In September 2013, Indianapolis EMS medical directors were awarded a nearly $1 million Emergency Medical Services for Children (EMSC) category II grant (a three-year award) from the U.S. Department of Health and Human Services and the Health Resources and Services Administration (HRSA) to partner with Riley Hospital for Children to provide improved health outcomes for high-risk pediatric asthma patients.
The grant, Treat the Streets: Prehospital Pediatric Asthma Intervention Model to Improve Health Outcomes, funds several community paramedic positions. Community paramedics receive advanced pulmonary and asthma training from the Riley High Risk Asthma Clinic, social workers, case managers and asthma educators. We aim to help patients manage chronic disease and prevent illness through education and immunizations.
Goals of this program include:
- Preventing emergency department and hospital readmission: Utilize EMS services to rapidly incorporate evidence-based public health and prevention strategies within the existing network of care
- Improving health care access: Utilize an integrated health care model to ensure that right care is available to patients at the right time and in the right environment
- Developing the workforce: Develop and deploy a workforce of specially trained out-of-hospital care providers to implement various prevention and intervention strategies
- Research, data analysis and dissemination: Conduct research, analyze data and disseminate results regarding the impact of the pediatric community paramedicine model on emergency department recidivism rates and enhanced paramedic scope of practice.
- Sustainability: Recommend reimbursement strategies for bundled health care services provided by EMS