Medical Direction for MIH-CP Programs
7377

Wednesday, Oct 5 2016 8:00AM - 9:00AM

Neal Richmond, MD

One of the goals of many MIH-CP programs is to help enrolled patient’s establish quality relationships with their own physicians. For this reason, mobile healthcare providers are generally encouraged to coordinate care with the patient’s physicians. This could create a quandary for the field community paramedic. How are the desires of the EMS medical director coordinated with the patient’s physician? Who authorizes patient care protocols? Who do you call for orders to implement protocols? Who is responsible for QA? The answers to these and your questions await you in this dynamic session addressing the clinical side of MIH-CP services.

I Like More Data and I Cannot Lie: A Collaborative Effort with Mutual Success
6718

Wednesday, Oct 5 2016 8:00AM - 9:00AM

Paul Bollinger, MPH, Chris Hamper, NRP, Louisa Partain, EMT-P

The EMS Consortium supporting the emerging community paramedicine programming in the Portland, Oregon, area identified that many of the programs were not collecting patient data in a consistent and uniform manner. Health Share of Oregon convened a task force represented by each of the area community paramedicine programs with a goal to create a regional data collection plan, a data set, supporting data dictionary and a uniform patient care report. Washington County EMS and the Oregon Institute of Technology/OHSU Department of Emergency Services provided the operational infrastructure to support his plan. The task force reviewed the existing patient care reports and data points currently collected by each organization represented and by using a consensus method of validation created a list of agreed upon data points that each organization would collect. A data dictionary was created to support the data points. Lastly a standardized patient care report was created that supported the agreed upon data plan. This session will review the process used to develop consensus among a large number of provider organizations and describe the efforts used to encourage data plan agreement. The presentation will also detail the process used to gather and analyze the collected data. These results allow for the refined provision of a data collection method that resulted in a larger geographic data set to support the new and emerging programs to support a business case to finance community paramedicine in our region.

Evolving Trends in MIH-CP
7379

Wednesday, Oct 5 2016 2:00PM - 5:00PM

Please Note: This is a 3-hour session

MIH-CP Economics: What’s Working?

Matt Zavadsky, MS-HSA, EMT

As the healthcare system evolves the definition of value and the payment methods for care delivery, economic models for MIH-CP service lines must adapt to this changing landscape. Financial sustainability for MIH-CP services continues to be elusive for many agencies, however, several MIH-CP programs are now receiving payments for the services they are providing. Attendance at this session will provide you the opportunity to learn the keys for proving the value of MIH-CP services and developing the right economic model for sustainability.

MIH-CP Medical Control: Who's In Charge?

Neal Richmond, MD

Who is the right physician to be the lead medical control for MIH-CP programs? An EMS medical director, a primary care provider or a specialty care provider? Dr. Richmond has led the development of MIH-CP programs in Kentucky and is the EMS medical director for some of the most successful MIH programs at MedStar Mobile Healthcare in Ft. Worth, TX. This combination provides him with unique insight into the sometimes thorny issues of medical control for MIH-CP programs. Learn how to navigate these murky waters to help you see more clearly the role of physician leadership in MIH-CP programs.

MIH-CP Continuing Education: Carving a Path Ahead

Anne Montera

Since the national standardized education and credentialing exam for community paramedics have been developed, the next step is to create a system for continuing education. In this session, the presenters will discuss the need for ongoing public health, primary care, social service and clinical education. The need for core competencies will be addressed for initial and ongoing education along with presenting the need for accrediting educational institutions.

MIH-CP Technology: The Transformation of Patient Care and Operations

Panel moderated by Matt Zavadsky, MS-HSA, EMT

This panel discussion highlights how technology is working to transform MIH-CP operations and improve patient care and outcomes. Learn how data collection, point-of-care testing and telemedicine are enabling MIH-CP programs to grow and expand services.

Frequent User Management 101
6857

Wednesday, Oct 5 2016 2:00PM - 3:15PM

Anne Jensen, EMT-P, BS

Community paramedic programs addressing the needs of frequent 9-1-1 callers are faced with a number of complexities related to intervention, care coordination, and behavior change. This session focuses on frequent user categories, coping behaviors of frequent 9-1-1 callers, intervention strategies, frequent user triage (identifying high risk behavior in excessive 9-1-1 use), safety and legal issues.

MI in Community Paramedicine: An Introduction to Motivational Interviewing / HIPAA Policy Development in Community Paramedicine
7341

Wednesday, Oct 5 2016 3:30PM - 4:45PM

Dan Swayze, DrPH, MBA, MEMS

Making snap judgments and problem solving are critical skills to help your patients in traditional EMS work. Unfortunately relying on those same skills as a community paramedic may actually interfere with your ability to help patients. This session introduces participants to an evidence-based communication style known as motivational interviewing. Learn how four communication techniques can help your patients solve their own problems.

