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COMMUNITY PARAMEDICINE IN NORTHERN BC
Presented by: Colton Calderone & Sherry Ebrahimi
March 2, 2017
Agenda
1. Overview of Community Paramedicine
2. Current State
3. Looking Back
Community Paramedicine Overview
What is it?
• Community-based care health care model
• Provide primary care services to bridge health care delivery gaps
• Targeting 73 rural and remote communities throughout BC
• Services Provided:
• Home Visits
▫ Medication Safety Check
▫ Falls Risk Screening
▫ Home Safety Screening
▫ Vitals Check
▫ Blood Pressure / Oxygen Saturation Check
• Community Services
▫ Health Authority Rounds
▫ Group Presentations & Education
▫ Group Clinical Assessments
▫ Community Events
Population Profile
• Seniors living in remote and rural BC
▫ Referred by their doctor or primary care health provider
• Living with chronic conditions:
▫ Congestive Heart Failure (CHF)
▫ Chronic Obstructive Pulmonary Disease (COPD)
▫ Diabetes
Program Objectives
• Contribute to the stabilization of paramedic staffing in rural and remote communities.
• Bridge health service delivery gaps in the community, identified in collaboration with local primary care teams.
Individual Patient Services
Community Paramedic
Local Health Care Team
Patient identified
for CP
Request for CP
Services form
submitted
Request reviewed
and approved
Appt. booked
with patient
CP services delivered
and documented
Review patient
outcomes / results
Determine next steps
Community Events
Local Health Care Team
Event Identified
Submit Request for
Outreach Services form
Request reviewed and
approved
Event dates/times
booked
CP attends event,
Documentation in HA patient
file as required,
Discusses patient results
as needed
Current State
Rollout Schedule
Health Authority Communities # Part-
time CPs Hire Date
Orientation Complete
Prototypes (Northern, Interior & Island)
9 15 July 2016 Oct 2016
Northern 15 22 Aug 2016 Nov 2016
Interior 29 39 Feb 2017 July 2017
May 2017 Oct 2017
Island 15 21 Sept 2017 Jan 2018
Vancouver Coastal 5 8 Sept 2017 Jan 2018
Total Phase 1 73 105
Optimization TBD 44 Oct 2017 Apr 2018
Jan 2018 July 2018
TOTAL TBD 149
Estimated Staff Volumes
0
10
20
30
40
50
60
70
80
Max #
of CP
units/day
Date
Reflections
Accomplishments
• 1,190 Community Paramedic Services in 2016
▫ 447 Community Services
▫ 743 Home Visits
• Positive feedback from patients and partners
• High volume of patients
Assumptions
Health Authorities and Partners need to be part of the discussion and development
Community Paramedics would integrate with existing local health care teams
Paramedics would be drawn to rural communities with consistent work
~
Lessons Learned
• Program is driven by the people and services
• Promote patient – provider relations
• Allow for flexible requirements
THANK YOU
