2. Community Paramedic:
Accountable Care Partners
●Viable option for improving the experience of care,
improving the health of populations and reducing
per capita costs of health care
● Bridge existing health care gaps, avoid duplication
● Reduce the cost of overall health care expenditures
● Reduce stress on vulnerable patients and improve
care coordination
● Reduce hospital readmissions and emergency
department utilization and avoid penalties
3. THE VALUE of CP in ACCOUNTABLE CARE
Linking Primary Care & EMS
Enabling
Legislation,
Credentialing
Reimbursable CP
Practitioner
Services Identified
Partnership
Between Hospital
and EMS or FD
ED Utilization
Complex Patients
Without Services
Patient Primary
Care Plan, PCP
Driven
7. ABBEYVILLE SOUTH CAROLINA
COMMUNITY PARAMEDIC EVALUATION REPORT
NOVEMBER 2015
ED UTILIZATION
CP PATIENTS – 58.7% DECREASE VS. CONTROL – 4% INCREASE
INPATIENT UTILIZATION
CP PATIENTS – 60% DECREASE VS. CONTROL – 500% INCREASE
ED CHARGES
CP PATIENTS – $879 DECREASE VS. CONTROL – $126 DECREASE
INPATIENT CHARGES
CP PATIENTS – $1,249 DECREASE VS. CONTROL – $19,960 INCREASE
8. LEGISLATION IN WISCONSIN
STAKEHOLDERS
• PROFESSIONAL AMBULANCE ASSOCIATION OF WI - PAAW
• PROFESSIONAL FIRE FIGHTERS OF WISCONSIN – PFFW
• WISCONSIN EMS ASSOCIATION - WEMSA
• WISCONSIN STATE FIRE CHIEFS ASSOCIATION – WSFCA
9. LEGISLATIVE PROCESS
• Process started by PFFW and Rep. Katrina Shankland (D) Stevens Point
• Bill drafted in late summer 2015
• Outreach to other medical groups:
• WI Nurses Association
• Medical Society of Wisconsin
• Office of Rural Health
• DHS
10. LEGISLATIVE PROCESS
• Stakeholder phone conferences started by PAAW and archived at
www.paaw.us
• List serv started by Rural Health and archived at www.paaw.us
• Stakeholder meeting in Stevens Point – summer 2015
• Support offered by Rep. Amy Loudenbeck (R) Clinton
• Legislation session ended with bill in draft form
11. LEGISLATIVE PROCESS
• All inclusive Stakeholder group reconvened May 2016
• New draft circulated July 2016
• General consensus across the board on issues
12. HIGHLIGHTS OF BILL DRAFT
• Expands definition of EMT to add CP function to current definition
• Actions and training to be authorized by DHS
• Agreement with a hospital or physician
• CP endorsement by DHS
• CP must be part of ambulance provider or hospital
• No Medicaid reimbursement in the bill
13. NEXT STEPS
• Introduce vetted bill when legislative session opens
• Build consensus across other disciplines
• Reach out to local legislators to garner support
• Establish discussions with local hospitals to forge partnerships for
pilots and/or services
• Work to increase training opportunities for certification
14. WISCONSIN PIONEERS
• Green Bay Fire Department
• Greenfield Fire Department
• Madison Fire Department
• Milwaukee Fire Department
• Ryan Brothers Ambulance
• West Allis Fire Department