Newsletter Archives


July 2014 Newsletter – NYMIHA Passes Bylaws
Spring 2014 Newsletter – More Letters of Support
December 23, 2013 – Radio Interview; Board Assembled; New Mission Statement; WellCarS
October 23, 2013 – NYMIHA on the Radio!! Announcing Elected Chairs
September 19, 2013 – Elections of Committee Chairpersons
August 6, 2013 – Summer Updates (Please Read) (Please VOTE)
May 31, 2013 – STATEWIDE Meeting June 4th @ 10AM – Attend in person or ONLINE
March 26, 2013 – (Correction) Minutes from NYC Meeting / Envisioning Community Paramedicine
February 10, 2013 – February Meetings; Article 30 Changes; Our Conceptual Model
January 24, 2013 – Statewide Meeting Jan 28th; Concept Map
January 7, 2013 – NYC Meeting Jan 15th; Statewide Meeting Jan 28th
December 6, 2012 – First Statewide Conference
November 30, 2012 – Task Force First Anniversary!!
November 5, 2012 – Sandy Cancels NYC REMAC Meeting
October 8, 2012 – General Body Conference Call
October 2, 2012 – The Website is Up!
September 23, 2012 – Task Force Goes Statewide
August 21, 2012 – We ARE Moving Beyond NYC!
August 13, 2012 – Moving Beyond NYC?
July 25, 2012 – Reminder – GNYHA Meeting Tomorrow 9:30a
July 14, 2012 – GNYHA Meeting Announcement
July 3, 2012 – Minutes from Recent Meetings
June 11, 2012 – Subcommittee Meetings this week / General Meeting – June 19th
June 7, 2012 – Save The Date – July 26th 9a-12p GNYHA Meeting
May 19th, 2012 – GNYHA Meeting Postponed / Recent Minutes Attached
May 17th, 2012 – Presentations being made at SAEM, SEMSCO and to GNYHA in May
April 30th, 2012 – 1. GNYHA Meeting 2. Subcommittee Conf Calls
April 23rd, 2012 – Minutes / Next Steps
April 9th, 2012 – Update / Financial Reform Committee Meeting Tues April 10th @ 10AM
April 2nd, 2012 – Subcommittee Conference Calls
Mar 23, 2012 – minutes from 3/20/12 meeting
Feb 19, 2012 – Taskforce 2nd Meeting
Jan 31, 2012 – Minutes from 1/24/12
Jan 16, 2012 – First Meeting of the NYC Community Paramedicine Task Force
Dec 18, 2011 – NYC Community Paramedicine Task Force



July 2014
NY Mobile Integrated Healthcare Association

1. NYMIHA Passes Bylaws !!
2. Planning Underway for NYMIHA Conference
3. Member Benefits – What’s in it for me?
4. Subcommittee Updates
5. NYMIHA in the News!
6. Resources & Literature
7. Upcoming Activities & Meetings

Message from the Chair:
Hi everyone, we’ve come a long way. NYMIHA now has over 300 members, 15 letters of support, a prominent Board of Directors, Bylaws and has submitted its Articles of Incorporation. In addition, the NYMIHA name has been in multiple publications, has submitted multiple grant applications, and continues to make meaningful contributions to EMS and MIH throughout the state!

Please help us continue to grow by encouraging new members, being active on our facebook and twitter feeds, and creating and participating in opportunities for networking, spreading awareness and overcoming the barriers to Mobile Integrated Healthcare.

1. NYMIHA Board Passes Bylaws:
We have posted our bylaws to our website, and they can be found here.

2. Planning Underway for 1st Ever NYS Mobile Integrated Healthcare Conference:

The aim of a NYMIHA conference would be to bring together those within the healthcare and EMS communities as well as people from other industries that have a role in the future of Mobile Integrated Healthcare.
We hope to have educational sessions, legislative updates, financial planning sessions, MIH specific trade fairs and more.
We are exploring the possibility of hosting a “Hackathon” to promote IT investments in technologies that will further enable MIH.

To fund the conference, we have submitted applications for grant funding. However, we are also hoping that some of you can help us identify venues that might be willing to donate their space to bring down the cost of the conference.

3. Membership Has Its Privileges

  • Education through Newsletters and Webinars
  • Access to work products and voting on general issues
  • Networking with other MIH / CP interested individuals
  • Making Mobile Integrated Healthcare a reality
  • Coming Soon: A members only section of website to access work products, meeting minutes and more

4. Subcommittee Updates:

Public Relations Committee:
The PR Team has been on a tear with an Op-Ed in EP Monthly, an active and growing Facebook and Twitter following. At the committee meeting on July 15, it was noted that we are still accepting applications for interns to work on our social media campaigns as well as help with our first conference.
Legal & Regulatory Committee:
Our L&R team is working on establishing a better understanding of the exact legal parameters that currently exist when it comes to Community Paramedicine. They are also questioning whether proposed Article 30 changes go far enough! Join the conversation and get your organization to donate to our legal efforts.
Financial Reform Committee:
This committee is hard at work putting together cost and revenue models for MIH program development. They have a standing meeting the 3rd Wednesday of every month at 11AM. Make sure your organization is a member to benefit from these exciting and exclusive work products!
Health Information Technology Committee:
The HIT members are reaching out to those in the tech industry and beyond to promote the opportunities available in MIH and telemedicine. Hackathons, MeetUps and more are in planning stages. Be part of the conversation.
Workforce & Education Committee:
Our W&E committee is hard at work helping to define what kind of medical oversight, curriculums and training are needed for Mobile Integrated Healthcare programs. Should it be one size fits all, or protocol specific? Make your voice heard before policy gets established.

Join NYMIHA and get involved with one of our committees!!

5. NYMIHA In the NEWS!!

6. Resources & Literature:

7. Upcoming Activities & Meetings:

  • July 22nd @ 6:30pm Presentation in New Paltz
  • The Workforce & Education Committee has an upcoming meeting later this month! Please join NYMIHA and get involved!!
  • Aug 20th 11a – next Financial Reform Committee Meeting
  • Sept 3rd 2p – Presentation to Albany REMAC Academic Committee
  • We are looking for interns to get involved with each of our committees
  • Planning for first-ever NYMIHA conference…stay tuned!


Spring 2014
NY Mobile Integrated Healthcare Association

1. More Letters of Support for NYMIHA!!
2. NYMIHA Presents at Finger Lakes Conference
3. In the News
4. Resources and Literature

Spring is here and NYMIHA is moving forward in 2014 at an incredible pace! Check out what’s new with NYMIHA as well as the Community Paramedicine links and resources below. Also, remember that we are always looking for motivated individuals that want to get involved, so sign up for one of our committees and start today!

1. More Letters of Support for NYMIHA!!
Empress EMS and Mountain Lakes REMSCO are the latest to show their support for NYMIHA! Here are our Letters of Support

2. NYMIHA Presents at Finger Lakes Conference

Thanks to all of you that were there to hear Dr. Munjal’s presentation at the Finger Lakes Conference in Geneva, New York!! We look forward to hearing from you soon and welcome those that want to get involved!

3. In the News
Telemedicine in the New Yorker!
This recent article in the New Yorker provides some great insight into telemedicine. After reading this article, it is quite easy to imagine ways Mobile Integrated Healthcare could use this technology.

NPR’s Planet Money Covers Community Paramedicine Program at Mount Sinai.

This short piece points out a problem we all know exists in EMS today: misaligned reimbursement incentives. This report covers a pilot project being conducted by Mount Sinai and Trancare EMS in New York City. Check out the transcript or listen HERE!!

4. Resources and Literature
Community Paramedicine Summit 2014
From May 13-16, Zoll is sponsoring a summit on mobile integrated healthcare. The Summit will be in Denver, Colorado and has some pretty exciting presentations. It also looks like it will be a great opportunity to connect the community paramedicine initiatives that are going on around the country! Here’s the link to the website where you can check out the agenda and register!

Update on the Flex Program in Maine
We have previously reported on the Flex Monitoring Program on our website. We have added two recent papers from the Flex Group to our Resources page

White Paper from Wake County EMS in North Carolina
Wake County EMS in North Carolina posted a white paper on Mobile Integrated Healthcare. Check it out here!

North Country Commission Embraces Community Paramedicine
North Country Commission has included Community Paramedicine in its recommendations. Check out the draft here.

NAEMT Vision Statement on Mobile Integrated Healthcare
This Vision Statement was posted on the NAEMT website and in it, they explain the key components of Mobile Integrated Healthcare.



December 23, 2013
NY COMMUNITY PARAMEDICINE TASK FORCE

1. NYMIHA Featured on Fire Engineering blogtalkradio
2. Governing Board and Members of NYMIHA
3. New Approved Mission Statement and Bylaws
4. In the News:
– WellCar – an interesting twist on mobile healthcare
– Maine Pilot expands
– Changing EMS is inevitable
5. CP Resources & Literature
– NAEMT leads new Vision Statement

1. FIRE ENGINEERING MAGAZINE INTERVIEW
Just in case you didn’t get to hear Dr. Munjal’s interview the first time around, here is the link to listen to the recent interview Dr. Munjal gave to blogtalkradio Fire Engineering. Episode #642, entitled “Firemedically Speaking”, can be found here: http://www.blogtalkradio.com/fireengineeringtalkradio/2013/10/26/episode-642-firemedically-speaking

2. NYMIHA is proud to present the governing board in it’s entirety.
The governing board of the NYMIHA has been assembled and had its first meeting this month:

Kevin Munjal, MD, MPH – Founder
Contact: kevin.munjal@gmail.com

Committee Chairs

Michael Boyle – Chair, Public Relations Committee
Contact: processmethods@gmail.com

Timothy Egan – Chair, Legislative/Regulatory Committee
Contact: tegan@rocklandparamedics.org

Johnathan Washko – Chair, Financial Reform Committee.
Contact: jwashko@washkoassoc.com; jwashko@nshs.edu

Donell Harvins, MPH, MPA – Chair, Workforce & Education Committee
Contact: dharvin.nychealth@yahoo.com

Rami Rafeh – Chair, Health Information Technology Committee
Contact: rami.rafeh@gmail.com

AT-LARGE Board Members

Mike McEvoy – Member-At-Large
Contact: mcevoymike@aol.com

Michael Dailey – Member-At-Large
Contact:mwd101@gmail.com

Jeremy Cushman – Member-At-Large
Contact: jeremy_cushman@urmc.rochester.edu

Administrative Support

Hugh Chapin – NYMIHA Intern
Contact: hugh.chapin@gmail.com

Eunice Wright – Administrative Assistant
Contact: eunice.wright@mountsinai.org

Nadir Tan – Research Assistant
Contact: nadir.tan@mountsinai.org

3. The Approved Mission Statement

The below formalized Mission Statement was approved by the Board and will soon be posted on the website.

The Mission of the New York Mobile Integrated Healthcare Association (NYMIHA) is to improve the care provided to the people of New York by empowering New York’s EMS providers to play a larger, more integrated role within our healthcare system. We do this by fostering collaboration among advocates and practitioners of community paramedicine and mobile integrated healthcare in the State of New York and by advancing new models of out-of-hospital care, including elements to (1) make EMS more adaptive to changes in the healthcare system, (2) align EMS with the continuum of healthcare providers and resources, and (3) integrate EMS into the public health infrastructure.

4. IN THE NEWS

1. University of Kansas team with several private industry leaders to create the ‘Well Car’
http://medcitynews.com/2013/11/wellcar-kansas-ford-sprint-abbott-house-call-21st-century/

– Not exactly EMS, but we believe this speaks volumes about the need to find better ways to handle unscheduled acute care needs and the potential for EMS to transform into a mobile healthcare resource.

2. The ‘House Call’ Pilot Program by NorthStar ambulance service in Maine expands EMS roll to non-emergent visits.
http://www.jems.com/article/news/maine-ambulance-service-begins-house-cal

– Maine continues to be a leader in community paramedicine.

3. This article looks at the complex question of ‘how’ EMS providers would fit into changes in healthcare.
http://fitchassoc.com/wp-content/uploads/2013/12/BP_Dec2013_Re_Print.pdf

– Includes an extended quote from Dr. Munjal’s JAMA paper from February of 2013.

5. CP Literature & Resources

Mobile Integrated Healthcare Vision Statement

The National Association of EMT’s (NAEMT) is leading the way on a new consensus document / vision statement describing community paramedicine and mobile integrated healthcare. Other groups like NAEMSP (physicians) and AAA (American Ambulance Association) and many others appear likely to sign on. The NYMIHA Board has voted to sign on as well but we did provide some suggested changes to the document. See attached.

Happy Holidays from NYMIHA!! Here’s to making Mobile Integrated Healthcare a reality in 2014!!



