Re: Two cities pilot efforts using EMS to curb EDvisits

[Guest guest]

Kudos Gene, Ur a Great American, but U didn't mention " Nurse Myrick " as U

usually do in pointing out our learning from history lest we repeat it. There

will always be " job opportunities " for those RNs & Medics that will practice

voodoo shake a chicken over your head/telephone/telepathic medicine because of

lowering cost, response, can't get a job anywhere else & headaches/frustration

over what's not working now vs. those who abuse the EMS/ER Systems that we see

on a daily/weekley basis..... What to do, what to do?

Abernathy Sent from my Verizon Wireless BlackBerry

Re: Two cities pilot efforts using EMS to curb ED visits

Just a question -- abdominal pain is low risk?

Wes Ogilvie, MPA, JD, NREMT-P/Lic.P.

Austin, Texas

Sent from my iPad

On Jun 3, 2010, at 16:38, " Ron Haussecker "

haussecker87@...

>; wrote:

>

>

> Two cities pilot efforts using EMS to curb ED visits

>

> 06/03/2010

>

>

> Two U.S. cities have implemented a new program intended to screen EMS calls to

identify non-emergency cases and direct them away from hospitals to more

appropriate health care providers, in an effort to alleviate non-urgent ED use,

USA Today reports.

>

> Advocates for the program-used in Louisville, Ky., and Richmond, Va.-tout its

potential to ease the burden on hospital EDs that face high patient demand and

to lower the number of non-emergency ambulance dispatches. Individuals calling

911 who are deemed at " lowest risk " are transferred to an RN or nurse

practitioner who assesses the severity of a patient's condition. Nurses also may

direct a patient to a proper source of care, such as a primary care physician

(PCP) or clinic, and help connect patients who do not have a PCP with clinics

that are accepting new patients.

>

> According to USA Today, 10 to 15 calls each day to ambulance dispatchers in

the Louisville area can be identified as low risk. These low-risk calls often

involved leg pain, abdominal pain and wound care. A Louisville EMS official said

that saving a trip to the ED may result in better follow-up care and,

ultimately, a better prognosis for patients, adding that the program will expand

to offer " intensive follow-up " to ensure no patient " falls through the cracks, "

USA Today reports.

>

> The program costs about $100,000 to set up per city. An official from the

National Academies of Emergency Dispatch said that such programs are widely used

in Australia and the United Kingdom but that the programs in Louisville and

Richmond are the only ones in the U.S. (Halladay, USA Today, 6/1).

>

>

> Ron

>

> P Please consider the environment before printing this e-mail.

>

> All e-mails or files transmitted are considered confidential and intended

solely for the use of the individual to whom they are addressed. Any

unauthorized dissemination, review, distribution, or copying of these

communications is strictly prohibited. If you received an e-mail in error,

please contract the sender and delete/destroy the message.

>

>

[Guest guest]

Kudos Gene, Ur a Great American, but U didn't mention " Nurse Myrick " as U

usually do in pointing out our learning from history lest we repeat it. There

will always be " job opportunities " for those RNs & Medics that will practice

voodoo shake a chicken over your head/telephone/telepathic medicine because of

lowering cost, response, can't get a job anywhere else & headaches/frustration

over what's not working now vs. those who abuse the EMS/ER Systems that we see

on a daily/weekley basis..... What to do, what to do?

Abernathy Sent from my Verizon Wireless BlackBerry

Re: Two cities pilot efforts using EMS to curb ED visits

Just a question -- abdominal pain is low risk?

Wes Ogilvie, MPA, JD, NREMT-P/Lic.P.

Austin, Texas

Sent from my iPad

On Jun 3, 2010, at 16:38, " Ron Haussecker "

haussecker87@...

>; wrote:

>

>

> Two cities pilot efforts using EMS to curb ED visits

>

> 06/03/2010

>

>

> Two U.S. cities have implemented a new program intended to screen EMS calls to

identify non-emergency cases and direct them away from hospitals to more

appropriate health care providers, in an effort to alleviate non-urgent ED use,

USA Today reports.

