EMS World

FEB 2017

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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EMSWORLD.com | FEBRUARY 2017 27 » Identify and utilize coping strategies for managing stress and staying healthy; » Define outreach and identify ways to connect with community; » Identify strategies to provide clear, accurate agency information to clients in the community; » Identify ways to gather information about community resources; » Prioritize client information into an effective plan or timeline; » Define critical thinking; discuss criti- cal thinking as it relates to the community health worker role; » Provide clients with information based on individual needs and desires; » List types of forms that comprise a client record; » Explain what kinds of information must be included in client record; » State reasons for timeliness of docu- mentation and its practical applications; » Accurately use healthcare terminology in client record; » Create and maintain records following legal principles when documenting; » Identify, create and maintain an orga- nized system of community resources; » Use a range of effective communica- tion skills to interact with clients and pro- vide accurate and relevant information/ documentation; » Interact effectively within the commu- nity and its culture by building trust, being culturally responsive and working within diverse team settings; » Network within the community and throughout the healthcare system to pro- vide needed services and resources for cli- ents and their families. Applicability to EMS-Based MIH-CP Programs EMS-based MIH-CP programs have to an extent been struggling for legitimacy with the rest of the healthcare system. CHW programs have already accomplished that goal, not only in the U.S. but worldwide. The CDC, AHRQ, WHO and other notable orga- nizations are promoting the CHW model due to the outcomes evidence. Perhaps the magic bullet for EMS-based MIH program recognition and economic sustainability is to cross-certify community paramedics as community health workers. In essence, you'd have a CHW on steroids: on one hand evidence-based training, educa- tion and intervention competency, and on the other the clinical intervention compo- nent. With the ACA encouraging grants for CHWs and numerous state Medicaid plans already allowing CHW use as a reimburs- able expense in healthcare delivery, this may provide a potentially robust pathway for reimbursement. Based on this research, MedStar has bud- geted to send our community paramedics to CHW school. How about you? A B O U T T H E A U T H O R Matt Zavadsky, MS-HSA, EMT, is the chief strategic integration officer at MedStar Mobile Healthcare, the exclusive emergency and nonemergency EMS/MIH provider for Fort Worth and 14 other cities in North Texas and recipient of EMS World's 2013 Paid EMS System of the Year Award. He is a member of the EMS World editorial advisory board. For More Information Circle 23 on Reader Service Card

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