimbursement should be linked to medical home reimbursement and not contingent on transportation. In the future, the report envisions that “Community paramedicine providers are included in medical home reimbursement and/or other reimbursement arrangements for rural primary care physicians and facilities utilizing them as primary care staff between EMS calls.”

10. Funding for Payment and Delivery Innovations. The federal legislation established the Center for Medicare and Medicaid Innovation within the Centers for Medicare and Medicaid Services (CMS). The center received significant funding to develop and test innovative payment and healthcare delivery arrangements that improve quality and reduce the cost of care for Medicaid, Medicare and the Children’s Health Insurance Program. In its 2011 Health Care Innovation Challenge cooperative agreement, the center expressly specified that community based paramedic models would be considered for innovation grants. Among the innovation grant recipients announced in 2012 are community health initiatives in Washington and Nevada that utilize community paramedics to provide in-home care, patient education and nonemergency phone line for patients with non- urgent medical situations.

11. Will a Community Medic program benefit the Deer-Grove EMS District? Let’s begin the process… and find out…