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Dr. Michael Wilcox October 2015 SIM-EPLC LEARNING TEAM DISCUSSION
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Dr. Michael WilcoxOctober 2015
SIM-EPLC LEARNING TEAM
DISCUSSION
THE ACCESS DILEMMA RURAL AND REMOTE
1/4 of Americans live in rural and remote areasOnly 10% of America’s doctors practice there4 times as many rural and remote residents travel > 30 miles for health care compared to urban residents
RURAL AND REMOTE DEMOGRAPHICS
More elderly More immigrants More poverty Poorer health
Expand role, not scope Assess and identify gaps between community needs and servicesImprove quality of life/health
THE COMMUNITY PARAMEDIC PROGRAM
VOLUNTEER AND PAID PARAMEDICS
EMTs/Paramedics already know how to deliver care locally
Assess resources and make decisions
They can fill gaps in care with enhanced skills through targeted training
EXPANDED SERVICES
Primary careEmergency care Public health Disease management PreventionWellness Mental health
KEYS TO COMMUNITY PARAMEDIC PROGRAM
GAP-FILLING
FLEXIBLE
RESOURCEFUL
SERVING THE UNDERSERVED
FLEXIBLE
Identify specific needs in community health care
Standardized curriculum, modified for communities
ADDRESSING THE NEEDS OF THE UNDERSERVEDTarget populations with
problems in access to health care
Address special population issues
Rising health disparitiesAging Decreasing medical workforce
RESOURCEFUL
Identifies what is availableAnd what is missing
GAP-FILLING
Creates “health home” for citizensEyes, ears, and voice of community
COMMUNITY PARAMEDIC GUIDELINES
Essential oversight by community care providers
Practice where designated underserved
Approved and welcomedFunding specific to locale
CARING FOR HIGH-RISK PATIENTS
Patients taking 10 or more medications
Patients who have tight therapeutic window medications such as “warfarin”
Patients who have 3 or more chronic diseases
Patients with Mental health and disabling conditions
HENNEPIN TECHNICAL COLLEGE - TRAINED BY LOCATION
Florida
Minnesota
Maine
Canada Nova Scotia
Washington
North Dakota
Nevada
Idaho
MissouriKansas
New Jersey
North Carolina
Kentucky
Saudi Arabia
COMMUNITY PARAMEDIC TRAINED OR IN TRAINING
Spring Program 2008 Metro & Outstate MN8
Fall Program 2010 Rural5
Spring Program 2012 Metro12
Fall Grant Class 201318
Fall Program Class 2013Metro & Out of State 20
Spring Program 2013 Metro, Outstate MN24
Spring Grant Class 201324
Spring Northern MN 201313
Fall Program 2013 Metro, Outstate24
Fall Grant Class 201330
THE COMMUNITY PARAMEDIC PROGRAM
Level 1 -- Non-paramedic filling some roles of the Community Paramedic
Level 2 – Certificate or Associate Degree
Level 3 -- Bachelor’s degree
CURRICULUM IS IN PLACE
Standardized multi-module delivery model
Applicable across America and internationally
14 credit certificate
CONTENT
Chronic disease managementCardiac, respiratory, diabetes , neurological
Pathophysiology PharmacologyMental healthText books
CURRICULUM PHASE II
Clinical Skills @ 196 hours
THE CLINICAL EXPERIENCE
Primary careCommunity Health/Hospice
Wound careBehavioralCardiology & respiratoryPediatrics & geriatricsNetworking
