EMS World

AUG 2018

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 | AUGUST 2018 29 for systematic information dumps from ESO into the whole-community platform. In Colorado Springs we plan to build this into our tiered-care EMS system and use the platform to help provide up to real- time navigation of 9-1-1 patients to the appropriate care. We envision the potential for a whole- communit y platform in ever y cit y. The platform capitalizes on 1) the fact that ever y city has an EMS agency; 2) the sad fact that many in our countr y are experi- encing behavioral/mental health (BMH) crises (see sidebar); and 3) the fact that healthcare is moving toward value-based c are, em p ha sizing p o p ulatio n h ealth and the social determinants of health to decrea se cost s while providing better healthcare. The community platform is robust enough to address these issues head-on. Population Health Being community wide, the platform will be able to target areas and entities that can benefit most, which should expedite adoptions. For instance, studies show significant benefits when patients dis- charged from emergency depar tments are linked to follow-up organizations: doctors' offices, food banks, etc. Promot- ing this type of connection will be focused and simple. Healthcare stakeholders are looking for the clinical data that describes their clients but isn't accessible via their individual EHRs or HIEs. This platform can deliver that data. Representatives are also in discussions w ith Colorad o Medicaid accountable care organizations, called RAEs (regional accountable entities), with an excellent opportunity to begin large-scale Medic- aid projects. Demonstrating cost savings and better care with Medicaid would obvi- ously have a huge impact on ever yone, including EMS agencies. Take-Home Point The bottom line here is not a par ticular product but rather being able to com- pletely shatter the traditional limitations of how EMS interacts with its surrounding community and remove us from our tra- ditional silo. We strongly recommend any EMS agency that is involved in or consid- ering an MIH-type program to investigate this type of game-changing platform. ABOUT THE AUTHORS Victoria Allen-Sanchez, PsyD(c), MC, LPC, is behavioral health coordinator in the Community and Public Health Division of the Colorado Springs Fire Department. E. Stein Bronsky, MD, is chief medical director for the Colorado Springs Fire Department and American Medical Response (AMR) in El Paso County, Colo. He is medical director for the El Paso-Teller County 9-1-1 Authority. E. Stein Bronsky is a featured speaker at EMS World Expo, Oct. 29-Nov. 2, 2018, emsworldexpo.com For More Information Circle 24 on Reader Service Card

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