The Use of Community Paramedicine to Reduce Hospital Readmissions
Objectives • We will discuss the barriers of healthcare that prevent a patient from following their care plan. • Review the importance of communication amongst healthcare providers • The is a opportunity for collaboration not competition.
Objectives • We will discuss the barriers of healthcare that prevent a patient from following their care plan. • Review the importance of communication amongst healthcare providers • The is a opportunity for collaboration not competition.
Needs Assessment
The Triple Aim
GOALS • • • • •
RIGHT PATIENT RIGHT TIME RIGHT RESOURCE RIGHT OUTCOME RIGHT COST
Collaboration • Strategic partnerships with stakeholders • Patient access through patientcentered care • Patient navigation • Filling the gaps • Shared/Integrated health records
Collaboration is the key
Barriers to EMS Innovation Financial
Legal
Culture
Data
Education
What is your Mindset • 911 1. Fix one problem at a time 2. Works well under pressure 3. Great skills set
• Community Paramedic 1. Critical Thinking to the next level 2. Strength is building relationships 3. Takes too long on EMS runs 4. Nurturer
Patience is a virtue
Where are they at and where do they want to go • Pre-contemplation (“I can’t” or “I won’t”) – • Contemplation (“I May”) – • Preparation (“I Will”) – • Action (“I Am”) – • Maintenance (“I Still Am”) –
Reflections • Simple – Repeat what client said • Amplified – “NO ONE in your life exercises” • Double Sided- Reflect both sides; “You have shared a number of reasons why exercise has benefit and the fact that your schedule does not allow it” • Shifted Focus – Shift attention to another area of interest to the client. • Empathy – Heart place
Self-efficacy
Self-efficacy
• Make observations, not evaluations • Express feelings not thoughts • Identify needs not strategies • Make requests not demands
Be truthful and honest at all times
Take Responsibility for your actions
Questions