FIRE DEPARTMENT COMMUNITY ASSISTANCE, REFERRAL, & EDUCATION SERVICES

FIRE DEPARTMENT COMMUNITY ASSISTANCE, REFERRAL, & EDUCATION SERVICES

What is FDCARES? Fire Department Community Assistance Referral, and Education Services

Proactive connection phone calls and home visits. Firefighters have a unique perspective while on location of a 9 1 1 response. The condition of the patient and their home, are great indicators of future decline in function and future 9 1 1 responses. Firefighters are able to address the immediate need and may identify the underlying issue, however, there has not been a means to address what is causing the need for a 9 1 1 response.

Communities across the nation are facing: An increasing population. An increase in the elderly population. An increase in senior living facilities. An increase in recurrent low acuity medical incidents.

Senior Assisted Living Steering Committee Relationship building Education exchange Response calculations Senior Wellness Event

What will FDCARES do for YOUR community? FDCARES will prevent injuries and illness for residents in your community. FDCARES will save citizens unnecessary insurance co pays for both ambulance transports and ER visits. FDCARES can save tax payers millions of dollars. FDCARES will create job opportunities for health care professionals to move into a non traditional setting such as the fire service. FDCARES will help members in the community to live longer, healthier, independent lives!

CREATING A NEW DIVISION NON EMERGENCY MEDICAL SERVICES DIVISION Better Defining Medical Call Types 10.8% 9.2% Incident Type EMS 7,670 EMS = Advanced Life Support BLS = Basic Life Support 30.8% Other 1,698 Haz/Mat 284 Service 639 Fire 624 NEMS 1450 NEMS = Non Emergency 21.6% NEMS(P) 3400

INITIAL DISPATCH CODES Defining IDC s or Initial Dispatch Codes for various call types. Adjusting response time standards to 20 minute nonemergency response (procedure type response) times to these call types. Fire Departments are dispatched to roughly 18% 25% low acuity medical incidents annually. Additional codes could be included adding several hundred more. There is no code to document the number of incidents that could be downgraded. Having a more cost effective response model to these IDC s will save dollars.

AT WHAT COST? 2010 TOTAL CALL VOLUME = 15,626 Annual budget = $28,020,844 2011 TOTAL CALL VOLUME = 15,765 Annual budget = $31,473,431 2010 $28,020,844 divided by 15,626 = $1,793 per incident 2010 $31,473,431 divided by 15,765 = $1,996 per incident 2010 3600 recurrent incidents plus 1450 non emergent IDC s 2011 3600 recurrent incidents plus 1450 non emergent IDC s 2010 Cost of Low Acuity Incidents = $9,054,650 2011 Cost of Low Acuity Incidents = $10,079,800

Additional Services Low acuity medical response. One size does not fit all any more. Not only are we identifying the difference in incident types, we are developing new response standards.

Once on Scene at low acuity medical request for service: Taking the time to determine the underlying cause. Stabilizing the patient in their home. Working with other healthcare providers. Determine the most appropriate level of care. Establish the most appropriate transportation method. Ensure that this all comes together to include a long term solution.

Patient Navigation The Mission Statement for FDCARES: FDCARES has fully integrated EMS into the broader healthcare system to improve the health outcomes of individuals in need of non emergency services. We provide the proper level of response, education, advocacy and medical systems navigation. Utilizing a combination of public and private resources, FDCARES has increased access to the appropriate level of healthcare and social services in a timely and cost effective manner.

Firefighters Workload Establishing what level of training is needed for this type of work and who is best suited to perform these duties.

Partnering with Emergency Departments Emergency Department High Utilizers. Avoiding Social Admissions to the hospital. Partnering with Hospitals Avoidable readmissions Pneumonia CHF Acute MI COPD Geriatric Fall Patients

FDCARES LEGISLATION APRIL 27 th 2013 Delivered to the Governor May 15 th 2013 Governor signed

What happens next? Fire department implementation of 24 hour services. From approval to training to hiring to training to data tracking to measuring. To funding!

Balancing out Property Tax Funding Sponsorships Healthcare Partnerships Payer Partnerships Healthcare savings and sharing Fee for service

Continuing to change the fire service with the changing world around us. More efficient response models Cost effective services Partnering with other healthcare Providers Thank you!