Brian LaCroix, President AHEMS Susan Long, Director Clinical Services Cory Kissling, Manager of...

Allina Health EMSCommunity Paramedicine

Brian LaCroix, President AHEMSSusan Long, Director Clinical ServicesCory Kissling, Manager of Interfacility

Allina HealthNon-Profit lead by Community

Board of Directors

MN Largest Employers

1. State of Minnesota 53,8242. United States Govt. 44,5433. Mayo Clinc 33,3894. Target Corporation 30,7735. University of MN 25,1666. Allina Health 23,869

Allina Health-EMS What We Look Like

Large Geographic Area (urban, suburban, & rural)

Population of 1,000,000 in PSA240 Responses each day – 90k/year

Allina Health-EMS What We Look Like

560 Total Staff Members457 full-time-equivalents (FTE’s)45%

21%

12%7%

15%

0-5 yrs 6-10 11-15 16-20 21 plus

2012 Volume Activity forAllina Health - EMS

73%

16%

11%

Emergent Non-emergent Special Trans

Future Pie Chart???

Building CP Support

Allina Health EMS

Positives: Part of a large

integrated health system

Large, EMS agency with large number of senior paramedics

Active Medical Directors Minnesota Jobs Skill

Partner grant for Community Paramedic

Challenges: Part of large

integrated health system

Competition with other projects

No established connection with Primary Care and in-hospital providers

Readmissions◦ Transition Care Management

Geographic Challenges Staffing Challenges

EMS to the Rescue◦ Paramedic Outreach Project

On-duty staff positioned to assist Small population

Starting Point

Trained 4 paramedics to provide home visits◦ Specific tasks based on Transition Care steps

Small population◦ 4 patients in 30 days◦ Patient Satisfaction equaled or exceeded RN visits

In lower volume location, could use on-duty resources without detriment to 911 response

Pilot Results

Partner with HTC grant

Provided venue to engage non-traditional clinical sites for paramedics

CP students helped educate providers

Community Paramedic Grant

Helped us identify partners

Jump started training of staff

Built infrastructure needed

Benefits of Pilot & Grant

Northwest Alliance

Mercy Hospital

Anoka County Crisis Services

Where are we now?

Congested Heart Failure

Diabetes/ Wound care

Mental Health

High Utilization

Focus

Monday Through Friday

1200-0000

8 Community Paramedics

September 9, 2013

57 Home Visits

34 Transports

Impact to Date:

Excellian (Epic)

Controlling Growth

Challenges

Senior Care Transitions

Allina Hospitals

The sky is the limit

Where do we go from here?