October 23, 2013

NEW YORK MOBILE INTEGRATED HEALTHCARE ASSOCIATION – NYMIHA on the Radio!! Announcing Elected Chairs

1. Upcoming Interview of NYMIHA Founder with Fire Engineering Magazine on BlogTalkRadio.com!
2. Announcing Committee Chairs!!
3. TWO New Letters of Support!
4. Upcoming Events
5. In the News.
6. CP Resources & Literature

—-

1. FIRE ENGINEERING MAGAZINE INTERVIEW: Friday, October 25th 7:30P EST

Kevin Munjal, founder of NYMIHA, recently sat down to speak with the blog radio station for Fire Engineering Magazine. They will discuss our organization as well as the rapidly expanding field of Community Paramedicine in the United States. The interview will air on Friday, October 25th at 7:30 pm eastern time, so tune in!! The link is http://www.blogtalkradio.com/fireengineeringtalkradio

2. Announcing Committee Chairs

During the last round of Subcommittee Meetings, we elected Chairpersons for each of the five standing committee of the NYMIHA. We are pleased to introduce:

Michael Boyle – Chair, Public Relations Committee
Michael Boyle is a marketing and communications professional with nearly thirty years experience as a writer, editor, producer and group executive. He helped many organizations achieve a level of consistency with their public relations, stakeholder communications and branding. Currently, he is a management consultant specializing in change management, content creation, process improvement, creative technologies and digital publishing solutions for advertisers and marketers. Michael holds a B.A. degree in English Composition and Speech from Youngstown State University. He has been an Adjunct Instructor in the Advertising Department at the City University College of Technology in Brooklyn. His interest in Community Paramedicine is related to his work with other healthcare entities and several start-ups.
Contact: processmethods@gmail.com

Timothy Egan – Chair, Legislative/Regulatory Committee
Timothy Egan began his EMS career as a volunteer in Orange County, NY in 1983. He began working at Horton Memorial Hospital in Middletown as an EMT in 1986, and certified as a paramedic in 1988. He has worked for numerous EMS services throughout the Hudson Valley Region over the years. Currently, and for the past 23 years Tim works for Rockland Paramedic Services/Rockland Mobile Care as an Operations Chief and the IT Director. He worked his way up the ranks starting as a field paramedic in 1990. Tim served as a strike team leader in the Gulf Coast for Hurricanes Katrina (2005) and Gustav (2008) in Louisiana, and Hurricane Rita (2005) in Texas. He also serves on the Board of Directors of the United New York Ambulance Network. Currently Tim is the Chair-Elect, and will take over as Chairman of UNYAN in January.
Contact: tegan@rocklandparamedics.org

Johnathan Washko, BS-EMSA, NREMT-P, AEMD – Chair, Financial Reform Committee
Jonathan Washko as been involved in the EMS industry for over 27 years and has held progressive leadership position with small, medium and large EMS systems in government, private, for-profit and not-for-profit entities. Mr. Washko is considered the leading industry expert on EMS system design, High Performance EMS concepts, industry best practices, EMS Deployment, lean business processes, System Status Management and is often called upon by EMS systems in crisis as well as those considered at the top of their game, in order to help transform these organizations to become the best they can be.
Contact: jwashko@washkoassoc.com; jwashko@nshs.edu

Donell Harvin, MPH, MPA – Chair, Workforce & Education Committee
Donell Harvin is the Deputy Director for the NYC Medical Examiner’s Special Operations Division, an interdisciplinary team tasked with responding to incidents involving numerous fatalities and/or in complex fatality management scenarios in the tri-state region. He functions as the agency lead on disaster and emergency management-related planning and response and continuity of operations planning (COOP). He has a broad EMS and hazardous materials (HazMat) response background, having served as a NYC paramedic for over 18 years, as well as serving on HazMat response teams throughout NYC.
Contact: dharvin.nychealth@yahoo.com

Rami Rafeh – Chair, Health Information Technology Committee
Rami A. Rafeh is the founder of spott3r, a startup focused on paying its members who are actively exercising. Rami has worked as a colleague within the Worldwide Business Development & Innovation team at Pfizer based out of NYC. Rami’s has also worked at Medco, PCF (a New York Times affiliate company) and Hackensack University Medical Center. He is an expert and adjunct faculty at Columbia University in Health Information Technology and Health Information Management / Exchanges. Rami was awarded the Dr. Martin Luther King Jr. Civil Services Award for his work at HUMC, and is a Johns Hopkins University Center for Talented Youth alumnus.
Contact: rami.rafeh@gmail.com

Please congratulate our Chairs who will also serve on the board of NYMIHA.
If you are not currently on the e-mail list for one of these committees, you may reach out to the Chairpersons directly to become involved. You are always welcome to reach out to Kevin Munjal as well.

3. TWO NEW LETTERS OF SUPPORT!

We have recently received two new letters of support! (see attached) 1199 SEIU United Healthcare Workers East has 350,000 members that work in many facets of the healthcare community, including hospitals, nursing homes as well as homecare. Additionally, we are proud to include Continuum Medical Group among our supporters as we work together to improve out-of-hospital care and making Emergency Medical Services a more patient-centered faculty. We are happy to have their support! .

4. Upcoming Events

-NYMIHA – First Formal Board Meeting: November TBA
-General Body Meeting (with web call-in) – November/December TBA

5. In the News!!

Indiana University School of Medicine and Indianapolis EMS receive $900,000 HHS grant to control asthma through Community Paramedicine
Coming to California in Summer 2014: Community Paramedicine!
Affordable Care Act promoting use of technology to connect EMS, patients and doctors in real-time.

6. CP Literature & Resources

Kizer, KW. Shore, K and Moulin, A. “Community Paramedicine: A Promising Model for Integrating Emergency and Primary Care”. UC Davis. 2013. (see attached)

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this taskforce are to examine the potential legal, political and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.



September 19, 2013

NY MOBILE INTEGRATED HEALTHCARE ASSOCIATION (Formerly NY Community Paramedicine Task Force) – Elections of Committee Chairpersons

1. NAME CHANGE: Community Paramedicine —> Mobile Integrated Healthcare
2. Next Round Of Subcommittee Meetings – ELECTIONS OF CHAIRS
3. Successful Presentation at IAC – Mountain Lakes REMSCO Conference
4. Upcoming Events
5. In the News!!
6. Resource Documents

—-

1. WHAT’S IN A NAME?

Thank you to all those who voted. Based on your feedback, and subject to board approval, we are moving forward with changing the name of our organization to the NY MOBILE INTEGRATED HEALTHCARE ASSOCIATION. Special thanks to Michael Boyle and his colleagues for developing the logo and some promotional materials for the new (soon to be formal) organization.

2. Next Round Of Subcommittee Meetings – ELECTIONS OF CHAIRPERSONS

As an important step to establishing ourselves as a legal entity, at the next round of committee meetings to be held at the times listed below, we will be electing a chairperson for each committee who will also earn a 1 year term on the board. If you are interested in being chair, please submit your name via e-mail and try to attend the next meeting.

Each of our committees was formed and designed to address one or more of the major challenges in making community paramedicine (Defined as innovative models of out-of-hospital care) a reality in New York State.

Barrier –> Committee
Regulatory Environment —> Legal / Regulatory Committee
Financial Sustainability —-> Financial Reform Committee
Stakeholders / Politics —–> Public Relations Committee
Technological Capability / Information Sharing —> Health Information Technology Committee
Training / Education / Medical Oversight —> Workforce & Education Committee

Public Relations – Monday – Sept 30th, 3p-4p
Legal / Regulatory – Thursday – Sept 26th, 2p-3p
Financial Reform – Thursday, Sept 26th, 3p-4p
Health Information Technology – Tuesday, Sept 24th, 2p-3p
Workforce & Education – Thursday, Sept 26th 5p-6p

EVERYONE SHOULD TRY TO JOIN AT LEAST ONE OF THE COMMITTEE CONFERENCE CALLS TO HAVE A SAY IN THE DIRECTION AND NEXT STEPS OF THE NEW ORGANIZATION

3. Successful Presentation at IAC – Mountain Lakes REMSCO Conference

Several members of the organization attended the Mountain Lakes REMSCO Annual CME Conference called Initial Assessment Conference in beautiful Lake Placid this past weekend. Once again, thanks to Travis Howe and Doug Wildermuth and John Broderick for the invitation and for being such wonderful hosts.

We were able to speak to nearly 150 providers over the weekend and we were able to deliver a featured talk at the event. We recruited many new members to our organization (Welcome new members from the conference) and our message was well received over all.

We look forward to obtaining a formal letter of support from the Mountain Lakes REMAC / REMSCO.

4. Upcoming Events

-Presentation at 2013 UNYAN conference in Verona, NY – September 24th/25th
-SEMSCO Community Paramedicine TAG to meet at SEMAC / SEMSCO Meeting in Troy NY – October 2nd/3rd
-NYMIHA – First Formal Board Meeting end of October
-General Body Meeting (with web call-in) – first week in November

5. In the News!!

Idaho Government Funds CP Pilot for $200,000! PDF HERE

Indianapolis EMS Creates Community Outreach and Resource Efficiency (CORE) Care Team PDF HERE

Mobile Integrated Healthcare – Trying to Find a Seat at the Healthcare Table (Great article in EMS World – Updates us on latest trends) PDF HERE

6. Resource Documents!

Bigham et. al., Expanding Paramedic Scope of Practice in the Community: A systematic review of the literature. Prehosp Emerg Care. 2013 Jul-Sep;17(3):361-72.

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this taskforce are to examine the potential legal, political and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.



August 6, 2013

NY COMMUNITY PARAMEDICINE TASK FORCE

1. FEDS RELEASE DRAFT WHITE PAPER ON NEW EMS PAYMENT MODEL
2. PLEASE VOTE: TASK FORCE VS ASSOCIATION Vs Other
3. Minutes from STATEWIDE General Body Meeting – June 4th
4. Next Round Of Subcommittee Meetings – ELECTIONS OF CHAIRPERSON
5. Received New Letters of Support!!
6. Upcoming Events
7. Grant opportunity – CMMI – Healthcare Innovation Award – Due Aug 15.

1. FEDS RELEASE DRAFT WHITE PAPER ON NEW EMS PAYMENT MODEL

The Department of Health & Human Services in collaboration with the Department of Transportation released a draft white paper entitled “Innovation Opportunities for Emergency Medical Services” in which they estimate $600 Million in annual savings if EMS was to divert 15.7% of Medicare transports to alternative destinations or perform treat and release.

They are requesting feedback. It would be great if we could offer feedback together representing the entire NY Community Paramedicine Group. Please send in your comments and we will combine them into one cohesive response.

2. PLEASE VOTE: TASK FORCE VS ASSOCIATION Vs Other

We are inching closer to becoming a formal legal entity. Once we submit the paperwork, our name will be finalized. Many have said that we are more than a Task Force. Are we an association? Are we something else? Do we want to maintain the community paramedicine label? Please click on the following link to vote on our name and to suggest alternative names.

http://www.surveymonkey.com/s/25YSLH8

Thanks!!!

3. Minutes from STATEWIDE General Body Meeting – June 4th

We held a STATEWIDE General Body meeting on June 4th @ 10am at Mount Sinai Medical Center. It marked the fist time that we held a meeting with both in person and web based participants. I’m hoping that we are able to get more participation this way, particularly from those outside of NYC.

The meeting featured a presentation by Mike Ponticiello, VP of Susquehanna Regional EMS Council on an initiative to better integrate prehospital and inhospital information systems through the local RHIO.

The minutes are attached. Action Items are in bold, volunteers for different activities are underlined. Several activities are still yet to be claimed so please consider making a contribution of effort to the task force’s important work.

4. Next Round Of Subcommittee Meetings – ELECTIONS OF CHAIRPERSONS

Each of our committees was formed and designed to address one or more of the major challenges in making community paramedicine (Defined as innovative models of out-of-hospital care) a reality in New York State.

As an important step to establishing ourselves as a legal entity, at the next round of committee meetings to be held in early September, we will be electing a chairperson for each committee who will also sit on the board. If you are interesting in being chair, please submit your name via e-mail and try to attend the next meeting. You can send your availability and we will try to schedule the call around the candidates.

As always, all are welcome to join the calls, and we urgently need your involvement.

5. Received New Letters of Support!!

The Letter of Support Campaign is rolling along. We have recently received letters of support (attached) from:

We also have had several positive meetings with 1199 SEIU and we are expecting their formal support as well.

Please help us add your organization to the list. Thanks.

6. Upcoming Events

  • Presentation at 2013 UNYAN conference in September
  • Presentation at 2013 Initial Assessment Conference in Lake Placid in September

7. $1 Billion Grant opportunity – CMMI – Healthcare Innovation Award – Due Aug 15.

This has made my summer pretty busy and I hope some of you have also had positive discussions within your organizations about the opportunities to add value to our EMS systems. Please share with us brief descriptions of your proposals so that together we might learn from each other even if no NY EMS projects get funded.



May 31, 2013
NY COMMUNITY PARAMEDICINE TASK FORCE
1. STATEWIDE General Body Meeting – June 4th, 10am
2. Suffolk County REMAC Votes to Support Task Force!!
3. Focus Groups
4. Upcoming Events
5. Grant opportunity – CMMI – Healthcare Innovation Award – Due Aug 15

1. STATEWIDE GENERAL BODY MEETING – JUNE 4TH @ 10AM
Please try to attend our next STATEWIDE meeting on June 4th @ 10am at Mount Sinai Medical Center (3 East 101st, 2nd Floor Conference Room). It is encouraged for those that can attend in person to do so, but the meeting will be broadcast live via the link below and via conference call.

The meeting will feature:

  • Mike Ponticiello, VP of Susquehanna Regional EMS Council. He will give a presentation on an initiative to better integrate prehospital and inhospital information systems through the local RHIO.
  • Update on recent and upcoming task force activities
  • Progress reports from the various subcommittees.

The minutes from the last meeting are attached. Action Items are in bold, volunteers for different activities are underlined. Several activities are still yet to be claimed so please consider making a contribution of effort to the task force’s important work.

Here is the weblink and conference call information:

1. Please join the meeting, Tuesday, June 04, 2013 at 10:00 AM Eastern Daylight Time. https://global.gotomeeting.com/join/965732333
2. Use your microphone and speakers (VoIP) – a headset is recommended. Or, call in using your telephone.
Dial +1 (786) 358-5420
Access Code: 965-732-333
Audio PIN: Shown after joining the meeting
Meeting ID: 965-732-333

2. SUFFOLK COUNTY REMAC VOTES TO SUPPORT NY COMMUNITY PARAMEDICINE TASK FORCE!!!

A presentation was given at this week’s REMAC Meeting in Suffolk County where there was strong support for the efforts of the task force. A commitment was made to write a letter of support from the REMAC and several individual agencies voiced their intent to write a letter as well.

3 Regions Down, 15 to go!! Suffolk County now joins the NYC region and the Monroe-Livingston County region as formally supporting our efforts. Please add your region to the list! Request a presentation or simply make a motion at your next meeting.

A Letter of Support Template is Attached!!

3. FOCUS GROUPS (Please circulate flier)

Our Task Force has recognized the need to document and provide evidence that the EMS providers on the ground, some of whom have joined this task force, are in fact interested in expanded roles that may be significantly different from the adrenaline rush of a cardiac arrest or trauma call.

Therefore, we are conducting a series of focus groups on June 21st from 2p-4p and on July 2nd, from 1:30p-3:30p for prehospital providers that are not already part of the task force. A flyer is attached. We are offering a $25 incentive for participation. Please circulate the flier (NOT THE TASK FORCE EMAIL) to the EMS community including both ALS and BLS providers, paid and volunteer, 911 and interfacility.

The focus groups will be conducted by an experienced independent facilitator so that we can learn more about provider perspectives. The results of the focus groups will hopefully become part of an academic publication and may help generate new research questions or educational imperatives for the task force.

4. UPCOMING EVENTS

  • Presentation to 1199 union membership on June 6th
  • Focus Groups as mentioned above
  • Presentation at 2013 UNYAN conference in September
  • Presentation at 2013 Initial Assessment Conference in Lake Placid in September


5. EXTRAORDINARY $1 BILLION GRANT OPPORTUNITY:
CENTER FOR MEDICARE & MEDICAID INNOVATION (CMMI) – 2nd Round of HealthCare Innovation Challenge Awards.