>

> Advocates for the program-used in Louisville, Ky., and Richmond, Va.-tout its

potential to ease the burden on hospital EDs that face high patient demand and

to lower the number of non-emergency ambulance dispatches. Individuals calling

911 who are deemed at " lowest risk " are transferred to an RN or nurse

practitioner who assesses the severity of a patient's condition. Nurses also may

direct a patient to a proper source of care, such as a primary care physician

(PCP) or clinic, and help connect patients who do not have a PCP with clinics

that are accepting new patients.

>

> According to USA Today, 10 to 15 calls each day to ambulance dispatchers in

the Louisville area can be identified as low risk. These low-risk calls often

involved leg pain, abdominal pain and wound care. A Louisville EMS official said

that saving a trip to the ED may result in better follow-up care and,

ultimately, a better prognosis for patients, adding that the program will expand

to offer " intensive follow-up " to ensure no patient " falls through the cracks, "

USA Today reports.

>

> The program costs about $100,000 to set up per city. An official from the

National Academies of Emergency Dispatch said that such programs are widely used

in Australia and the United Kingdom but that the programs in Louisville and

Richmond are the only ones in the U.S. (Halladay, USA Today, 6/1).

>

>

> Ron

>

> P Please consider the environment before printing this e-mail.

>

> All e-mails or files transmitted are considered confidential and intended

solely for the use of the individual to whom they are addressed. Any

unauthorized dissemination, review, distribution, or copying of these

communications is strictly prohibited. If you received an e-mail in error,

please contract the sender and delete/destroy the message.

>

>

[Guest guest]

Well, I thought it time to give poor ex-nurse Myrick a break. After all, she

may now be a greeter at Walmart and I wouldn't want to do anything to spoil her

job.

GG

Re: Two cities pilot efforts using EMS to curb ED visits

Just a question -- abdominal pain is low risk?

Wes Ogilvie, MPA, JD, NREMT-P/Lic.P.

Austin, Texas

Sent from my iPad

On Jun 3, 2010, at 16:38, " Ron Haussecker "

haussecker87@...

>;; wrote:

>

>

> Two cities pilot efforts using EMS to curb ED visits

>

> 06/03/2010

>

>

> Two U.S. cities have implemented a new program intended to screen EMS calls to

identify non-emergency cases and direct them away from hospitals to more

appropriate health care providers, in an effort to alleviate non-urgent ED use,

USA Today reports.

>

> Advocates for the program-used in Louisville, Ky., and Richmond, Va.-tout its

potential to ease the burden on hospital EDs that face high patient demand and

to lower the number of non-emergency ambulance dispatches. Individuals calling

911 who are deemed at " lowest risk " are transferred to an RN or nurse

practitioner who assesses the severity of a patient's condition. Nurses also may

direct a patient to a proper source of care, such as a primary care physician

(PCP) or clinic, and help connect patients who do not have a PCP with clinics

that are accepting new patients.

>

> According to USA Today, 10 to 15 calls each day to ambulance dispatchers in

the Louisville area can be identified as low risk. These low-risk calls often

involved leg pain, abdominal pain and wound care. A Louisville EMS official said

that saving a trip to the ED may result in better follow-up care and,

ultimately, a better prognosis for patients, adding that the program will expand

to offer " intensive follow-up " to ensure no patient " falls through the cracks, "

USA Today reports.

>

> The program costs about $100,000 to set up per city. An official from the

National Academies of Emergency Dispatch said that such programs are widely used

in Australia and the United Kingdom but that the programs in Louisville and

Richmond are the only ones in the U.S. (Halladay, USA Today, 6/1).

>

>

> Ron

>

> P Please consider the environment before printing this e-mail.

>

> All e-mails or files transmitted are considered confidential and intended

solely for the use of the individual to whom they are addressed. Any

unauthorized dissemination, review, distribution, or copying of these

communications is strictly prohibited. If you received an e-mail in error,

please contract the sender and delete/destroy the message.

>

>