Follow NHRMC Linkedin Twitter Facebook
Email NHRMC Email
Health Care
Mar 12, 2014

Community Paramedics Improve Care By Reaching Patients Where They Are

Sponsored Content provided by Jack Barto - President and CEO, New Hanover Regional Medical Center

In recent posts, we have used this space to discuss how the delivery of health care is changing at its most fundamental level. Hospitals that provide the best patient care, emphasizing how to keep people healthy rather than treat them when they are sick, will be the ones that succeed going forward, and we believe New Hanover Regional Medical Center is well on its way to becoming one of those hospitals.

A powerful tool we are developing, which is already benefitting patients, will help us transition to this future ideal. With generous assistance from The Duke Endowment, we have started a program of Community Paramedicine, an effort that matches the wonderful talents of New Hanover Regional Medical Center EMS with our hospital’s ever-increasing focus on preventive health in the community.

The “Community Paramedics” are trained specifically to work with patients in their homes or in the community before they have a medical emergency. These paramedics have completed rigorous medical training that allows them to handle an array of basic, primary health needs. The Community Paramedic is an extension of the health care team and will often act as a catalyst to connect patients to their physician at an earlier stage in a disease process. With this process in place, we can meet patients’ health needs immediately where they are, preventing unnecessary emergency room visits and hospital admissions.

The outcome is the dual benefit of reducing healthcare costs while also helping patients stay healthier so they can resume normal activities with work and family.

Our program begins in full this month, though we have piloted with numerous patients and have already seen tremendous success. It works by having our Community Paramedics, two full-time and one part-time, reaches out to a variety of patients who frequently use our emergency or inpatient services.

We will carefully select the patients we believe fit the criteria for this program. They may include frequent visitors to the emergency room or frequent callers for ambulance transports. It may be patients who are frequently admitted to the hospital. Or it may be patients we have identified as being likely to readmit to the hospital once they go home.

Our visit with the patient begins with establishing a relationship. Many of these patients simply need a friendly face they can trust to call on before a health situation becomes an emergency. But the interaction is much more than a social encounter.

Community Paramedics are trained to help patients manage chronic disease by discussing signs and symptoms, helping them get an appointment to a doctor, and educating them on their medications to ensure all medications work together properly. They can assess the home environment for obstacles to good health or triggers that could cause a health danger to the patient, such as poor diet contributing to diabetic complications.

They can perform many of the services typically done during a follow-up visit at the emergency room, such as wound care, suture removal or oxygen therapy for congestive heart failure patients. This complements services they already provide, such as echocardiogram interpretation, performing lab tests in the field, and administering more than 50 medications. We may eventually be able to assess patients at skilled nursing facilities who have fallen and confirm the patient has not sustained major damage, allowing the patient to remain at the facility and preventing an unnecessary trip to the ER.

Community Paramedics are trained to recognize and de-escalate disruptive behavior by patients in mental health distress, allowing patients and families an opportunity to stabilize at home and later seek the appropriate level of care with the right provider.

How does this service look to the patient? Let me give you two examples:

In early 2013, we noticed a young woman had made 22 inpatient visits and 10 emergency room visits in a 12-month period, all relating to a manageable chronic disease. Our Community Paramedic established a relationship with her last fall. The paramedic is her friend and confidante on all things medical, and the two frequently call just to catch up. Since October, the patient has had two inpatient admissions – and none in 2014.

Another man from our list of most frequent ER visitors had 20 visits over a 12-month period. Since our program started a relationship with him in mid-January, he has had none.

The savings from reducing utilization from even a handful of patients is significant and will go a long way toward reducing our health care costs in the future. But to me, what’s important is that these people have added quality to their everyday lives simply through regular contact with a caring health professional.

A major factor working in our favor with this program is that NHRMC operates the county’s emergency medical services. From Day One, we already had a working relationship between the two primary partners in this type of program, able to share medical records, strategic priorities and needed resources. Only three hospitals in North Carolina operate their county’s EMS programs, so most new programs have to work to establish a relationship with the other partner. We already had one. Add in existing partnerships with NHRMC Home Care and Lower Cape Fear Hospice, and we already had the major relationships any Community Paramedicine program would need to get started.

Though we are new to this program, these advantages have already helped us to become somewhat of an industry expert, sharing best practices throughout the region and even nationally, and helping train staff from other programs. We have even taken a role in advocating how Community Paramedicine needs to become a service covered by insurance, to include the state’s Medicaid plan, to help sustain the program going forward.

It’s not often that you can be an industry leader the moment you begin a program, but the advantages we have by operating New Hanover Regional Medical Center EMS gave us a unique opportunity with the Community Paramedicine program. It’s an opportunity we intend to develop to the fullest for our patients’ benefit.

For the past 10 years, Jack Barto has been President and CEO at New Hanover Regional Medical Center, a 769-bed regional referral medical center serving Southeastern North Carolina. The medical center is licensed as a Level II Trauma Center and provides emergency medical services for New Hanover County. Its unique array of specialty services includes cardiac care, oncology, and neurology, and standalone hospitals for women’s and children’s services, orthopedic care, psychiatric care and inpatient rehabilitation. To learn more about NHRMC, please visit www.nhrmc.org. Questions and comments can be sent to [email protected]. Like NHRMC on Facebook: www.facebook.com/nhrmcnc, or follow us on Twitter at https://twitter.com/nhrmc.

Insightqualitybanner0114 300x250
Ico insights

INSIGHTS

SPONSORS' CONTENT
Untitleddesign13

The Benefits of Choosing Local Partners in Construction

Jim Hundley - Thomas Construction Group
Untitleddesign12 11724100328

The Endowment’s Rainbow of Possibilities

Daniel B Winslow - New Hanover Community Endowment
Gretchen roberts 2021

From Contracts to Offshoring: 7 Powerful Gross Margin Growth Levers

Gretchen Roberts - Red Bike Advisors

Trending News

Tech Wilmington: Upcoming Events Calendar

Staff Reports - Feb 5, 2025

Vantaca Hires Four Executives With Decades Of Scale-up Experience

Staff Reports - Feb 4, 2025

NCino Appoints New CEO

Staff Reports - Feb 3, 2025

City Leaders Approve Special Use Permit For Midtown Pickleball Facility

Emma Dill - Feb 5, 2025

Workforce Housing Panel: Some Steps Taken, But Problem Getting Worse

Emma Dill - Feb 4, 2025

In The Current Issue

Appraiser Shares Forecast

Cal Morgan founded JC Morgan Co., 1904 Eastwood Road, about 15 years ago and has since grown his team to six appraisers...


Bakatsias Restaurant Group Grows Locally

Giorgios Bakatsias and his company – Giorgios Hospitality Group – will also be opening Tomikosan sushi bar at Lumina Station, bringing the g...


Groups Share This Year’s To-do Lists

For the Book on Business, the Business Journal asks several of the region’s economic development groups and organizations for a recap of wha...

Book On Business

The 2024 WilmingtonBiz: Book on Business is an annual publication showcasing the Wilmington region as a center of business.

Order Your Copy Today!


Galleries

Videos

2024 Power Breakfast: The Next Season