As many of you know, the Affordable Care Act created a special office within CMS (Center for Medicare & Medicaid Services) to help fund innovative new ways to deliver and pay for healthcare. The last round of $1 Billion created a frenzy in the healthcare world and this next round is likely to do the same. See funding announcement attached

3 projects involving community paramedicine were funded in the first round. See attached. This next round they are particularly interested in applications that request a new payment scheme! This is something the EMS community has been advocating for years. Thus, Community Paramedicine (in particular, the branch of Patient-Centered Emergency Response) is well poised for this next round of grant opportunities.

Let’s try to think collaboratively about what kind of application we might be able to put together. Letters of Intent Due June 28th



March 26, 2013
NY COMMUNITY PARAMEDICINE TASK FORCE

1. Minutes from NYC REGIONAL MEETING – TUES, March 12th
2. Host a Meeting in Your Region!
3. IN THE NEWS!! – Healthcare Payers
4. CP Literature & Resources – Envisioning Community Parmedicine

Minutes from NYC Regional Task Force Meeting – Tuesday, March 12th

There was a task force meeting in the NYC Region earlier this month. We reviewed the recent round of subcommittee meetings and the various action items members are working on. The minutes are attached. Action Items are in bold, volunteers for different activities are underlined.

There are several action items not yet claimed and even those that are, you are more than welcome to help out with. Please review the minutes and reach out to me or those involved in a task to see how you can help.

Host a Meeting in Your Region!!

We are looking to encourage each of the existing 18 regions in NYS to hold “interest” meetings to recruit new members and organize efforts around making community paramedicine a reality in our state. Whether or not you are affiliated with the local REMAC/REMSCO, consider putting together a meeting at the local hospital, EMS station, or even at a town hall or community center.

The NY Community Paramedicine Task Force will be happy to send a representative, presentation materials and handouts, or to simply help promote the meeting as best as possible.

IN THE NEWS!!

We have repeatedly discussed the need to make payers in healthcare more aware of community paramedicine. Well, a sign of the progress our counterparts in other states have made can be seen in this article published in “Healthcare Payer News.”

http://www.healthcarepayernews.com/content/community-paramedicine-programs-offer-savings

CP Literature & Resources

Leaders from around the nation participated in a special meeting hosted at Medtronics World Headquarters this month describing some of the emerging consensus around what exactly community paramedicine is, what it can do, and how it can be measured. The attached article, also available at the link below, provides an excellent summary of the issues that we all face and characterizes the shared vision of leaders in the CP or Mobile Integrated Healthcare Movement.

http://www.jems.com/article/news/envisioning-community-paramedicine



February 10, 2013
NY COMMUNITY PARAMEDICINE TASK FORCE

1. MINUTES FROM STATEWIDE MEETING
2. PROPOSED ARTICLE 30 CHANGES
3. TIME TO GET BACK TO WORK —-> SUBCOMMITTEE MEETINGS IN FEBRUARY
4. HOMEWORK FOR ALL: REVIEW OUR CONCEPTUAL MODEL
5. CP Literature & Resources

Minutes From the First Statewide Task Force Meeting in Albany

In January, we held our first in-person Statewide Task Force Meeting in Albany the night before the SEMAC. We had a great discussion and were able to spread awareness of both community paramedicine and the efforts of our task force to EMS leaders from around the state. See the attached minutes.

Proposed Article 30 Changes

Once again, the governor and his administration is interested in making some changes to Article 30 that would consolidate some of the EMS Regions and combine EMS oversight with several other medical advisory committees at the State level. It is worth noting that the Director of the Bureau of EMS, Lee Burns, stated quite clearly during in her report to the SEMAC that their office was able to introduce some subtle word and phrasing changes that would enable some aspects of community paramedicine. This is remarkable not only because perhaps some of the “enabling language” we have been talking about may be included in this bill, but also because the Bureau of EMS is clearly aware of Community Paramedicine and perhaps this is a reflection of the work we have all been doing through this Task Force. See the attached draft changes and judge for yourself.

Time to Get Back To Work!!
Subcommittee Meetings to be held in February

There will not be an in-person NYC Regional TF Meeting after the next REMAC Meeting as has been the custom for the last year or more. Instead, those of you that have expressed an interest in actively participating in our group through individual efforts or subcommittee level work will be contacted over the next few weeks for smaller meetings.

Those of you who have not previously signed up for a subcommittee, please either e-mail me with your interest or go to our website at nycommunityparamedicine.org to learn more about the subcommittees and to register.

The Subcommittees are as follows:

Legislative Subcommittee – Research and explore legal and regulatory matters that pertain to community paramedicine. Plan and execute a strategy to overcome legal and regulatory barriers.

Financial Reform Subcommittee – Research and explore financial matters that pertain to the financial sustainability of community paramedicine activities. Plan and execute a strategy to overcome financial barriers to community paramedicine.

Public Relations Subcommittee – Spread awareness of community paramedicine and its benefits. Seek to engage with all major players in healthcare and plan and execute a strategy to win over stakeholders.

Health Information Technology Subcommittee – Research and explore technological opportunities and barriers that pertain to the effective implementation of community paramedicine including realtime bidirectional data exchange of medical records, telemedicine, and more.

HOMEWORK FOR ALL: Review and Revise Draft Conceptual Model for the NY CP TF’s Stakeholder Outreach Campaign

Please take a moment to review and help revise the conceptual model that we produced and revised at the January 15th NYC Regional Task Force Meeting. It’s purpose is to help task force members and others appreciate all the different stakeholders that we need to reach out to. Green boxes represent letters of support. Red boxes represent research or projects being conducted by task force members. Blue Boxes are groups who are engaged in the process. Ideally, we will turn the whole map blue and green in the near future. If there is a research or demonstration project you know of that is not included on this map, please recommend a place to put it. If there is a group or stakeholder we have left off, please add it. This is a working draft and we want everyone’s input.

Community Paramedicine Literature & Resources:

National Council of State Legislatures – Published a Report on Expanding the Role of First Responders. See attached or click on link.

Matt Zavadksy of Fort Worth, Medstar – Article in NAEMT News: “What Community Paramedicine Is and Why It’s The Future of Our Profession”



January 24, 2013
NY COMMUNITY PARAMEDICINE TASK FORCE

1. STATEWIDE MEETING IN ALBANY – Jan 28th 9PM
2. Minutes from REGIONAL NYC MEETING – Jan 15th
3. Homework for all: REVIEW OUR CONCEPT MAP
4. EMS Health Reform Webinar – Jan 30th 10:30AM
5. In the News! – Minnesota CP
5. CP Literature & Resources

Statewide Task Force Meeting in Albany – Monday, Jan 28th 9PM @ Hilton Garden Inn – Troy, NY

Taking advantage of the presence of many of our state EMS leaders at the SEMAC meeting to be held the next morning in Albany, we will be holding our first in-person Statewide Task Force Meeting at 9PM. The location for this meeting is still being finalized but will likely be in the Hilton Garden Inn in Troy NY, the same hotel that the SEMAC/SEMSCO meetings are held. The agenda will include a welcome and introduction of the task force to state leaders in EMS and new members, an update on the SEMAC Technical Advisory Group, and a planning session for how to best engage formally with the various state agencies and the legislature.

Minutes from Regional NYC Task Force Meeting – Tuesday, Jan 15th 7:30PM

The NYC Region held a regional task force meeting last week. A concept map was introduced helping to represent all the efforts of our campaign to spread awareness and gain support, but also to represent what a small fraction of stakeholders have yet been contacted. Minutes are attached.

HOMEWORK FOR ALL: Review and Revise Draft Concept Map

Please take a moment to review and help revise the concept map that we produced and revised at the January 15th NYC Regional Task Force Meeting. It’s purpose is to help task force members and others appreciate all the different stakeholders that we need to reach out to. Green boxes represent letters of support. Red boxes represent research or projects being conducted by task force members. Blue Boxes are groups who are engaged in the process. Ideally, we will turn the whole map blue and green in the near future. If there is a research or demonstration project you know of that is not included on this map, please recommend a place to put it. If there is a group or stakeholder we have left off, please add it. This is a working draft and we want everyone’s input.

EMS Health Reform Webinar – Wednesday, Jan 30th 10:30AM
Health Reform and EMS – What Are the Innovations Needed to Thrive?
The Affordable Care Act (ACA) is progressively being implemented throughout the country. More people will be insured but what will happen to reimbursement especially for EMS providers? Fee for service will be out and replaced by “value” compensation. What can the EMS industry expect?

Please join Matt Zavadsky the Public Affairs Director at MedStar Mobile Healthcare and Mike Williams of The Abaris Group as they discuss this important topic.

Use this link to register: https://www1.gotomeeting.com/register/388548856

In the News! – Minnesota Community Paramedicine

Minnesota has frequently been in the news for their rapidly evolving Community Paramedicine Program. Read the attached article or use URL below to read more.

http://www.ems1.com/community-awareness/articles/1394892-Minn-community-medics-trade-ambulances-for-sedans/

Community Paramedicine Literature & Resources:

EMS System Performance Based Payment – a commentary by Christopher Khan

Cost-Effectiveness Analysis of Providing Non-Emergency Medical Transport – Transportation Research Board of the National Academies


January 7, 2013

NY COMMUNITY PARAMEDICINE TASK FORCE

1. MINUTES FROM FIRST STATEWIDE TASK FORCE CONFERENCE CALL
2. REGIONAL NYC MEETING – Jan 15th
3. STATEWIDE MEETING IN ALBANY – Jan 28th 9PM
4. Letter of Support Campaign Cruising Along- 3 New Letters!!!
5. In the news!
6. CP Literature

Minutes From the First Statewide Task Force Conference Call

After much anticipation, we held our first statewide conference call on December 6th featuring presentations from Jonathan Washko, Assistant V.P. of NSLIJ – Center for EMS and Jonathan Smith, Operations Director for Brighton Volunteer Ambulance. It was a great discussion and a lot of interesting insights were shared from upstate and downstate. The minutes are attached.

Regional NYC Task Force Meeting – Tuesday, Jan 15th 7:30PM

As has been custom, the NYC Region will hold a task force meeting following the conclusion of the REMAC meeting at the Interchurch Center at 475 Riverside Drive, 1st Floor. The agenda will include an update on recent events and a planning session for upcoming engagements with important stakeholders.

Statewide Task Force Meeting in Albany – Monday, Jan 28th 9PM

Taking advantage of the presence of many of our state EMS leaders at the SEMAC meeting to be held the next morning in Albany, we will be holding our first in-person Statewide Task Force Meeting at 9PM. The location for this meeting is still being finalized. The agenda will include an update on the SEMAC Technical Advisory Group, progress from the task force, and a planning session for how to best engage formally with the various state agencies and the legislature.

Letter of Support Campaign Cruising Along- 3 New Letters!!!

It is with great pride that I am pleased to announce that we have received 3 new letters of support in recent weeks. We would like to sincerely thank everyone who worked to make this campaign a success.

Letters were received from:

North Shore-LIJ Center for EMS

Healthix (Regional Health Information Organization)

SUNY Downstate and the Brooklyn Healthcare Improvement Project

By providing us with these letters, these organizations have helped demonstrate the overwhelming groundswell of support that exists for the community paramedicine concept. Please continue the movement by seeking out support from your organization.

IN THE NEWS!!

NEVADA CONTINUES MARCH TOWARD COMMUNITY PARAMEDICINE IMPLEMENTATION

Humboldt County has more than once been in the news for their progressive approach to EMS. Here is the latest article in the press about them.

http://silverpinyon.com/features/56-miscellaneous/2819-hgh-ems

Tampa Bay, Florida Stuggles With Increased Call Volume; May Consider Community Paramedicine

http://www.tampabay.com/news/localgovernment/pinellas-county-seeks-to-scale-back-response-on-less-urgent-ems-calls/1265116

Community Paramedicine Literature & Resources:

Canadian Report on Community Paramedicine

EMS Chiefs of Canada (EMSCC) has in 2012 released a report on Community Paramedicine which provides a significant amount of new information and evidence to support Community Paramedicine concepts. Here is an excerpt:

“The “Ageing at Home” initiative, involving the County of Renfrew Paramedic Service and their community partners, is an example of a Community Paramedicine program that has reduced hospitalizations. In a 16-month period, of the patients assessed by Paramedic and Personal Support Workers, only 34% required transportation to an emergency department and subsequent admission to hospital.”

Report is attached.



December 6, 2012

1. FIRST STATEWIDE TASK FORCE CONFERENCE CALL – Today, December 6th at 7PM
2. CP Literature Update

FIRST STATEWIDE TASK FORCE CONFERENCE CALL – Today, December 6th from 7PM-8:30PM

After much long awaited anticipation, we have organized the first ever Statewide NY Community Paramedicine Task Force Conference Call. We will have two short presentations from two of our state’s most outspoken champions of the community paramedicine movement:

Jonathan Washko, BS-EMSA, NREMT-, EMD
Assistant Vice President for CEMS Operations
North Shore – LIJ Health System

Jonathan Smith
Director of Operations
Brighton Volunteer Ambulance

The presentations will be followed by a few comments about the role of the task force and future directions, progress around the state and the nation, and then an open discussion.

The call-in information is:
Dial in #: (213)
Access Code:

Please join us for this important event as we embark on the the next chapter in our journey to make Community Paramedicine a reality in New York State! Invite others who might be interested, but also others whose support you will need locally to implement change or those whose support the task force will need to make change at the state level.

You can view and subscribe to the task force calendar on our website at www.nycommunityparamedicine.org or by clicking on the following link:
https://www.google.com/calendar/embed?src=20u1pg4jb1ig0qckfmk3444j74%40group.calendar.google.com&ctz=America/New_York

Community Paramedicine Literature

As Community Paramedicine is still in its infancy, it is sometimes hard to find good sources of information or academic literature on the subject. Thus, we are compiling a variety of great resource documents on our website.

Here is a report from NEMSAC on Performance Based EMS Reimbursement, and 2 commentaries on in Annals of Emergency Medicine
NEMSAC Performance Based EMS Reimbursement.pdf (application/pdf) 485K
AEM-Comentary on NHTSA Notes on Performmance Based EMS.pdf (application/pdf) 52K
AEM-NHTSA Notes on Performmance Based EMS.pdf (application/pdf) 50K

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this task force are to examine the potential legal, political and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.



