Community Paramedicine Maricopa County

Community Paramedicine Maricopa County
January 2015

What is Community Paramedicine?

Fire-Based Paramedicine and contracted public/private ambulance service is a model of community-based health care in which paramedic’s function outside their customary emergency response and transport roles from public dispatch in ways that facilitate more appropriate use of emergency and urgent resources that enhance treatment access and referral for primary care for medically served populations. Community Paramedicine systems are designed to address specific clinical problems. Community Paramedicine has substantially grown in recent years based on Community paramedicine programs ability to improve connectivity and continuity of quality care while reducing substantial health care costs.

Fire-Based Community Paramedicine as well as Private Paramedic service fills appropriate healthcare service gaps. Community paramedicine focuses on providing service delivery, where access to care is limited, or when short-term intervention is needed within a 24 Hour response. By targeting locally identified health care needs, and offering creative solutions to fill local health care gaps. Community paramedicine helps to increase access and measurement of care, and reduces health care costs by providing the right level of care in the most appropriate place based on individual medical needs.

Community Paramedics are not independent practitioners; they work under clear medical control of medical direction and protocols to ensure patient efface and safety.

1. Paramedics are knowledgeable, trained and within their scope of practice are uniquely positions to be effective for expansion of application of skills into Community Paramedicine.

2. We as a group acknowledge that Healthcare reform is moving rapidly with the end point unsure and we want to be part of this change. We will be part of the Healthcare system integration. We will have to work with a variety of Mobile Health Groups, Health Organization’s, ACO’s, local and national partners and all Hospital providers both public and private.

3. As a group we realize that it would be best to start local. We know that Emergency Departments are not the best place for many patients and our intentions to assess the patient, treat the patients and get the patient to the most appropriate place for continuity of care. In some incidents this may be staying in the patients home

4. Digital Technology has moved into a new foundation role as a basic function of how we can be a part of the Health Care system. Hospital, doctors and health facilities are now mandated to have electronic patient records. We have to be able to seamlessly connect to all parts of the health care world and to be able to have continuum of care with high-level patient care. We now realize this is non-negotiable and of the highest priority. Interoperability data exchange in real time is essential.

5. The pathway to payor reimbursement is for outcome categorization and configuration of services rendered.

6. There are many approaches locally that we are experiencing with a combination of patient care modalities. Readmission prevention and purposeful use of the Emergency departments is a high priority for all and useful in the behavioral health world, chronic diseases, and prevention. Results will continue to be as always to figure out what is the best clinical outcome for the people we serve within the continuity of care.

Catherine R. Eden, Ph.D.
Ramsey Social Justice Foundation
1501 W. Fountainhead Parkway #501
Tempe, Arizona 85282