EMS World

MAR 2015

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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INNOVATION GRANTS ment is excited to report that we have expe- rienced great success in integrating health- care services with local partners, receiving facilities and healthcare systems. "In 2014 we were able to exceed goals of insurance monetary savings, as we divert- ed 54% of ambulance transports to the emergency department among our 9-1-1 low-acuity patients who were evaluated by Community Care Units," he continues. "These units are staffed with a captain/fire- fighter/paramedic and nurse practitioner, and Community Care Specialty Units that comprise of a captain/firefighter/paramed- ic and behavioral health specialist. These patients received an evaluation/assessment, treatment, referral to their primary care pro - vider or other specialists, and/or alternative destination transport where definitive care was provided." While Smith notes Mesa is presently restricted by CMS grant guidelines from sharing additional numbers they're cur- rently collecting, the department remains excited about the successes it is experienc- ing and they believe they will exceed the goals the they've set for themselves. Icahn School of Medicine at Mount Sinai • Project Title: "Bundled Payment for Mobile Acute Care Team Services" • Geographic Reach: New York • Funding Amount: $9,619,517. The Icahn School of Medicine at Mount Sinai project is testing Mobile Acute Care Team (MACT) Services, which utilize the expertise of multiple providers and services already in existence in most parts of the United States but seek to transform their roles to address acute care needs in an out- patient setting. MACT is based on the hospital-at-home model, which has proven successful in a variety of settings. MACT treats patients requiring hospital admission for selected conditions at home. The core MACT team involves physicians, nurse practitioners, registered nurses, social work, community paramedics, care coaches, physical therapy, occupational therapy and speech therapy, and home health aides. The team provides essential ancillary services such as commu- nity-based radiology, lab services (includ- ing point of care testing), nursing services, durable medical equipment, pharmacy and infusion services, telemedicine, and inter- disciplinary post-acute care services for 30 days after admission. After 30 days, the team ensures a safe transition back to com- munity providers, and provides referrals to appropriate services. Kevin Munjal, MD, MPH, assistant pro- fessor of emergency medicine and assistant professor of Population Health Science and Policy at Mount Sinai Hospital, notes while the MACT program utilizes the expertise of multiple providers, including physicians, nurses, social workers, paramedics and 36 MARCH 2015 | EMSWORLD.com For More Information Circle 32 on Reader Service Card 888-458-6546 3121 Millers Lane Louisville, KY 40216 Tel: 502-775-8303 Fax: 502-772-0548 S A F E T Y A P P L I A N C E C O M P A N Y www.junkinsafety.com PROUDLY MANUFAC TURED IN THE USA 600 Series Easy-Fold Stretchers JSA-602 JSA-603 All Junkin Easy-Fold Stretchers come with 2" wide standard, automotive-style patient restraint straps and 18 oz. fungus and rot resistant vinyl covers for long-lasting durability and easy clean-up. Each fold to a compact size for easy storage. JSA-604-S For More Information Circle 33 on Reader Service Card

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