November 30, 2012

NY COMMUNITY PARAMEDICINE TASK FORCE

1. TASK FORCE TURNS ONE; MATURES INTO A STATEWIDE EFFORT
2. FIRST STATEWIDE TASK FORCE CONFERENCE CALL – December 6th at 7PM
3. Task Force Presented to NY ACEP
4. Letter of Support Campaign Continues
5. Refer Colleagues, Friends, and others to the WEBSITE! – New Posts all the time
6. In the news!
7. CP Literature

Hello everyone,

This December, the NY Community Paramedicine Task Force (formerly an NYC task force) turns one year old. What a year it has been. Together we have managed to gather over 100 interested members from around the state, collect letters of support from 5 organizations, produce an impressive legislative document review, launch a website, and present to a wide range of stakeholders. However, there is so much more work to do and the process of producing real change is just getting started. As we transition into becoming a statewide organization, let us not only continue our previous efforts, but also take a moment to reset, recharge, and embark on the next step in the journey with even more passion, commitment and hard work as ever before. If you have so far been only peripherally involved, please take this opportunity to renew your commitment to improving the relationship between prehospital care and the rest of the public health and healthcare delivery systems to improve the overall patient experience while helping to lower the cost of healthcare.

FIRST STATEWIDE TASK FORCE CONFERENCE CALL – December 6th from 7PM-8:30PM

After much long awaited anticipation, we have organized the first ever Statewide NY Community Paramedicine Task Force Conference Call. We will have two short presentations from two of our state’s most outspoken champions of the community paramedicine movement:

Jonathan Washko, BS-EMSA, NREMT-, EMD
Assistant Vice President for CEMS Operations
North Shore – LIJ Health System

Jonathan Smith
Director of Operations
Brighton Volunteer Ambulance

The presentations will be followed by a few comments about the role of the task force and future directions, progress around the state and the nation, and then an open discussion.

The call-in information is:
Dial in #: (213)
Access Code:

Please join us for this important event as we embark on the the next chapter in our journey to make Community Paramedicine a reality in New York State! Invite others who might be interested, but also others whose support you will need locally to implement change or those whose support the task force will need to make change at the state level.

You can view and subscribe to the task force calendar on our website at www.nycommunityparamedicine.org or by clicking on the following link:

https://www.google.com/calendar/embed?src=20u1pg4jb1ig0qckfmk3444j74%40group.calendar.google.com&ctz=America/New_York

Presentation to NY Chapter of American College of Emergency Physicians (NY-ACEP)

Members of the task force discussed the concept of community paramedicine, the relationship with healthcare reform, and the overall strategy of our organization with members of the EMS committee from NY ACEP on Thursday, November 15th. The discussion was overwhelmingly positive and we were able to recruit new members to the task force. We are also working toward obtaining formal support from the organization.

Letter of Support Campaign Continues

The Letter of Support Campaign is at the heart of what the task force is all about. As we continue to engage with all of the various players in the healthcare arena, it is critical that we not only inform and educate them about the community paramedicine movement but also document their support. This month, we have made a presentation to members of the EMS committee of the NY Chapter of the American College of Emergency Physicians. It was very well received, and Dr. Jeremy Cushman, member of our task force and chair of the committee has drafted a really great letter of support that is under review by NY ACEP’s leadership. We also have engaged with Mount Sinai Medical Center, The Brooklyn HealthCare Improvement Project, Hatzolah, and members of the Nassau and Suffolk REMAC’s. Hopefully letters from these organization will be received soon.

Refer a Friend or Colleague to our Website!

The website is the public face of our organization and has a vast and growing amount of information about community paramedicine both here in NYS and about what’s happening around the country. Please engage with your colleagues, friends, and other members of the healthcare community about what community paramedicine is and why it is important for our patients.

The address again is www.nycommunityparamedicine.org

IN THE NEWS!

Colorado Fire Stations to Open Health Clinics

http://www.gazette.com/articles/fire-147682-station-calls.html

Community Paramedicine Literature

As Community Paramedicine is still in its infancy, it is sometimes hard to find good sources of information or academic literature on the subject. Thus, we are compiling a variety of great resource documents on our website. Here is a gem of a report I just came across that reviews a wide variety of literature supporting the value that EMS brings to the table and the potential for DOWNSTREAM COST SAVINGS by implementing alternatives to transport for minor complaints.

EMS Makes A Difference – nemsac-dec2009.pdf (application/pdf) 240K

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this task force are to examine the potential legal, political and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.



November 5, 2012

NY COMMUNITY PARAMEDICINE TASK FORCE

1. NYC Regional Meeting – November 6th – CANCELLED (REMAC cancelled due to recovery effort from Hurricane)
2. SEMSCO Community Paramedicine TAG Created!
3. Letter of Support Campaign Continues – TransCare letter received
4. THE WEBSITE IS UP! – New Posts all the time
5. In the news!

UPCOMING MEETINGS

Due to the aftermath of the storm, the planned NYC Regional CP Task Force Meeting for November 6th, has been cancelled.

We will plan the first Statewide Conference Call in the next few weeks. Please stay tuned.

You can view and subscribe to the task force calendar on our website at www.nycommunityparamedicine.org or by clicking on the following link:

https://www.google.com/calendar/embed?src=20u1pg4jb1ig0qckfmk3444j74%40group.calendar.google.com&ctz=America/New_York

SEMSCO Community Paramedicine TAG Created

As you all know, our colleague Steven Kroll of the Hospital Association of New York State (HANYS) has been selected to chair a Technical Advisory Group (TAG) that will deliver a report to the SEMSCO about some of the feasibility and regulatory issues around Community Paramedicine. This is a huge step forward for our cause! A memo was circulated outlining the timeline and goals of the TAG. Go to our website to see the entire content of the memo.

LETTER OF SUPPORT CAMPAIGN CONTINUES — TransCare letter received

As most of you know, we have developed a fairly non-committal letter of support template (attached) that we are hoping to circulate to leadership of prehospital care agencies, hospital systems and departments within those systems, and other organizations in New York State. These letters will help us demonstrate a wide community of support that will be critical to gain the support of leaders in Albany.

Recently, TransCare came through to provide our organization with a really great letter of support (attached). This is our 5th letter and momentum is building. Please consider discussing with the leadership of your department or organization the possibility of providing the task force with a letter of support. Feel free to circulate the template to colleagues in other organizations that might be interested in our initiative.

I also need volunteers to send letters on behalf of the task force to various organizations.

WEBSITE IS UP – NEW POSTS UPLOADED ALL THE TIME nycommunityparamedicine.org

With the help of Jason Friesen and Christian Broadbent, we have created a website to help promote our ideas and our vision to the broader community and serve as a tool for all of us to keep better informed about what is going on both here in NY and throughout the nation about community paramedicine. Please refer people interested in the group or who want to learn more about community paramedicine to the website. Also, to get our webpage higher up on search engines, we need everyone to try to place links on the website from as many other websites as possible.

It is still a work in progress so if you are willing to help out, please reach out to me. There is still a lot of content to load and a lot to organize, so all help is welcome. Thanks.

IN THE NEWS!

Sutton County Texas introduces Community Paramedicine Program
http://www.prweb.com/releases/2012/10/prweb10023265.htm

PDF HERE

Collaboration Will Be Key in Success of Community Paramedicine
This article highlights the discussions that occurred at last month’s National Consensus Conference on Community Paramedicine
http://www.jems.com/article/administration-and-leadership/collaboration-will-be-key-community-para

PDF HERE

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this task force are to examine the potential legal, political and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.



October 8, 2012

NY COMMUNITY PARAMEDICINE TASK FORCE: STATEWIDE General Body Conference Call

1. General Body Conference Call – October 9th
2. SEMSCO Community Paramedicine TAG Created!
3. Updates from the National Community Paramedicine Consensus Conference
4. Letter of Support Campaign Continues – UNYAN letter received
5. THE WEBSITE IS UP! – New Posts all the time

—-

1. STATEWIDE General Body Conference Call – October 9th, 7:30 PM

In light of the NYC REMAC Meeting being cancelled, we will change our meeting to a conference call and invite all of our members from across the state to join in the conversation.

Agenda:
1. Updates from National Consensus Conference
2. Updates from SEMAC / SEMSCO
3. Letter of Support Campaign
4. Open Discussion
5. Next Steps

The Call-in Information is as follows:
Dial in #: (213)
Access Code:

2. SEMSCO Community Paramedicine TAG Created

As you all know, our colleague Steven Kroll of the Hospital Association of New York State (HANYS) has been selected to chair a Technical Advisory Group (TAG) that will deliver a report to the SEMSCO about some of the feasibility and regulatory issues around Community Paramedicine. This is a huge step forward for our cause! A memo was circulated outlining the timeline and goals of the TAG. Go to our website to see the entire content of the memo.

3. UPDATES FROM THE NATIONAL COMMUNITY PARAMEDICINE CONSENSUS CONFERENCE

This week in Atlanta, a meeting was held, funded by a grant from AHRQ, to help gather leaders from around the country to discuss the future of community paramedicine. A large amount of time and effort was spent discussing the reimbursement models, the legal and regulatory infrastructure, education requirements, and different models of care. There was about 50% representation from rural models, and 50% from urban models (or those like us seeking to develop programs). There was quite a debate about the need to create common language and definitions without squelching innovation and customization of programs to local needs. There will be a full report published in the future but for the time being, you can access the handouts and video from the conference at our website.

4. LETTER OF SUPPORT CAMPAIGN CONTINUES — UNYAN letter arrived

As most of you know, we have developed a fairly non-committal letter of support template (attached) that we are hoping to circulate to leadership of prehospital care agencies, hospital systems and departments within those systems, and other organizations in New York State. These letters will help us demonstrate a wide community of support that will be critical to gain the support of leaders in Albany.

Recently, the United New York Ambulance Network (UNYAN) came through to provide our organization with a really great letter of support (attached). Momentum is building. Please consider discussing with the leadership of your department or organization the possibility of providing the task force with a letter of support. Feel free to circulate the template to colleagues in other organizations that might be interested in our initiative.

I also need volunteers to send letters on behalf of the task force to various organizations.

5. WEBSITE IS UP – NEW POSTS UPLOADED ALL THE TIME www.nycommunityparamedicine.org

Special thanks are due to Jason Friesen and Christian Broadbent for their time and money contributed to the organization to help create a website to help promote our ideas and our vision to the broader community and serve as a tool for all of us to keep better informed about what is going on both here in NY and throughout the nation about community paramedicine. Please begin referring people interested in the group or who want to learn more about community paramedicine to the website. Also, to get our webpage higher up on search engines, we need everyone to try to place links on the website from as many other websites as possible.

It is still a work in progress so if you are willing to help out, please reach out to me. There is still a lot of content to load and a lot to organize, so all help is welcome. Thanks.

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this taskforce are to examine the potential legal, political and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.



October 2, 2012

NY COMMUNITY PARAMEDICINE TASK FORCE: The Website is Up!!

1. THE WEBSITE IS UP!
2. HOSPITAL READMISSIONS DATA NOW AVAILABLE
3. General Body Meeting – October 9th
4. New Initiative – Engaging Health IT Community

—-

WEBSITE NOW UP nycommunityparamedicine.org

Special thanks are due to Jason Friesen and Christian Broadbent for their time and money contributed to the organization to help create a website to help promote our ideas and our vision to the broader community and serve as a tool for all of us to keep better informed about what is going on both here in NY and throughout the nation about community paramedicine. Please begin referring people interested in the group or who want to learn more about community paramedicine to the website.

It is still a work in progress so if you are willing to help out, please reach out to me. There is still a lot of content to load and a lot to organize, so all help is welcome. Thanks.

MEDICARE HOSPITAL READMISSIONS REDUCTION PROGRAM

Medicare recently released information on the penalties that hospitals throughout the country are going to face starting January 1st if they are over the established thresholds on readmissions. Every hospital in New York State is listed. Please see the attached document to find out your hospital’s rate of penalty. Hospital Administrators everywhere are trying to figure out how to get avoid this penalty. Now is a great time to contact your administrator and make sure they realize that community paramedicine and an integrated prehospital care strategy can be a part of the solution.

STATEWIDE EFFORT

Let’s start our membership and organizational recruitment drives now. If you know someone or an organization from around the state that would be interested in what we are trying to do, please reach out to them and refer them back to our organization.

UPCOMING EVENTS

NYC General Body Meeting – October 9th, 7:30 PM after the NYC REMAC Meeting.

All other regions are encouraged to hold task force meetings or organize community paramedicine presentations or committees after their Regional EMS Meetings. I have been in touch with several and will post information if any presentations or task force meetings are confirmed.

SEMAC / SEMSCO Meeting – October 3rd / 4th. I’m hoping that Task Force members from around the state will seek every opportunity to promote the community paramedicine idea and recruit new members and active participation in the movement.

NEW INITIATIVE – Engaging the Health IT Community

Inspired by the article written by our own Paul Barbara of NSLIJ Staten Island University (see Empire Epic page 3 attached), our taskforce has decided to attempt to better engage the Health IT community about the potential benefits to the healthcare system of enhanced clinical and technological integration between prehospital care systems and the broader medical community.

The goals will be to engage with SHIN-NY and the various Regional Health Information Organizations (RHIO’s) around the state, as well as meet with Health IT firms developing EMS facing or hospital facing software.

Anyone interested in participating in this exciting new initiative should reach out to Dr. Barbara at pjbarbara@me.com and please cc me on the e-mail.

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this taskforce are to examine the potential legal, political and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.



September 23, 2012

NY COMMUNITY PARAMEDICINE TASK FORCE: Task Force Goes Statewide

1. Task Force Goes Statewide
2. Letter of Support Campaign Continues with UNYAN letter pending
— Please Get Your Organization On Board!
3. B-HIP (Brooklyn Healthcare Improvement Project) – Possible Synergies with Community Paramedicine
4. General Body Meeting – October 9th
5. Website Launch —-> October 1st
6. New Initiative – Engaging Health IT Community
7. In the News: 2nd Class of Community Paramedics Underway in Minnesota
National Consensus Conference – Atlanta – October 1st and 2nd

Hi Everyone,
I hope you all had a great summer. Sorry for the long gap between newsletters. Please read on below for a lot of exciting updates on our group’s initiatives.

