Influencing Public Policy

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Clinton Harris
5 years ago
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1 Don t Like the Rules? Change Them! Influencing Public Policy Matt Zavadsky, MS HSA, EMT Chief Strategic Integration Officer MedStar Mobile Healthcare President Elect National Association of EMTs 1

2 In the Beginning. Start with the end in mind o Why is this good policy? o Will it benefit many? o Could there be unintended consequences? 2

board {Coalition} Single Page Infographic Do your homework o Evidence o

3 Coalition Building Like minds Opposing minds Craft the framework Position Statements What {Problem Statement} Why {Importance to the people} Who s on board {Coalition} Single Page Infographic Do your homework o Evidence o Studies o Cost evaluations o References Even if state/federal agencies oppose! 3

4 Recruit the Sponsor Local relationship Past experience Professional affiliation Expressed passion Help Craft the Language With the coalition Legislative counsel L O N G process CBO scoring/fiscal impact analysis 4

5 Seek Co Sponsors Work with the sponsor Personal visits letters phone calls Key Committee Members, etc. Committee Hearings Be there! Lots of testimony Personal testimony o Patients, family 5

6 The Floor Vote Educate, educate, educate Be there! o T Shirts, buttons, flyers Chief Executive Signature Make it a BIG Deal! o About future votes 6

7 EMS Application 2009 = 4 Programs 2014 = 160 Programs 2017 = 230 Programs The Why 7

8 Demonstrating Value for EMS City Tuscaloosa Little Rock Mountain Home Apache Junction Buckeye Chandler Cottonwood Green Valley Lake Havasu Mesa Nogales Phoenix Phoenix Rio Rico Scottsdale Scottsdale Sedona Sierra Vista Sun City West Tempe Tucson Tucson State AL AR AR Alameda Burbank Carlsbad Fountain Valley Glendale Hayward Huntington Beach Los Angeles Modesto Moorpark Newport Beach Orange Pasadena Rocklin San Bernardino San Diego San Diego San Francisco San Leandro Santa Monica Vallejo Centennial Colorado Springs Edwards Fort Collins Littleton Pagosa Springs Woodland Park CO CO CO CO CO CO CO Danbury New Haven Washington Bradenton Coral Springs Lecanto Ocala Sarasota Satellite Beach Sunrise Tampa Trinity Atlanta Blairsville Buford Conyers Gainesville Macon Marietta Riverdale Hilo Boise Moscow Sandpoint CT CT DC FL FL FL FL FL FL FL FL FL GA GA GA GA GA GA GA GA HA ID ID ID Elgin Quincy Rockford Rockford Carmel Crawfordsville Fishers Highland Indianapolis Olathe Louisville Baton Rouge Lafayette New Orleans Boston Malden Largo Boothbay Harbor Calais Castine Dover Foxcroft Farmington Greenville Lewiston Presque Isle Scarborough Searsport Tenants Harbor Waterville Winthrop IL IL IL IL IN IN IN IN IN KS KY LA LA LA MA MA MD 8

9 Ann Arbor Ann Arbor Bloomfield Clinton Township Clinton Township Detroit Grand Rapids Hart Muskegon Pinconning Portland Southfield St. Johns Crosslake Fergus Falls Fergus Falls Grand Rapids Minneapolis Oakdale Robbindale St. Paul St. Paul Wadena St Louis St. Louis Fayetteville HIllsborough Jacksonville Lumberton Marion Raleigh Smithfield Wilmington Winston Salem Winston Salem MN MN MN MN MN MN MN MN MN MN MO MO NC NC NC NC NC NC NC NC NC NC Fargo Rugby Omaha Elizabeth Jersey City Neptune Ridgewood Woodbury Albuquerque Rio Rancho Sante Fe Battle Mountain Las Vegas Reno Winnemucca Cambridge Chestnut Ridge New York New York Syosset Dayton Monroe Pinkerinton ND ND NE NJ NJ NJ NJ NJ NM NM NM NV NV NV NV NY NY NY NY NY OH OH OH Hillsboro Redmond Tigard Cranberry Erie Harrisburg Harrisburg North Huntingdon Pittsburgh Abbeville Memphis Austin Austin Conroe Dallas Dallas El Paso Fort Worth Georgetown Houston McKinney Plano Rowlett San Antonio Schertz Webster OR OR OR PA PA PA PA PA PA SC TN Arlington Chesterfield Kent Olympia Prosser Seattle Tacoma Madison West Allis Riverton VA VA WA WA WA WA WA WI WI WY The Evidence 9

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12 After Monday, January 09:00 PT: 12

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The Coalition National Association of EMTs National Association of State EMS Officials National Association of EMS Physicians National EMS Management Association National Association of EMS Educators

14 The Coalition National Association of EMTs National Association of State EMS Officials National Association of EMS Physicians National EMS Management Association National Association of EMS Educators American Ambulance Association International Academies of Emergency Dispatch American Red Cross International Trauma Life Support The Paramedic Foundation Academy of International Mobile Healthcare Integration Center for Leadership, Innovation and Research in EMS 14

15 The Legislation 15

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21 States Using Emergency Medical Techs to Expand Health Care Services By Debra Miller September 12, 2016 States are increasingly turning to community paramedicine to help fill the gap in the health care workforce. States have been experimenting with community paramedicine programs for the last five years or more. Expanding the role of licensed or certified emergency medical technicians or EMTs and paramedics to provide non emergency preventive health care services directly to patients in their communities can be cost effective and make up for health care work force shortages. Community paramedics offer extensive background experience and will provide for better access to health care, Oscarson said. Nevada now has an opportunity to fill unmet or unrealized community primary care and health needs. Using EMS providers in an expanded role will increase patient access to primary and preventive care, save health care dollars and improve patient outcomes. In late August, Nevada received approval of a state plan amendment from the Centers for Medicare and Medicaid to provide Medicaid reimbursement for medically necessary community paramedicine. Janet Haebler, senior associate director of state government affairs for the American Nurses Association, said community paramedicine strives to fill in gaps in services that previously had been provided by public health and home care nurses but were lost with funding cuts. A New Kind of Paramedic for Less Urgent 911 Calls Community paramedicine, which can drastically reduce unnecessary ER visits, could be the future of emergency care. by Mattie Quinn September 2016 If there is one issue confronting our health care system on which just about everyone agrees, it s this: Unnecessary emergency room visits are a significant driver of costs. But getting the people who most abuse emergency services under control has been an uphill battle. Some of the big insurance players involved with government health care programs are starting to get in on the action as well. Blue Cross and Blue Shield of New Mexico has begun pilot programs for its Medicaid patients in a few of the state s more urban areas. The company says a group of patients identified in one of the programs has cut its ER use by 60 percent. One former super utilizer hasn t been to the ER in the 11 months he s been enrolled in the program, says Kerry Clear, the company s manager of community social services. using emergency medicaltechs expand health care services human services/gov community paramedicineemergency care.html 21

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23 The Economic Models 23

24 The Future The Future 24

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The MetLife Market Survey of Nursing Home & Home Care Costs September 2004

The MetLife Market Survey of Nursing Home & Home Care Costs September 2004 Mature Market Institute The MetLife Mature Market Institute is the company s information and policy resource center on issues