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The Impact of Mobile Integrated Healthcare on 911 Use and Patient Activation

2023 Medical informatics
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Release : 2023
Genre : Medical informatics
Kind : eBook
Book Rating : /5 ( reviews)

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Book Synopsis The Impact of Mobile Integrated Healthcare on 911 Use and Patient Activation by : Jocelin Olin

Download or read book The Impact of Mobile Integrated Healthcare on 911 Use and Patient Activation written by Jocelin Olin. This book was released on 2023. Available in PDF, EPUB and Kindle. Book excerpt: "Background: Emergency Medical Services (EMS) and Emergency Departments (EDs) are experiencing an increase in low-acuity and high frequency patients. Treating non-emergent patients with emergency resources drives up healthcare costs, leads to delays in care for all patients, and increases strain on emergency resources. To address the increase in low-acuity and high-frequency patients within the 911 system and emergency departments, mobile integrated healthcare (MIH) has emerged as an EMS-based intervention to connect patients with community resources and reduce non-emergent transports and ED visits. This program evaluation examines the impact of nurse-social worker teams in a fire-based MIH program by measuring 911 and ED use and patient activation before and after MIH interventions.Methods: Participants were enrolled in the program evaluation by the MIH field teams. Participants were either new or existing MIH patients and enrollment occurred over a 2-month period. Participants completed the patient activation questionnaire (PAM-13) at the time of enrollment and again between 8 and 12 weeks later. The number of 911 calls, transports, and ED visits for each participant was extracted from Julota and EPIC for a period of 12 weeks prior to and after the date of enrollment. The pre and post data and PAM-13 scores were compared using Wilcoxon Signed Ranks Test of Significance. The mean pre and post PAM-13 scores were also compared to evaluate the difference. Results: 19 participants were enrolled in the study. One participant died during the follow-up period. Of the remaining 18 participants, 4 completed the second PAM-13 questionnaire. There was a statistically significant reduction in 911 calls (p=0.015), transports (p=0.021), and ED visits (p=0.006) following MIH intervention (n=19). The change in PAM-13 scores (n=4) was not significant (p=0.655). The difference in the means of the pre and post PAM-13 questionnaires was an increase of 1.75. Conclusions: MIH intervention reduced 911 calls, transports, and ED visits in this program evaluation. The effect on patient activation as measured by the PAM-13 questionnaire was not significant. Given the statistical significance in reducing use of emergency services for this small sample, a longer evaluation with more participants is needed to determine if fire-based MIH using a nurse and social worker is effective in reducing emergency resource use"--Abstract.

R.I. Statewide EMS Protocols 2018.03

2019-01-17 Science
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Release : 2019-01-17
Genre : Science
Kind : eBook
Book Rating : 376/5 ( reviews)

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Book Synopsis R.I. Statewide EMS Protocols 2018.03 by : Second Story Graphics

Download or read book R.I. Statewide EMS Protocols 2018.03 written by Second Story Graphics. This book was released on 2019-01-17. Available in PDF, EPUB and Kindle. Book excerpt: This is a bound, black and white copy of the new (version 2018.3 version) State of Rhode Island Emergency Medical Services Protocols. This book is essential for all paramedics, EMTs (both EMT-Bs and AEMT-Cs) licensed by the State of Rhode Island. R.I. Statewide EMS Protocols is also a great manual for anyone in the field of emergency medicine including first responders. There is a free, downloadable, PDF copy of this document on the State of Rhode Island, Department of Health website. The original document on the State of RI website is 330 pages and includes several blank pages separating sections. This bound copy is a version without those white, blank pages making this a lighter, thinner and more portable version.

The Intersection of Behavioral Health, Mental Health, and Health Literacy

2019-03-26 Medical
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Release : 2019-03-26
Genre : Medical
Kind : eBook
Book Rating : 339/5 ( reviews)

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Book Synopsis The Intersection of Behavioral Health, Mental Health, and Health Literacy by : National Academies of Sciences, Engineering, and Medicine

Download or read book The Intersection of Behavioral Health, Mental Health, and Health Literacy written by National Academies of Sciences, Engineering, and Medicine. This book was released on 2019-03-26. Available in PDF, EPUB and Kindle. Book excerpt: The field of health literacy has evolved from early efforts that focused on individuals to its current recognition that health literacy is a multidimensional team and system function. Health literacy includes system demands and complexities as well as individual skills and abilities. While communicating in a health-literate manner is truly important for everyone, it can be especially important for those with mental or behavioral health issues and for the systems and teams that interact with them and treat these individuals. The purpose of the workshop, which was held on July 11, 2018, in Washington, DC, was to explore issues associated with effective communication with individuals with mental or behavioral health issues and to identify ways in which health literacy approaches can facilitate communication. In particular, the workshop aimed to gain a better understanding of how behavioral health and mental health concerns can adversely affect communications between providers and patients and their families. This publication summarizes the presentations and discussions from the workshop.

Crisis Standards of Care

2012-08-26 Medical
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Release : 2012-08-26
Genre : Medical
Kind : eBook
Book Rating : 468/5 ( reviews)

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Book Synopsis Crisis Standards of Care by : Institute of Medicine

Download or read book Crisis Standards of Care written by Institute of Medicine. This book was released on 2012-08-26. Available in PDF, EPUB and Kindle. Book excerpt: Catastrophic disasters occurring in 2011 in the United States and worldwide-from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand-have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the influenza A (H1N1) pandemic, the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services, along with the Department of Veterans Affairs and the National Highway Traffic Safety Administration, asked the Institute of Medicine (IOM) to convene a committee of experts to develop national guidance for use by state and local public health officials and health-sector agencies and institutions in establishing and implementing standards of care that should apply in disaster situations-both naturally occurring and man-made-under conditions of scarce resources. Building on the work of phase one (which is described in IOM's 2009 letter report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations), the committee developed detailed templates enumerating the functions and tasks of the key stakeholder groups involved in crisis standards of care (CSC) planning, implementation, and public engagement-state and local governments, emergency medical services (EMS), hospitals and acute care facilities, and out-of-hospital and alternate care systems. Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles. Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement toolkit; and Volume 7 contains appendixes with additional resources.

Strategies to Improve Cardiac Arrest Survival

2015-09-29 Medical
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Release : 2015-09-29
Genre : Medical
Kind : eBook
Book Rating : 02X/5 ( reviews)

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Book Synopsis Strategies to Improve Cardiac Arrest Survival by : Institute of Medicine

Download or read book Strategies to Improve Cardiac Arrest Survival written by Institute of Medicine. This book was released on 2015-09-29. Available in PDF, EPUB and Kindle. Book excerpt: Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.

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