—-

TASK FORCE GOES STATEWIDE

Our organization has been far more successful than any of us could have anticipated. We have gotten attention from key individuals and organizations in both the city as well as the state. It has become increasingly apparent that in order to continue moving forward, our organization needs to look beyond the NYC borders and the vision for community paramedicine in the urban environment, and work with others around the state and region, to help enable our vision. Thus, at our last round of committee conference calls, we discussed in great detail the role of the task force and how we could adapt to being a statewide organization. Despite some notable challenges, we decided to press on with great enthusiasm. Thus, over the next few months, we will transition to becoming a state focused entity – the NY (not NYC) Community Paramedicine Task Force.

Let’s start our membership and organizational recruitment drives now. If you know someone or an organization from around the state that would be interested in what we are trying to do, please reach out to them and refer them back to our organization.

LETTER OF SUPPORT CAMPAIGN CONTINUES — UNYAN & B-HIP letters pending

As most of you know, we have developed a fairly non-committal letter of support template (attached) that we are hoping to circulate to leadership of prehospital care agencies, hospital systems and departments within those systems, and other organizations in New York State. These letters will help us demonstrate a wide community of support that will be critical to gain the support of leaders in Albany.

Recently, both the United New York Ambulance Network (UNYAN) and the Brooklyn Healthcare Improvement Project (B-HIP) Alliance agreed to provide our organization with letters of support. Momentum is building. Please consider discussing with the leadership of your department or organization the possibility of providing the task force with a letter of support. Feel free to circulate the template to colleagues in other organizations that might be interested in our initiative.

I also need volunteers to send letters on behalf of the task force to various organizations.

BROOKLYN HEALTH IMPROVEMENT PROJECT (B-HIP) REPORT (attached)

The B-HIP report, recently published by a consortium of 6 hospitals, 9 local insurers, and several federally qualified health clinics (FQHC’s), and made possible by a NYS HEAL grant, provides an in-depth look and extensive analysis into the gaps in healthcare that exist in Northern Brooklyn that result in poor health outcomes and high costs of care. I believe that there is a lot of overlap between the observations, conclusions, and recommendations in the report with what our task force is trying to achieve by breaking down barriers to community paramedicine. I had the pleasure of meeting with the group’s Principal Investigator, Grace Wong of SUNY Downstate, last week and am looking forward to a productive relationship with the B-HIP alliance.

UPCOMING EVENTS

NYC General Body Meeting – October 9th, 7:30 PM after the NYC REMAC Meeting.

All other regions are encouraged to hold task force meetings or organize community paramedicine presentations or committees after their Regional EMS Meetings. I have been in touch with several and will post information if any presentations or task force meetings are confirmed.

SEMAC / SEMSCO Meeting – October 3rd / 4th. I’m hoping that Task Force members from around the state will seek every opportunity to promote the community paramedicine idea and recruit new members and active participation in the movement.

National Consensus Conference on Community Paramedicine – October 1-2, 2012 in Atlanta.

https://groups.google.com/forum/?fromgroups=#!topic/nemsma/zaRG1cb_Eiw

Agenda Attached.

WEBSITE TO BE LAUNCHED —- > OCTOBER 1st

Special thanks are due to Jason Friesen and Christian Broadbent for their time and money contributed to the organization to help create a website to help promote our ideas and our vision to the broader community and serve as a tool for all of us to keep better informed about what is going on both here in NY and throughout the nation about community paramedicine. If you would like to take an early look at what we are working on or willing to help out getting it ready in time for the SEMAC/SEMSCO Meeting in early October, please reach out to me for both the current web address and administrative access. There is a lot of content to load and a lot to organize, so all help is welcome. Thanks.

NEW INITIATIVE – Engaging the Health IT Community

Inspired by the article written by our own Paul Barbara of NSLIJ Staten Island University (see Empire Epic page 3 attached), our task force has decided to attempt to better engage the Health IT community about the potential benefits to the healthcare system of enhanced clinical and technological integration between prehospital care systems and the broader medical community.

The goals will be to engage with SHIN-NY and the various Regional Health Information Organizations (RHIO’s) around the state, as well as meet with Health IT firms developing EMS facing or hospital facing software.

Anyone interested in participating in this exciting new initiative should reach out to Dr. Barbara at pjbarbara@me.com and please cc me on the e-mail.

IN THE NEWS!!!

2nd Class of Minnesota Community Paramedic Program Began Training in August
http://minnesota.publicradio.org/display/web/2012/09/10/regional/community-paramedics/

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this taskforce are to examine the potential legal, political and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.



August 21, 2012

NY COMMUNITY PARAMEDICINE TASK FORCE: We ARE Moving Beyond NYC!

1. Task Force Goes Statewide
2. Letter of Support Campaign Continues with UNYAN letter pending
— Please Get Your Organization On Board!
3. B-HIP (Brooklyn Healthcare Improvement Project) – Possible Synergies with Community Paramedicine
4. General Body Meeting – October 9th
5. Website Launch —-> October 1st
6. New Initiative – Engaging Health IT Community
7. In the News: 2nd Class of Community Paramedics Underway in Minnesota
National Consensus Conference – Atlanta – October 1st and 2nd

Hi Everyone,
I hope you all had a great summer. Sorry for the long gap between newsletters. Please read on below for a lot of exciting updates on our group’s initiatives.

—-

TASK FORCE GOES STATEWIDE

Our organization has been far more successful than any of us could have anticipated. We have gotten attention from key individuals and organizations in both the city as well as the state. It has become increasingly apparent that in order to continue moving forward, our organization needs to look beyond the NYC borders and the vision for community paramedicine in the urban environment, and work with others around the state and region, to help enable our vision. Thus, at our last round of committee conference calls, we discussed in great detail the role of the task force and how we could adapt to being a statewide organization. Despite some notable challenges, we decided to press on with great enthusiasm. Thus, over the next few months, we will transition to becoming a state focused entity – the NY (not NYC) Community Paramedicine Task Force.

Let’s start our membership and organizational recruitment drives now. If you know someone or an organization from around the state that would be interested in what we are trying to do, please reach out to them and refer them back to our organization.

LETTER OF SUPPORT CAMPAIGN CONTINUES — UNYAN & B-HIP letters pending

As most of you know, we have developed a fairly non-committal letter of support template (attached) that we are hoping to circulate to leadership of prehospital care agencies, hospital systems and departments within those systems, and other organizations in New York State. These letters will help us demonstrate a wide community of support that will be critical to gain the support of leaders in Albany.

Recently, both the United New York Ambulance Network (UNYAN) and the Brooklyn Healthcare Improvement Project (B-HIP) Alliance agreed to provide our organization with letters of support. Momentum is building. Please consider discussing with the leadership of your department or organization the possibility of providing the task force with a letter of support. Feel free to circulate the template to colleagues in other organizations that might be interested in our initiative.

I also need volunteers to send letters on behalf of the task force to various organizations.

BROOKLYN HEALTH IMPROVEMENT PROJECT (B-HIP) REPORT (attached)

The B-HIP report, recently published by a consortium of 6 hospitals, 9 local insurers, and several federally qualified health clinics (FQHC’s), and made possible by a NYS HEAL grant, provides an in-depth look and extensive analysis into the gaps in healthcare that exist in Northern Brooklyn that result in poor health outcomes and high costs of care. I believe that there is a lot of overlap between the observations, conclusions, and recommendations in the report with what our task force is trying to achieve by breaking down barriers to community paramedicine. I had the pleasure of meeting with the group’s Principal Investigator, Grace Wong of SUNY Downstate, last week and am looking forward to a productive relationship with the B-HIP alliance.

UPCOMING EVENTS

NYC General Body Meeting – October 9th, 7:30 PM after the NYC REMAC Meeting.

All other regions are encouraged to hold task force meetings or organize community paramedicine presentations or committees after their Regional EMS Meetings. I have been in touch with several and will post information if any presentations or task force meetings are confirmed.

SEMAC / SEMSCO Meeting – October 3rd / 4th. I’m hoping that Task Force members from around the state will seek every opportunity to promote the community paramedicine idea and recruit new members and active participation in the movement.

National Consensus Conference on Community Paramedicine – October 1-2, 2012 in Atlanta.

https://groups.google.com/forum/?fromgroups=#!topic/nemsma/zaRG1cb_Eiw

Agenda Attached.

WEBSITE TO BE LAUNCHED —- > OCTOBER 1st

Special thanks are due to Jason Friesen and Christian Broadbent for their time and money contributed to the organization to help create a website to help promote our ideas and our vision to the broader community and serve as a tool for all of us to keep better informed about what is going on both here in NY and throughout the nation about community paramedicine. If you would like to take an early look at what we are working on or willing to help out getting it ready in time for the SEMAC/SEMSCO Meeting in early October, please reach out to me for both the current web address and administrative access. There is a lot of content to load and a lot to organize, so all help is welcome. Thanks.

NEW INITIATIVE – Engaging the Health IT Community

Inspired by the article written by our own Paul Barbara of NSLIJ Staten Island University (see Empire Epic page 3 attached), our task force has decided to attempt to better engage the Health IT community about the potential benefits to the healthcare system of enhanced clinical and technological integration between prehospital care systems and the broader medical community.

The goals will be to engage with SHIN-NY and the various Regional Health Information Organizations (RHIO’s) around the state, as well as meet with Health IT firms developing EMS facing or hospital facing software.

Anyone interested in participating in this exciting new initiative should reach out to Dr. Barbara at pjbarbara@me.com and please cc me on the e-mail.

IN THE NEWS!!!

2nd Class of Minnesota Community Paramedic Program Began Training in August
http://minnesota.publicradio.org/display/web/2012/09/10/regional/community-paramedics/

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this taskforce are to examine the potential legal, political and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.


NYC COMMUNITY PARAMEDICINE TASK FORCE – Moving Beyond NYC

1. Moving Beyond NYC
2. Letter of Support Campaign Rolling Along
— Please Get Your Organization On Board!
3. Follow up on Webinar on Role of Advanced Paramedic to reduce ED Overcrowding
4. Subcommittee Meetings
5. In the News: “Unparalleled Opportunity for EMS” / Routine Order Forms Already?

MOVING BEYOND NYC

Our organization has been far more successful than any of us could have anticipated. We have gotten attention from key individuals and organizations in both the city as well as the state. However, it has become increasingly apparent that in order to continue moving forward, our organization needs to look beyond the NYC borders and the vision for community paramedicine in the urban environment, and work with others around the state and region, to help enable our vision. Thus, others have proposed, and I agreed, that over the next few months, we transition to a state focused entity – the NY (not NYC) Community Paramedicine Task Force.

All are invited to offer comments and recommendations as to how we should proceed in regards to including others around the state while maintaining a focus on implementing community paramedicine here in NYC.

LETTER OF SUPPORT CAMPAIGN – GET YOUR ORGANIZATION ON BOARD

Thanks to Beyond Lucid Technologies, for providing the Task Force’s third official letter of support. As most of you know, we have developed a fairly non-committal letter of support template (attached) that we are hoping to circulate to leadership of prehospital care agencies, hospital systems and departments within those systems, and other organizations both within and beyond the borders of NYC. These letters will help us demonstrate a wide community of support that will be critical to gain the support of leaders in Albany.

Please consider discussing with the leadership of your department or organization the possibility of providing the task force with a letter of support. Feel free to circulate the template to colleagues in other organizations that might be interested in our initiative.

I also need volunteers to send letters on behalf of the task force to various organizations.

FOLLOW UP ON URGENT MATTERS: ADVANCE PRACTICE PARAMEDIC WEBINAR

Thanks to the several members of the task force who provided feedback on the webinar hosted last week by the RWJ Foundation’s Urgent Matters Web Forum. For those that missed it, they focused on a specific model significantly different from what our task force has typically focused on. Whereas they described a dedicated expanded scope paramedic supplementing the system, most of our conversations have been about expanding the role of EMS with their existing training level and skill set. Nevertheless, it was well presented and informative, and likely helped improve awareness about the possibilities of changing the way prehospital care resources are used in our society. The slides from the talk are attached.

SUBCOMMITTEE MEETINGS

Since there is no general body meeting this month, all of you, whether you are new to the group or not, are strongly encouraged to join us for tomorrow’s conference calls.

Public Relations Committee– Wed, Aug 22nd at 2pm

Agenda
1.Recap of PR efforts thus far
2.Follow up on GNYHA meeting
3.Letter Writing Campaign
4.Follow up on plan to engage NYC DOH, NYS DOH, and NYS BEMS
5.Focus Groups
6.New Initiatives

Financial Reform Committee– Wed, Aug 22nd at 2:30pm

Agenda
1.Progress Report on Policy Articles
2.Progress Report on specific fee schedule reform recommendations
3.Recruitment of additional subject matter experts

The call in information for both calls is as follows:

Dial in #: (213) 417-9250
Access Code: 803940#

“UNPARALLELED OPPORTUNITY FOR EMS”

Well written article in JEMS describes health reform as an “unparalleled opportunity for EMS” to become more integrated into healthcare and provides a “fertile environment for the community paramedic.” See the link below for the full article.
http://www.jems.com/article/ems-insider/healthcare-reform-seen-unparalleled-oppo

COMMUNITY PARAMEDIC HOME VISIT ORDER FORM ???

When did Community Paramedicine become routine? Check out this order form that a doctor in Sutton County, Texas can fill out to arrange for a Community Paramedic to check on his patient.
http://www.sonora-hospital.org/docs/Community_Paramedic_Patient_Order_Form.pdf

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this taskforce are to examine the potential legal, political and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.



August 13, 2012

NYC COMMUNITY PARAMEDICINE TASK FORCE – Moving Beyond NYC??

1.Moving Forward
2. Letter of Support Campaign — Please Get Your Organization On Board
3. Webinar on Role of Advanced Paramedic to reduce ED Overcrowding – Aug 15th – 1pm
4. Subcommittee Meetings
5. Help Wanted!

—-

MOVING BEYOND NYC

Our organization has been far more successful than any of us could have anticipated. We have gotten attention from key individuals and organizations in both the city as well as the state. However, it has become increasingly apparent that in order to continue moving forward, our organization needs to look beyond the NYC borders and the vision for community paramedicine in the urban environment, and work with others around the state and region, to help enable our vision. Thus, others have proposed, and I agreed, that over the next few months, we transition to a state focused entity – the NY (not NYC) Community Paramedicine Task Force.

All are invited to offer comments and recommendations as to how we should proceed in regards to including others around the state while maintaining a focus on implementing community paramedicine here in NYC.