HIPAA Policy Development in Community Paramedicine

Anne Jensen, EMT-P, BS

Community paramedic programs may require privacy policies that are more comprehensive than policies related to the traditional EMS workflow. This session provides guidance on how to approach policy development for these additional policy needs. *Note: This session does not contain legal advice or interpretation of privacy laws.

Cultural Considerations in Homelessness and Poverty
6858

Thursday, Oct 6 2016 8:00AM - 9:00AM

Anne Jensen, EMT-P, BS

A large portion of community paramedic encounters involve individuals experiencing poverty. Care providers are most effective in their practice when they are able to recognize the influence of poverty on a client and adjust patient care accordingly. This session reviews literal and expanded models of culture and poverty, how it may influence patient care and strategies to promote success in your practice.

Best Practices and Lessons Learned in Community Paramedic Mental Health Care
7347

Thursday, Oct 6 2016 9:15AM - 10:30AM

Panel moderated by Dan Swayze, DrPH, MBA, MEM

In some MIH-CP programs, over half of enrolled patients have some form of behavioral health or substance abuse issues. Managing this population takes a specific skill set that is not addressed in most regular EMT or paramedic training. In this panel session, community paramedics share they lessons they’ve learned from interacting with patients with depression, anxiety, bipolar disorder, substance abuse and suicidal thoughts. The discussion will provide key concepts and unique approaches necessary to effectively manage the complex needs for this patient population.

Home Health Infection Control Practices Applicable to MIH and Community Paramedicine / Medication Reconciliation for the Community Paramedic
6720

Thursday, Oct 6 2016 10:45AM - 12:00PM

Katherine H. West, BSN, MSEd

As the tasks and practices move forward in the community setting, infection control practices may differ in the home setting form the ambulance setting. Find out what the challenges and risks are for community paramedics.

Medication Reconciliation for the Community Paramedic

Jonah Thompson

Community paramedics are uniquely positioned to identify clinical, environmental and socio-economic risk factors that lead to increased utilization of emergency and acute healthcare services. A comprehensive medication reconciliation is a powerful assessment tool that can both improve emergency care and prevent future crisis along with unnecessary admissions. This session presents the key elements of a medication reconciliation program, describes common pitfalls and discusses areas for improvement in paramedical practice. Case studies will be explored illustrating the type of complex patients often referred to mobile integrated health programs. An approach utilizing oral interviewing techniques, scene observation, pharmacy software, and appropriate communication with both medication direction, as well as primary care physicians, will be demonstrated.

MIH-CP Situational Awareness and Conflict Prevention
6747

Thursday, Oct 6 2016 3:15PM - 4:30PM

Jonah Thompson

Community paramedics accustomed to working within a public safety system may find themselves at a disadvantage when transitioning to the mobile integrated health setting. Adapting emergency response experiences and scene management tactics to this environment—especially without a partner or dispatcher watching over you—requires strong verbal skills and excellent situational awareness. This session explores verbal defense and persuasion techniques that integrate into a motivational interviewing style of assessment and pair those with methods for identifying pre-assault indicators. Examples of risk assessment and mitigation guidelines for programs will be presented with the opportunity for open discussion.

How to Collaborate with Physicians and Other Practitioners to Develop and Implement a Care Plan for Your Patient
7345

Thursday, Oct 6 2016 4:45PM - 6:00PM

Anne Robinson-Montera, BSN

Community paramedics are now working with other healthcare providers to provide primary care, public health and social services for their patients. An important component to collaboration relies on the use of a care plan for the patient. This session walks you through the steps to establishing partnerships to ensure community paramedics are part of the team that implements care plans. In addition, learn how community paramedics need to assist with the development and ongoing changes to the patient’s care plan.

Chronic Pain and Substance Abuse
7342

Friday, Oct 7 2016 8:00AM - 9:00AM

Dan Swayze, DrPH, MBA, MEMS

Chronic pain patients and drug seekers are two of the most disliked types of patients in traditional EMS and emergency medicine, and one of the most frequent types of patient in community paramedicine. This session introduces participants to the pathophysiology of chronic pain, and why drug addiction is such a common co-occurrence in these patients. Learn how to differentiate between a true addiction disorder and a pseudo-addition, and what kind of help community paramedics can offer both types of patients.

MIH-CP Programs in Action
7433

Friday, Oct 7 2016 9:15AM - 12:15PM

Dan Swayze, DrPH, MBA, MEM, with Kevin Creek, Robin Johnson, MD, Kevin Mackey, MD, FACEP, Nathaniel Metz

This three-hour super session will feature developers and leaders of MIH-CP programs from across the country who will discuss the specifics of the programs they have in place, how they were developed and best practices for attendees to take back to their communities.

Program subject to change.