Advance Care Paramedic discussion in my dept

[RocketMedic]

And for the record, the last person I treated where a paramedic dispensed motrin (in an sub optimal dose for 7 days) for shoulder pain secondary to a fall had a dislocated shoulder, a fractured clavical, and a blood in the wrist capsule which was likely an early callus from a wrist fracture.

Primary care fail.

European?

 

[Veneficus]

European?

American

 

[Jon]

As for Community Paramedic - Take a look at Western Eagle County, CO - They've got a decent set up there: http://wecadems.com/cp.html

funding is a catch 22 for this in many departments.

somewhere, a cost savings that outweighs the cost of the program needs to be identified. It might be a saving to offset unpaid/unbillable runs, or it might be a cost offset to a hospital system to prevent re-admission.

One thing that is driving outreach programs in some areas, including a RN-based program in Philadelphia, is the fact that Medicare regs have health systems eating a greater percentage of the treatment costs if a patient is re-admitted within a certain window. If they can keep the patients healthy, it saves them money and is better for the patient. - If you can demonstrate this benefit to 1 or more health systems, you might just find your funding that way.

 

[Tigger]

As for Community Paramedic - Take a look at Western Eagle County, CO - They've got a decent set up there: http://wecadems.com/cp.html

funding is a catch 22 for this in many departments.

somewhere, a cost savings that outweighs the cost of the program needs to be identified. It might be a saving to offset unpaid/unbillable runs, or it might be a cost offset to a hospital system to prevent re-admission.

One thing that is driving outreach programs in some areas, including a RN-based program in Philadelphia, is the fact that Medicare regs have health systems eating a greater percentage of the treatment costs if a patient is re-admitted within a certain window. If they can keep the patients healthy, it saves them money and is better for the patient. - If you can demonstrate this benefit to 1 or more health systems, you might just find your funding that way.

Bah I was about to post the same agency. Sounds like a great place to work for and tough to beat the location if you like mountains.

 

[RocketMedic]

Why not take the ghetto answer and have your fire department's engine EMTs and paramedics add welfare checks to their fire-inspection duties, and train personnel appropriately?

 

[Veneficus]

Why not take the ghetto answer and have your fire department's engine EMTs and paramedics add welfare checks to their fire-inspection duties, and train personnel appropriately?

That's not a bad idea, have the pluggies do some work

 

[Shishkabob]

Id

Why not take the ghetto answer and have your fire department's engine EMTs and paramedics add welfare checks to their fire-inspection duties, and train personnel appropriately?

I'd argue that having a small subset of Paramedics who are higher trained doing it would be better than just any medic, and better then every EMT.

Like MedStar, who has the APPs who are all CCEMT-Ps, usually FP-C

 

[RocketMedic]

Id

I'd argue that having a small subset of Paramedics who are higher trained doing it would be better than just any medic, and better then every EMT.

Like MedStar, who has the APPs who are all CCEMT-Ps, usually FP-C

No argument, but if the FD is concerned about cost, my idea works right away.