LETTER OF SUPPORT CAMPAIGN – GET YOUR ORGANIZATION ON BOARD

Thanks to members of the REMSCO of Monroe & Livingston County, for providing the Task Force’s second official letter of support. We have developed a fairly non-committal letter of support template that we are hoping to circulate to leadership of prehospital care agencies, hospital systems and departments within those systems, and other organizations both within and beyond the borders of NYC. These letters will help us demonstrate a wide community of support that will be critical to gain the support of leaders in Albany.

Please consider discussing with the leadership of your department or organization the possibility of providing the task force with a letter of support. Feel free to circulate the template to colleagues in other organizations that might be interested in our initiative.

I also need volunteers to send letters on behalf of the task force to various organizations.

WEBINAR ON USE OF ADVANCED PRACTICE PARAMEDIC TO REDUCE ED CROWDING

The Robert Wood Johnson Foundation’s “Urgent Matters” Forum is sponsoring a webinar on the role of EMS to alleviate ED crowding. This is very much a community paramedicine solution and one of the key speakers is Brent Myers, an EMS Physician who has been leading the effort on community paramedicine in Wake County, North Carolina, where many of the interesting headlines have come from. It is scheduled forthis Wednesday, Aug 15th from 1p-2p. I will not be able to attend, so I look forward to hearing about it from some of you. Visit http://urgentmatters.org for more information.

SUBCOMMITTEE MEETINGS – WEEK OF AUGUST 20, 2012

We are in the process of scheduling the next round of subcommittee meetings for the week of August 20th. A reminder to all, but especially as an invitation to new members, the subcommittees are where the majority of the work of the task force gets done. All of you are welcome to join and participate. Just send me an e-mail if you would like to be included on the e-mail list for any of the committees.

As a reminder, the committees are as follows:

Legislative / Regulatory Committee
Financial Reform Committee
Public Relations Committee

LOOKING FOR OTHER WAYS TO HELP?

There is so much work to do so there is probably a way to help that takes advantage of your experience and interests.

Website Design
Developing Web Content
E-mail & List Serve Management
Letter writing
Editing
Research
Meetings / Liaisons
Member Recruitment
Focus Groups
Presentations
Graphic Design
…. not to mention the subcommittees!

Please reach out! Thanks.

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this taskforce are to examine the potential legal, political and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.



July 25, 2012

NYC COMMUNITY PARAMEDICINE TASK FORCE

1. Official Meeting Announcement – GNYHA Meeting – July 26th – 9:30a-11:30a
2. Letter of Support Campaign — Please Get Your Organization On Board
3. Maine Releases Guidance on Community Paramedicine Pilot Project Application.
4. In the News!! — Community Paramedicine is going viral!
5. Help Wanted!

—-
GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) MEETING – JULY 26th 9:30A-11:30A

“Prehospital Care Strategy to Support Population Health Management”

As you all know, the GNYHA has been supportive of our initiative to begin a regional dialogue on the role that prehospital care should play in the emerging healthcare landscape. We will be presenting to the hospital membership on July 26th between 9:30 AM and 11:30 AM. All of you are welcome to attend. The official meeting announcement is attached. You are requested to register for the event by going to http://www.surveymonkey.com/s/paramedicine. Please promote the meeting among hospital and health system executives who are involved in either 1) Preventing readmissions, 2) developing or considering Accountable Care Organizations, NYS Health Homes, or Medicare’s Patient Centered Medical Homes programs, or 3) involved in EMS administration.

I hope to see many of you on July 26th to support the cause.

LETTER OF SUPPORT CAMPAIGN – GET YOUR ORGANIZATION ON BOARD

Thanks to members of the NYC REMAC and REMSCO for providing the Task Force’s first official letter of support. We have developed a fairly non-committal letter of support template (attached) that we are hoping to circulate to leadership of prehospital care agencies, hospital systems and departments within those systems, and other organizations. These letters will help us demonstrate a wide community of support that will be critical to gain the support of leaders in Albany.

Please consider discussing with the leadership of your department, or your organization of providing the task force with a letter of support. Feel free to circulate the template to colleagues in other organizations that might be interested in our initiative.

I also need volunteers to send letters on behalf of the task force to various organizations.

MAINE RELEASES GUIDANCE ON COMMUNITY PARAMEDICINE PILOT PROGRAM

Maine continues to be a leader in Community Paramedicine. As you may recall, they have successfully gotten a law passed enabling the creation of CP demonstration projects through their state. The State has now passed guidance to applicants on requirements and evaluation criteria which is an exciting step toward implementation and may serve as a model for us if we can get CP off the ground in NYS. (See Attached)

Congratulations to Matt Friedman, Yedidyah Langsom and Brian Wilkow of our Legislative Committee, who after months of hard work, have pulled together an impressive analysis of all of the statutory and regulatory documents that pertain to the practice of nontraditional roles for prehospital care systems. In addition to a spreadsheet, they have put together an excellent Executive Summary (attached) that highlights the options and the recommended legal strategy. In submitting this to the legal team at GNYHA, it is our hope that this will serve as a foundation for a legislative initiative to help overcome a major barrier to innovation in prehospital care.

COMMUNITY PARAMEDICINE GOES VIRAL

The number of news articles each month seems to be going up each month. It’s getting hard to keep up with them. Thank you to those who have been sending me links to great articles and news releases. Please keep it up. I have attached one that gives a nice brief history of Community Paramedicine. Enjoy.

LOOKING FOR WAYS TO HELP?

There is so much work to do so there is probably a way to help that takes advantage of your experience and interests.

Website Design
Developing Web Content
Letter writing
Editing
Research
Meetings
Member Recruitment
Focus Groups
Presentations
Graphic Design
…. not to mention the subcommittees!

Please reach out! Thanks.

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this taskforce are to examine the potential legal, political and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.



July 14, 2012

NYC COMMUNITY PARAMEDICINE TASK FORCE – GNYHA Meeting Announcement

1. Official Meeting Announcement – GNYHA Meeting – July 26th – 9:30a-11:30a
2. Legislative Committee Submits Document Review!
2. Letter of Support Campaign — NYC REMAC first to sign!
3. In the News!! — First Graduates of Community Paramedicine Course in Minnesota

—-

As you all know, the GNYHA has been supportive of our initiative to begin a regional dialogue on the role that prehospital care should play in the emerging healthcare landscape. We will be presenting to the hospital membership on July 26th between 9:30 AM and 11:30 AM. All of you are welcome to attend. The official meeting announcement is attached. You are requested to register for the event by going to http://www.surveymonkey.com/s/paramedicine. Please promote the meeting among hospital and health system executives who are involved in either 1) Preventing readmissions, 2) developing or considering Accountable Care Organizations, NYS Health Homes, or Medicare’s Patient Centered Medical Homes programs, or 3) involved in EMS administration.

I hope to see many of you on July 26th to support the cause.

MARK YOUR CALENDARS – GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) MEETING – JULY 26th 9A-12P

“Integrated Prehospital Care Strategy for ACO’s and Health Homes”

As you all know, the GNYHA has expressed interest and support for our concept. We will be presenting to the hospital membership on July 26th between 9am and 12 noon. All of you are welcome to attend. Registration information will be distributed by GNYHA in the coming weeks. Please promote the meeting among hospital and health system executives who are involved in either 1) Preventing readmissions, 2) developing or considering Accountable Care Organizations, NYS Health Homes, or Medicare’s Patient Centered Medical Homes programs, or 3) involved in EMS administration.

LEGISLATIVE COMMITTEE SUBMITS RESULTS OF DOCUMENT REVIEW TO GNYHA

Congratulations to Matt Friedman, Yedidyah Langsom and Brian Wilkow of our Legislative Committee, who after months of hard work, have pulled together an impressive analysis of all of the statutory and regulatory documents that pertain to the practice of nontraditional roles for prehospital care systems. In addition to a spreadsheet, they have put together an excellent Executive Summary (attached) that highlights the options and the recommended legal strategy. In submitting this to the legal team at GNYHA, it is our hope that this will serve as a foundation for a legislative initiative to help overcome a major barrier to innovation in prehospital care.

LETTER OF SUPPORT CAMPAIGN KICKS OFF!

Thanks to members of the NYC REMAC and REMSCO for providing the Task Force’s first official letter of support. We have developed a fairly non-committal letter of support template (attached) that we are hoping to circulate to leadership of prehospital care agencies, hospital systems and departments within those systems, and other organizations. These letters will help us demonstrate a wide community of support that will be critical to gain the support of leaders in Albany.

Please consider discussing with the leadership of your department, or your organization of providing the task force with a letter of support. Feel free to circulate the template to colleagues in other organizations that might be interested in our initiative

FIRST GRADUATES OF COMMUNITY PARAMEDIC PROGRAM IN MINNESOTA

Congratulations again to Minnesota. Not only have they passed a law to reimburse community paramedicine, but they have established a training curriculum and program and have now graduated their inaugural class. This is an impressive milestone for the community paramedicine movement. See the link below for an article and more information about the curriculum. Keep in mind however that what might be right for Minnesota might not be right for New York.

http://eon.businesswire.com/news/eon/20120709005200/en/Paramedics/Community-Paramedic/Emergency-Response

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this taskforce are to examine the potential legal, political and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.



July 3, 2012

NYC Community Paramedicine Task Force – Minutes From Recent Meetings

1. Minutes from June 19th, 2012
2. Reminder – GNYHA Meeting – July 26th – 9a-12p
3. Federally Funded Community Paramedicine
4. In the News!

—-

Hi everyone,

I’d like to give a warm welcome to all of our new members and once again thank all of you for your continued interest and support. We recently had a very productive general body meeting in which we were able to lay out a plan for formally engaging with the many regional EMS Advisory Committees (REMACs), and the NYS Bureau of EMS and the NYC Dept of Health. In addition, we are hoping to get one of our members appointed to the newly formed SEMSCO Technical Advisory Group (TAG) on Community Paramedicine. We also designed a plan to engage with the nursing community which we will in the future apply to other groups of healthcare providers as well. The task force will soon have a website and we are in the process of developing a Letter of Support Campaign. See the attached minutes.

There has never been a better time to get more involved with the task force. I look forward to working with all of you in the days and weeks ahead to move the process forward. Thanks!

MARK YOUR CALENDARS – GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) MEETING – JULY 26th 9A-12P

“Integrated Prehospital Care Strategy for ACO’s and Health Homes”

As you all know, the GNYHA has expressed interest and support for our concept. We will be presenting to the hospital membership on July 26th between 9am and 12 noon. All of you are welcome to attend. Registration information will be distributed by GNYHA in the coming weeks. Please promote the meeting among hospital and health system executives who are involved in either 1) Preventing readmissions, 2) developing or considering Accountable Care Organizations, NYS Health Homes, or Medicare’s Patient Centered Medical Homes programs, or 3) involved in EMS administration.

CMMI’S HEALTHCARE INNOVATION CHALLENGE GRANTS AWARDED TO COMMUNITY PARAMEDICINE

Thanks to the Supreme Court Ruling, the Patient Protection and Affordable Care Act which provides for both significant increases in access to care and for a host of exciting new demonstration projects to reform our nation’s fragmented delivery system can move forward as planned. As part of the legislation, the Center for Medicare and Medicaid Innovation (CMMI) was created which in turn created one of the most talked about grant programs in the history of the American Medical System. $1 Billion was made available to fund innovative new demonstration projects hoping to improve the patient care experience, improve health outcomes, and demonstrate cost savings.

I am proud to report that three projects were funded that are focused on or partly focused on demonstrating the value of community paramedicine. See the attachment for details on these exciting projects: Colorado; Washington; Nevada.

IN THE NEWS!

1. Minnesota Law takes effect July 1st to reimburse community paramedicine visits

Click here to Read the Story

2. Los Angeles Community Paramedicine Movement taking shape

Click Here to read the story

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this taskforce are to examine the potential legal, political and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.



Monday, June 11, 2012

NYC Community Paramedicine Task Force – Subcommittee Meetings this week / General Meeting – June 19th


1. Subcommittee Meetings
2. Next General Meeting – June 19th
3. GNYHA Meeting – July 26th
4. In the News!

—–

Hi everyone,

Thanks again to all of you for your continued interest and support.  As all of you know, we have made remarkable progress over the past few months. We have members and affiliations with a larger number of diverse EMS agencies throughout the region.  Together, we have engaged with 2 of the state’s Regional EMS Advisory Committees, the SEMAC, several city agencies, and of course the GNYHA.  We have even gotten some press coverage (See the 2nd attachment).  However, much work lies ahead as we attempt to formalize these existing relationships, and pursue new ones with the various EMS and Fire Associations in the state (UNYAN, FASNY, etc.), legislators and the Bureau of EMS in Albany and more.  I look forward to hearing from each and every one of you in the days ahead to help move this important effort forward.

UPCOMING MEETINGS

Subcommittee Conference Calls –  Even if you have not previously been involved, please consider joining us on a conference call this week.

Legal / Regulatory Committee – Tuesday, June 12th, 2 PM
Public Relations Committee – Wednesday, June 13th, 10:30 AM
Financial Reform Committee – Wednesday, June 13th, 10 AM

The call-in information for the call is as follows:
Dial in #:   (213) 417-9250
Access Code:    803940#

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NEXT GENERAL BODY MEETING

Tuesday, June 19th after REMAC (approximately 7:00 PM) at Interchurch Center, 475 Riverside Drive, 1st floor

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MARK YOUR CALENDARS – GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) MEETING – JULY 26th 9A-12P
“Integrated Prehospital Care Strategy for ACO’s and Health Homes”

As you all know, the GNYHA has expressed interest and support for our concept.  We will be presenting to the hospital membership on July 26th between 9am and 12 noon.  All of you are welcome to attend. Registration information will be distributed by GNYHA in the coming weeks.  Please promote the meeting among hospital and health system executives who are involved in either 1) Preventing readmissions, 2) developing or considering Accountable Care Organizations, NYS Health Homes, or Medicare’s Patient Centered Medical Homes programs, or 3) involved in EMS administration.

A look at the News!

