Amberlamps916
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Proposal for community paramedics in CA
- Thread starter Amberlamps916
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DesertMedic66
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REMSA (Riverside county) has been looking in depth into this for a couple of months now.
Jim37F
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Our company in LA Co is talking with one of our hospitals about something similar. The basic idea is that in order to cut down on re-admits, we'll go check up on patients with chronic medical conditions (CHF was the example used) and just check up on them, check vitals, make sure they're taking their meds, proper nutrition, etc
Apparently the theory is that inside the hospital the patient is more interested in getting outside than paying particular attention to their discharge instructions lol But with follow on visits at home their more likely to follow the instructions.
Apparently under the new health care laws hospitals are going to start getting fined for chronic readmits (less than a month from discharge for the same condition) so in order to avoid the fine, the hospital will pay us a nominal fee for this service
All the details are still being worked out, which patients and conditions we'll go to, what exactly we can/can't do, what we're expected to do etc etc etc
Not too mention training us field crews on all that first. I'd imagine it'll be primarily medic units sent at least at first. Considering the hospital wants us to start doing this in the next couple months, they could potentially do that training when we get the training for the new ePCR's we're supposed to get and start using in the next couple months also (supposedly one of the first private companies in the county to start using them)
Apparently the theory is that inside the hospital the patient is more interested in getting outside than paying particular attention to their discharge instructions lol But with follow on visits at home their more likely to follow the instructions.
Apparently under the new health care laws hospitals are going to start getting fined for chronic readmits (less than a month from discharge for the same condition) so in order to avoid the fine, the hospital will pay us a nominal fee for this service
All the details are still being worked out, which patients and conditions we'll go to, what exactly we can/can't do, what we're expected to do etc etc etc
Not too mention training us field crews on all that first. I'd imagine it'll be primarily medic units sent at least at first. Considering the hospital wants us to start doing this in the next couple months, they could potentially do that training when we get the training for the new ePCR's we're supposed to get and start using in the next couple months also (supposedly one of the first private companies in the county to start using them)
Lol @ La County. Surrounding counties have had epcr for years!
Jim37F
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Doesn't surprise me lol. Its not even mandated for everyone until 2016 or something like that. FD has had ePCR, otherwise I've only seen a few AMR crews with them so far.
Maybe one of these days LA Co will get out of this time warp and join everyone else, but I'll prob be retired before then lol
socalmedic
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they have actually been stepping up to the plate quite a bit in the last two years. they want to make paramedics better but have the union thing to deal with. for example they wanted to require an associates in the new CCR re-write. they were proponents for the CCP.
we will all be retired by the time LA catches up, but soon we will only be a little behind everyone else. not too bad considering it is the largest EMS system in the world. change is never fast when your huge.