MUST READ ARTICLE IN MODERN HEALTHCARE

“Trauma in EMS: Emergency Medical Services system faces myriad challenges including overhaul of reimbursement structure”

Abstract: Emergency medical technicians, first responders and paramedics – the backbone of emergency medical services – have worked for decades under a reimbursement system that effectively keeps their pay low and gives them an incentive to not always provide efficient, quality care. That reimbursement model may be in for revision, though, a move that would be welcomed by many in the industry. At the center of the problem is a 1960s-era reimbursement model that EMS experts say no longer fits with how the EMS community wants to provide care. Under the current model, which was developed when ambulances were used for transportation only, an ambulance service gets paid only if a patient is transported to a hospital. An EMT or paramedic who spends the time and effort to appropriately stabilize a patient in a home or at the scene of an accident gets reimbursed nothing if the patient feels well enough to decline a trip to the emergency room. But if that same patient – who may not need additional care – decides to visit the ER, then not only does the ambulance service get paid, but the hospital ER does too, unleashing a string of bills that possibly could have been avoided. That kind of reimbursement for a service designed to be ready to go at any time makes it difficult to support the infrastructure and overhead of EMS. It also encourages inefficient use of healthcare resources.

NYC Community Paramedicine Task Force – In the news

See “The Doctor Drain – The emergency taxi service” by Joseph Stepansky

3 Task Force members quoted: Marie Diglio, Joe Pataky, and Kevin Munjal

CURRENT EVENTS

8th Annual International Roundtable on Community Paramedicine

For those of you still getting used to the term Community Paramedicine, the folks who got together in Vancouver, Canada this weekend have been at it for eight long years. The program for the conference is attached so you can get an idea of all of the amazing things that have been happening around the world to get more out of EMS.

WEBSITE UNDER CONSTRUCTION

Due to the overwhelming number of new members and interested parties each week, all of whom want to be updated on all of the events and progress our committee has made over the past 6 months, we are creating a website.  This will also serve to promote the activities of the group.  The “One Pager” information sheet attached will likely be the basis for our home page.  Any comments or advice on this document or on the website in general are welcome.  Meeting minutes and other work products will likely be located in a members only area.  Anyone interested in helping design and create the website is urged to reach out to us ASAP!

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions.  Among the goals of this taskforce / interest group will be to examine the potential legal, regulatory and financial barriers to implementation of this model and to create a strategy to overcome those barriers.  In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.

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Thursday, June 7, 2012

Save The Date – July 26th 9a-12p GNYHA Meeting

Hi everyone,

Thanks again to all of you for your continued interest and support. Through our hard work and collaboration, we can create the changes necessary to allow prehospital care to become a fully integrated part of our healthcare system and improve the care provided to our patients both in emergencies and before emergencies occur. If you have not yet taken an active role in the task force, now is the time! Please consider joining a subcommittee, recruiting new members, writing a letter of support, or just reach out to me. There is more than enough work to go around.

MARK YOUR CALENDARS – GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) MEETING – JULY 26th 9A-12P

As you all know, the GNYHA has expressed interest and support for our concept. We will be presenting to the hospital membership on July 26th between 9am and 12 noon. All of you are welcome to attend. Registration information will be distributed by GNYHA in the coming weeks. Please promote the meeting among hospital and health system executives who are involved in either 1) Preventing readmissions, 2) developing or considering Accountable Care Organizations, NYS Health Homes, or Medicare’s Patient Centered Medical Homes programs, or 3) involved in EMS administration.

A look at the News!

SIMPLE FALLS AND FALL PREVENTION IN WAKE COUNTY

In North Carolina, an EMS agency is embarking on a study that will involve the treat and release of patients with “simple falls” who are found to have no serious injuries and live in assisted living facilities. They are already the leaders in community paramedicine and now are pushing the envelope even further. See the attached article or click on link below.

http://www.emsworld.com/article/10686308/whos-taking-the-fall

UPCOMING MEETINGS

Subcommittee Conference Calls to be held week of June 11th.

If interested in attending, please click on the links below to indicate your availability:

Public Relations Committee – http://www.doodle.com/d86namiyn7xqcr7n
Financial Reform Committee – http://www.doodle.com/354trku5xmwhf7wf
Legal / Regulatory Committee – http://www.doodle.com/r2m5r74ge3w3q2g4

GENERAL BODY MEETING – Tuesday, June 19th after REMAC (approximately 7:00 PM) at Interchurch Center, 475 Riverside Drive, 1st floor

WEBSITE UNDER CONSTRUCTION

Due to the overwhelming number of new members and interested parties each week, all of whom want to be updated on all of the events and progress our committee has made over the past 6 months, we are creating a website. This will also serve to promote the activities of the group. The “One Pager” information sheet attached will likely be the basis for our home page. Any comments or advice on this document or on the website in general are welcome. Meeting minutes and other work products will likely be located in a members only area. Anyone interested in helping design and create the website is urged to reach out to me ASAP!

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this taskforce / interest group will be to examine the potential legal, regulatory and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.


Saturday, May 19th

NYC COMMUNITY PARAMEDICINE TASK FORCE – GNYHA Meeting Postponed / Recent Minutes Attached

1. GNYHA Meeting Postponed
2. Minutes from this month’s subcommittee meetings attached
3. One Page Document for Public Relations
4. SEMSCO establishes TAG on Community Paramedicine

GNYHA MEETING

Regretfully, due to many interested parties having conflicts, the opportunity for the NYC Community Paramedicine Task Force to present to the members of the Greater New York Hospital Association (GNYHA) has been postponed.  Several of the Task Force members will use Monday’s 1-3PM time slot to meet with GNYHA staff to strategically plan for the next meeting with the goal of broadening the support for the concept.   If you are interested in attending, please let me know.

SUBCOMMITTEES

All of you are welcome to join one or more subcommittees.  It is in these committees that we actually go beyond discussion and try to push forward to make community paramedicine a reality in NYC.  The next meetings will be held the week of June 11th. Please e-mail me if interested in joining a committee so that I may include you on subcommittee e-mailings.

Legal / Regulatory Committee This subcommittee is reviewing all of the statutes, regulations, policies and procedures that describe what EMS and EMS personnel are allowed or not allowed to do in NYS and in NYC.  They will ultimately assemble a package of recommended changes (“enabling language”) to allow for formal community paramedicine programs in NY.

Minutes from the April 30th conference call are attached.  An extensive document review of relevant NYS laws and regulations is near completion.

Public Relations Committee  This subcommittee is strategically planning our engagement with all of the various parties that may be involved or effected by community paramedicine programs in NYC.

This committee has successfully engaged with the GNYHA and is reaching out to a variety of other organizations.  Several journalists have approached our group prompting the creation of the draft Public Statement attached.

Financial Reform Committee  This subcommittee will advocate to both public and private payors to reform the reimbursement model for EMS here in NYS and work to describe and demonstrate the potential value proposition from using EMS in an expanded role.

Minutes from the May 3rd conference call are attached.  The work products from this group will likely be a reimbursement policy statement and a technical analysis of the existing NYS Medicaid billing policy.

FEEDBACK REQUESTED ON PUBLIC INFORMATION DOCUMENT

We have received several press inquiries about our organization.  In response, I have put together the attached single page summary.  Please review and send back comments.

SEMSCO establishes TAG on Community Paramedicine

Our colleague Steven Kroll of HANYS presented on this issue at the Legislative Subcommittee of SEMSCO and generated a lot of interest.  A TAG was created with Steven Kroll as the chair.  This will hopefully propel the movement at the state level.

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Thursday, May 17th, 2012

NYC COMMUNITY PARAMEDICINE TASK FORCE – Presentations being made at SAEM, SEMSCO and to GNYHA in May

1. We will have a General Body Meeting by Conference Call this Friday at 1:30 PM.
2. GNYHA Meeting on May 21st from 1-3 PM

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GNYHA MEETING

Reminder: We have been given an opportunity to present to the members of the Greater New York Hospital Association (GNYHA) on May 21st from 1-3PM. The official announcement is attached. Members of the NYC Community Paramedicine Task Force are welcome to attend, but please register for the event by going to the link below and if possible, also e-mail me to let me know you are coming.
http://www.surveymonkey.com/s/paramedicine

GENERAL BODY MEETING CONFERENCE CALL

We will discuss the strategy at the upcoming GNYHA meeting. Anyone planning on attending, please try to make this call. The call in information is:
Dial in #: (213) 417-9250
Access Code: 803940#

MAY 15TH – SEMSCO PRESENTATION

Steven Kroll of HANYS (Hospital Association of NY State) will be introducing the concept of Community Paramedicine today to the Legislative Subcommittee of SEMSCO (State EMS Council). The Agenda for the meeting is attached.

SOCIETY FOR ACADEMIC EMERGENCY MEDICINE

Last week, Kevin Munjal teamed up with Thomas Judge, a leader of Community Paramedicine in Maine, and Dr. Gregg Margolis, a high ranking executive at the Dept of Health and Human Services to promote awareness about the opportunities to broaden the role of EMS. The handout from this meeting is attached.

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In the News:

COLORADO CONTINUES TO LEAD THE WAY

One of the states with the most active community paramedicine programs continues to lead the way in increasing the role of the fire and ems department promoting public health. They have now made there stations available for walk-in medical screenings. Check out the link:
http://www.firerescue1.com/fire-ems/articles/1281798-Colo-chief-turns-firehouses-into-clinics/

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YOUR FEEDBACK REQUESTED

We have received several press inquiries about our organization. In response, I have put together the attached single page summary. Please review and send back comments.

We will also aim to set up a website with both open and members only sections to house all of our work products and promote awareness about our efforts. Any one interested in helping with this IT effort, please reach out to me. Thanks.

Refer your colleagues: Please remember to refer anyone who might be interested in this effort to our group so that we may position ourselves as the main coalition advocating for the changes necessary to allow community paramedicine to fulfill its potential in improving access, improving quality and lowering cost.

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this taskforce / interest group will be to examine the potential legal, regulatory and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.

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Monday, April 30, 2012

NYC COMMUNITY PARAMEDICINE TASK FORCE – 1. GNYHA Meeting 2. Subcommittee Conf Calls

Hi everyone,

Great News! Our initial meeting with the Greater New York Hospital Association (GNYHA) was very positive and we have been given an opportunity to present to the hospital membership on May 21st from 1-3PM. All of you who have been active in the NYC Community Paramedicine Task Force are welcome to attend, but please RSVP by e-mailing me as space is limited.

Further details will be discussed within the Subcommittee Conference Calls (please see below for timings and call-in information). There is no REMAC meeting scheduled this month, so details regarding the next general meeting will be sent out in the next 1-2 weeks.

Now a look at the news!

FEDERAL GOVT LEADING THE WAY IN COMMUNITY PARAMEDICINE

HRSA, the Health Resources and Services Administration, a part of the Dept of Health & Human Services, has published a Community Paramedicine Evaluation Tool to both serve as a QA tool for existing programs and a planning tool for groups interested in starting Community Paramedicine Programs. It was informed by an expert panel including leaders of CP on the national stage including Gary Wingrove, Michael Wilcox and Douglas Kupas. This will be a tremendous resource to us as we try to both build the framework for community paramedicine in New York and our member organizations build specific programs that meet the need of their local communities.

SUBCOMMITTEE CONFERENCE CALLS

All of you are welcome to join one or more subcommittees. It is in these committees that we actually go beyond discussion and try to push forward to make community paramedicine a reality in NYC.

Legal / Regulatory Committee – Today, Monday 4/30 at 5:30PM. This subcommittee is reviewing all of the statutes, regulations, policies and procedures that describe what EMS and EMS personnel are allowed or not allowed to do in NYS and in NYC. They will ultimately assemble a package of recommended changes (“enabling language”) to allow for formal community paramedicine programs in NY.

Public Relations Committee – Friday, May 4th at 3PM. This subcommittee is strategically planning our engagement with all of the various parties that may be involved or effected by community paramedicine programs in NYC. They have successfully engaged with GNYHA and will seek support from a variety of other organizations in NYS.

Financial Reform Committee – Thursday, May 3rd at 2PM This subcommittee will advocate to both public and private payors to reform the reimbursement model for EMS here in NYS and work to describe and demonstrate the potential value proposition from using EMS in an expanded role.

HELP WANTED

We have a lot of work to do! From press releases to website and information management, from legal to accounting, from NYC to Upstate. Let me know how you would like to help. Is there an area you have expertise in? Is your organization able to share resources? Do you have information you think we need? Customize your relationship with the NYC CP Task Force.

Refer your colleagues: Please remember to refer anyone who might be interested in this effort to our group so that we may position ourselves as the main coalition advocating for the changes necessary to allow community paramedicine to fulfill its potential in improving access, improving quality and lowering cost.

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this taskforce / interest group will be to examine the potential legal, regulatory and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.

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Monday, Apr 23, 2012

NYC COMMUNITY PARAMEDICINE TASK FORCE – Minutes / Next Steps

Hi everyone,

Thanks again to all of you for your enthusiastic support of making community paramedicine a reality here in NY. We had a very productive meeting this past week. A variety of efforts are underway including a thorough document review as the first step in the process of creating “enabling language” at the state level, a systematic effort to reach out to representatives of the metropolitan and state EMS community, and initial planning for a NYC Community Paramedicine Stakeholder meeting. The minutes are attached. Read on for important Next Steps and how to get involved and promote this important effort.

But first a look at the news!

NURSES MAY BE SUPPORTIVE

From my interactions with leaders of Community Paramedicine efforts across the nation, the most surprising thing is that most communities have found nursing groups to be supportive of community paramedicine programs. They are often apprehensive at first, but as long as they are included in the process, and programs are tailored to serve unmet needs of the public and avoid threatening their jobs, nursing groups can quickly turn into allies.

In February, an editorial article was printed in the American Journal of Nursing that was largely favorable about community paramedicine. (article attached or use link)
http://www.nasemso.org/documents/AJN-Shifting_Boundaries_in_Health_Care.13.pdf

But not all nurses are so supportive. Check out this piece from the American Nurses Association:
http://www.capitolupdate.org/index.php/2012/03/a-new-delivery-model-the-community-paramedic/

ACROSS THE RIVER

The NJ Office of Emergency Medical Services has put together a study group that is holding a series of focus groups on Community Paramedicine. We have been invited to send one member to each session. If anyone from our group is interested in attending and representing our task force, the dates and times are listed below:

April 25th 2PM
May 2nd 10AM
May 4th 10AM – Kevin Munjal
May 9th 10AM

If interested, please e-mail me as soon as possible and I will help coordinate with NJ OEMS.

MORE STATES ON THE BANDWAGON

Pennsylvania is holding a statewide Community Paramedicine summit on May 11th. It would be great if someone from our group could attend and report back. We need to model our activities after other states that have or are achieving success.
http://www.communityparamedicineinpa.org/
http://www.communityparamedicineinpa.org/wp-content/uploads/2012/04/agenda.pdf

NEXT STEPS

Planning a NYC Community Paramedicine Stakeholder meeting
Next Subcommittee Conference Calls – Week of April 30th
Please enter your availability by going to the Doodle Website:
Legal / Regulatory Committee: http://www.doodle.com/r2m5r74ge3w3q2g4
Public Relations Committee: http://www.doodle.com/d86namiyn7xqcr7nur
Financial Reform Committee: http://www.doodle.com/354trku5xmwhf7wf
Expand our base and obtain formal recognition

GET INVOLVED

1. Join a Committee (this is where we stop talking, and start doing)

Legal / Regulatory Subcommittee – This subcommittee is reviewing all of the statutes, regulations, policies and procedures that describe what EMS and EMS personnel are allowed or not allowed to do in NYS and in NYC. They will ultimately assemble a package of recommended changes to enable the existence of formal community paramedicine programs in NY.

Public Relations Subcommittee – This subcommittee is strategically planning our engagement with all of the various parties that may be involved or effected by community paramedicine programs in NYC.

Financial Reform Subcommittee – This subcommittee will advocate to both public and private payors to reform the reimbursement model for EMS here in NYS and work to describe and demonstrate the potential value proposition from using EMS in an expanded role.

2. Geeks Wanted

The task force would benefit from some tech saavy people to help out with the creation and maintenance of both public and members only websites where we can begin to collect all the wonderful information we are producing through our combined efforts. If you or someone you know might be willing to donate their time and talent to this noble quest, please e-mail me.

Thank you to everyone for your participation in this important process. It is only through collaboration that we can affect change. I look forward to seeing you tomorrow night.

3. Customize

Let me know how you would like to help. Is there an area you have expertise in? Is your organization able to share resources? Do you have information you think we need? Customize your relationship with the NYC CP Task Force.

Refer your colleagues: Please remember to refer anyone who might be interested in this effort to our group so that we may position ourselves as the main coalition advocating for the changes necessary to allow community paramedicine to fulfill its potential in improving access, improving quality and lowering cost.

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this taskforce / interest group will be to examine the potential legal, regulatory and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.

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Monday, April 9th, 2012

NYC COMMUNITY PARAMEDICINE TASK FORCE Update / Financial Reform Committee Meeting Tues April 10th @ 10AM

Hi everyone,

Thanks so much to everyone who participated in this week’s conference calls. We made some really good progress and I’m excited about the weeks and months to come. As I stated last week, it’s an exciting time to be involved with this Task Force and Community Paramedicine. Momentum is gathering in all directions toward this vision for a broader role for Prehospital Care becoming a reality.

Our comrades in Maine had a landmark week with the passage of a new law that will enable a series of demonstration projects in their state. See the article

SAEM – For those that don’t know, I will be hosting a panel at the annual conference of the Society for Academic Emergency Medicine (SAEM) on May 11th in Chicago entitled “Opportunities to Broaden the Role of EMS.” It will feature Dr. Gregg Margolis, PhD, NREMT-P of the Dept of Health & Human Services and Tom Judge, CCT of LifeFlight Maine and one of the leaders of the Maine Community Paramedic program

UPDATE
With that, I am pleased to provide all of you with updates from the first conference call meetings.

The Legal / Regulatory Subcommittee met on Thursday, April 5th.
– All documents with language pertinent to the practice of community paramedicine will be reviewed. A spreadsheet will be created to help us understand the legal implications of various statements in the laws, policies and regulations on each of the specificly identified potential CP activities.

The Public Relations Subcommittee met on Thursday, April 5th.
– We will seek the opportunity to discuss and present the concept of community paramedicine to a variety of stakeholders in the immediate future.

The Financial Reform Subcommittee’s first conference call will be held on Tuesday, April 10th at 10AM. All are welcome to participate.
This subcommittee will advocate to both public and private payors to reform the reimbursement model for EMS here in NYS and work to describe and demonstrate the potential value proposition from using EMS in an expanded role.

The call-in information for all of the calls is as follows:

Dial in #: (213) 417-9250
Access Code: 803940#

NEXT GENERAL MEETING
Reminder: Our next general meeting will be held on April 17th at 7:30pm after the REMAC.

Refer your colleagues: Please remember to refer anyone who might be interested in this effort to our group so that we may position ourselves as the main coalition advocating for the changes necessary to allow community paramedicine to fulfill its potential in improving access, improving quality and lowering cost.

Thank you to everyone for your participation in this important process. It is only through collaboration that we can affect change.

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this task force / interest group will be to examine the potential legal, regulatory and financial barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.

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Monday, April 2nd, 2012

NYC COMMUNITY PARAMEDICINE TASK FORCE – Subcommittee Conference Calls

Hi everyone,

It’s an exciting time to be involved with this Task Force.  Momentum is gathering in all directions toward this vision for a broader role for Prehospital Care becoming a reality.  Check out the cover article on Emergency Medicine News this month.

In addition, there are many high level conversations going on in health systems in our area about the opportunity to expand the role of EMS as hospital and provider networks increasingly think about taking on financial risk for the costs of care provided to their patients.

If we can position ourselves correctly, our organization might be poised to be a major player in legislative, financial, and other reforms in NYC and NYS.

With that, I am pleased to announce that we will begin having once monthly subcommittee conference calls (more if necessary) to help pick up the pace and start allowing change to happen.

The Legal / Regulatory Subcommittee will be having its first call on Thursday, April 5th from 11a-12p.

This subcommittee will begin immediately on reviewing all of the statutes, regulations, policies and procedures that describe what EMS and EMS personnel are allowed or not allowed to do in NYS and in NYC.

The Public Relations Subcommittee will be having its first call on Thursday, April 5th from 3p-4p.
This subcommittee will need to strategically plan and execute how we are going to both coordinate with and get buy in from all of the various communities of providers that have a stake in community medicine.

The Financial Reform Subcommittee‘s first conference call is still to be announced.  If you are interested in this subcommittee, please send me your availability by clicking on the following link:  http://www.doodle.com/354trku5xmwhf7wf

This subcommittee will advocate to both public and private payors to reform the reimbursement model for EMS here in NYS and work to describe and demonstrate the potential value proposition from using EMS in an expanded role.

The call-in information for all of the calls is as follows: 

Dial in #:   (213) 417-9250
Access Code:    803940#

Refer your colleagues:  Please remember to refer anyone who might be interested in this effort to our group so that we may position ourselves as the main coalition advocating for the changes necessary to allow community paramedicine to fulfill its potential in improving access, improving quality and lowering cost.

Thank you to everyone for your participation in this important process.  It is only through collaboration that we can affect change.

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions.  Among the goals of this task force / interest group will be to examine the potential legal, regulatory and financial barriers to implementation of this model and to create a strategy to overcome those barriers.  In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.

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Fri, Mar 23, 2012

NYC CP Task Force – minutes from 3/20/12 meeting

Hi everyone,

Thanks so much to all of you for your continued interest and support for this collaborative effort to improve the care we provide in the prehospital setting. A special thanks to those of you who attended the meeting this week and for those of you who took the time to prepare comments and presentation. There was a lot of positive discussion this week and I believe we are starting to gather momentum to really affect change in our state, our city, and our community.

Attached are the minutes and slide presentation from this week’s NYC Community Paramedicine Task Force meeting. Also attached is a document analyzing Medicaid’s reimbursement policies for EMS prepared by Dr. Redlener of the finance subcommittee.

As you may have noticed, our membership continues to grow and the number of people aware of our efforts grows each day. I hope that each of you will continue to talk to your colleagues and friends about the existence of this task force, the goals and vision of the organization, and our interest in collaborating with all the different types of healthcare providers. As we have always said in our meetings, we are not looking to compete with any other group of provider, but rather to work with existing providers and systems to find ways in which we can increase the value provided by the prehospital care community by filling gaps in the existing healthcare system and to ultimately provide higher quality care to patients.

We will begin scheduling conference calls for the three subcommittees in the next few days. As a reminder, they are: 1) Legal / Regulatory Committee, 2) Public Relations Committee, and 3) Financial Reform Committee. If you have not yet signed up for a subcommittee, please do so. It is in these subcommittees that we will move beyond discussion and begin the hard work of making this vision a reality.

Thanks again, and I look forward to continuing to work with all of you as we move forward.

~~Kevin

Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. Among the goals of this task force will be to examine the potential barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.

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Sun, Feb 19, 2012

NYC Community Paramedicine Taskforce 2nd Meeting

Hi everyone,

In light of the REMAC meeting being cancelled this coming Tuesday 2/21 due to low anticipated attendance, we shall not have the next TaskForce meeting that night either. This will give us more time to prepare for the next meeting.

First of all, I want to thank all of you who have expressed interest in the past or attended the first meeting. I also wanted to welcome those of you who have joined us since then because you heard about it or were recruited. Once again I have attached the slides from my presentation as well as the minutes from the first meeting.

Second of all, I would like to schedule the next critical meeting at a time convenient to as many of you as possible. I have set up the following link (http://www.doodle.com/shc2hvgxf5ceuha8) with a handful of possible meeting times and would appreciate it if those of you that plan to attend could indicate your availability in the next few days. I’ll finalize the meeting time in another e-mail later this week.

The tentative agenda for the next meeting is as follows:

  • Case Study on Fort Worth Texas – lessons learned
  • Update from SEMAC
  • Strategy Discussion
  • Breakout into Subcommittees
  • Assignment of Roles & Tasks

The description of the subcommittees are as follows:

1. Legal / Regulatory Subcommittee
This subcommittee will begin immediately on reviewing all of the statutes, regulations, policies and procedures that describe what EMS and EMS personnel are allowed or not allowed to do in NYS and in NYC.

2. Consensus Building Subcommittee
This subcommittee will need to strategically plan and execute how we are going to both coordinate with and get buy in from all of the various communities of providers that have a stake in community
medicine.

3. Financial Reform Subcommittee
This subcommittee will advocate to both public and private payors to reform the reimbursement model for EMS here in NYS and work to describe and demonstrate the potential value proposition from using
EMS in an expanded role.

For those of you who have not yet selected which subcommittee you would like to join, please send me an e-mail sometime this week.

I think we had a great discussion last time and I look forward to many more similar discussions in the future. We began to identify some initial steps that need to be undertaken as seen in the minutes. It is only through our shared and collaborative effort that we will be able to make CP a reality in NYC.

As previously mentioned, this committee is open to everyone, and I urge each of you to invite new members who are interested in this topic to participate. Any ideas, comments or feedback are always welcome.

FYI: There is a monthly webinar / conference call hosted by an organization called Community Paramedicine Insights Forum held the 3rd monday of every month at 3PM. The next one is tomorrow. If interested and available, go to http://cpif.communityparamedic.org/Home.aspx to register.

Thanks,

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Tue, Jan 31, 2012

NYC CP Task Force – Minutes from 1/24/12

 

Hi everyone,

Thank you so much to all of you that attended the Community Paramedicine Task Force meeting last week, and thanks to all of you who have shown interest but were not able to attend.  Attached are the slides from my presentation as well as the minutes from the meeting.

I think we had a great discussion and I look forward to many more similar discussions in the future.  We began to identify some initial steps that need to be undertaken as seen in the minutes.  It is only through our shared and collaborative effort that we will be able to make CP a reality in NYC.

At this time, I would like each of you to begin thinking about which tasks or subcommittees you would like to participate in.  We will hopefully be able to have  subcommittee conference calls between each Task Force Meeting and reports by each of the committees at our general meetings.

I propose three main subcommittees to be divided along the three main groups of barriers that will need to be overcome.

1. Legal / regulatory Subcommittee
This subcommittee will begin immediately on reviewing all of the statutes, regulations, policies and procedures that describe what EMS and EMS personnel are allowed or not allowed to do in NYS and in NYC.

2.  Consensus Building Subcommittee
This subcommittee will need to strategically plan and execute how we are going to both coordinate with and get buy in from all of the various communities of providers that have a stake in community medicine.

3.  Financial Reform Subcommittee
This subcommittee will advocate to both public and private payors to reform the reimbursement model for EMS here in NYS and work to describe and demonstrate the potential value proposition from using EMS in an expanded role.

As previously mentioned, this committee is open to everyone, and I urge each of you to invite new members who are interested in this topic to participate.

These subcommittees are not set in stone and we can decide to modify as needed. You can participate in as many as you would like.

If you would like to be removed from this e-mail list, just let me know.

Thanks.

 

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Mon, Jan 16, 2012

Hi Everyone,

I’m pleased to announce that the first meeting of the NYC Community Paramedicine Task Force will be held on Tuesday, Jan 24th at the Interchurch Center immediately following the REMAC meeting at approximately 7:30p until 9p. Community Paramedicine is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered prehospital care and helping to prevent acute medical complications of chronic conditions. It remains unclear as to whether there are statutory, regulatory or other barriers that might preclude this new model of EMS. Among the goals of this task force / interest group will be to examine the potential barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.

The meetings will be open to any one interested in participating. Marie Diglio will send out an open invitation to the REMAC members and all of you are invited to forward this announcement to anyone who might be interested.

Although this task force was not officially created by the REMAC, we will be keeping the REMAC informed of our efforts periodically. I look forward to seeing all of you at the first meeting of this task force.

Thanks,

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Sun, Dec 18, 2011


 


Hi Everyone,

I’d like to thank all of you for expressing interest in bringing community paramedicine to New York City. As I had mentioned in my presentation at a recent REMAC meeting, this is an exciting movement hoping to expand the role of EMT’s and Paramedics to provide higher quality patient centered care and helping to prevent acute medical complications of chronic conditions. It remains unclear as to whether there are statutory, regulatory or other barriers that might preclude this new model of EMS. Among the goals of this task force will be to examine the potential barriers to implementation of this model and to create a strategy to overcome those barriers. In addition, the task force will discuss issues such as training, provider levels, medical oversight, risk management, and financial support of such programs.

The meetings will be open to any one interested in participating. However, for scheduling purposes, I am e-mailing this small group to see what might work for the majority of us before asking Marie to send out an open invitation to the REMAC and inviting all of you to send it to anyone who might be interested. Please go to the following link and click to indicate which time slots in mid-late January you would be available.

http://www.doodle.com/94654kgw7x25i23z

Although this task force was not officially created by the REMAC, Marie Diglio has offered to coordinate a meeting space for us at the Interchurch center, and we will be keeping the REMAC informed of our efforts periodically. Thank you, Marie, and I hope you will also attend. Also, please use the link to also confirm if a meeting space could be made available for the proposed time slots.

I look forward to seeing you all at the first meeting of this task force.

Thanks,

 
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