"Round Here, Heroes Wear Cowboy Hats!"
It's often said that The Lone Star State is like a whole 'nother country, which is something we Texans take pride in.
At MedStar, we also do things a little differently. We value innovative thinking, use cutting-edge technology and look fo rthe very best people in the EMS industry. As a result, MedStar has several unique advantages that make it a special place to work and make North Texas one of the safest places to live.
In a high-performance system like MedStar, employees are our most valuable asset. Each member of the MedStar team plays a vital role in serving our mission whether in the field treating patients or in a department responsible for filing claims, taking calls or stocking and servicing the fleet.
"Being the best means having the best, and that's why we look for the most skilled, innovative and dedicated professionals in the industry. And then, we do our best to keep them satisfied!"
Mobile Integrate Healthcare (MIH) Programs
MedStar is widely recognized as the cutting edge leader in the tranformation of "EMS" into MIH. This innovative program provides more appropriate healthcare resources support for residents who routinely call 911 with non-emergency needs and has allowed MedStar to be recognized by the local healthcare system as a vital component of the healthcare continuum.
Inteventions within the MIH program include:
- 911 Nurse Triage - Low acuity 911 callers are referred to a specially trained RN in our Call Center who helps the patient find appropriate resources for their medical issue. Since June 2012, 2,200 low-acuity 911 callers have been referred to this program, and 40% of these patients have had a response other than an ambulance to the emergency department.
- "EMS Loyalty" Program - Patients who use 911, 15 or more times in 90 days are referred into the program by ED case managers due to high ED utilization, are enrolled. MedStar's Mobile Health Providers (MHPs) conduct regular home visits, connect the patients to available resources and teach the patients how to better manage their own healthcare. Typical enrollment is 30-90 days. Since July 2009, 125 patients with 1 year of pre and post enrollment data have reduced ambulance transports to the emergency department by 1,858.
- Readmission Avoidance - Patients at risk for a 30-day readmission are referred to MedStar by the patient's Case Manager or PCP. MedStar conducts a series of home visits to educate the patient and family on appropriate care management and loops the patient to their PCP. If the patient needs intervention, the MedStar MHP may coordinate in-home diuresis with the patient's PCP, along with a follow-up PCP appointment. Through December 2014, 68 patients who had a prior 30-day readmission AND the referring agency felt would have a 30-day readmission have been referred into the program. Of those, only 19 had a 30-day readmission, a 72.1% reduction in readmissions for this high-risk readmission cohort.
- Hospice Revocation Avoidance - Patients/families at risk for revoking hospice status by calling 911 for an urgent trip to the ED are identified by the Hospice agency. MedStar and the Hospice agency coordinate efforts to reduce the possibility of the patient/family revoking hospice status. Through December 2014, 163 patients who the hospice agency felt would disenroll from hospice we enrolled in the program. Only 17 (10%) had a disenrollment.
- Observation Admission Avoidance - Working with our local stakeholders, patients who may be admitted to ED observation status may instead be referred by the ED physician to the MedStar MIH program. The MHP provides and overnight visit to do an in-home assessment and coordinate the transition of care back to the patient's PCP the next day. Through December 2014, 106 patients were enrolled in this program and 104 of them had no ED visit prior to their PCP follow-up appointment.
- Home Health Partnership - Through an innovative partnership with Klarus Home Care, MedStar and Klarus collaborate to provide effective after-hous episodic care of Klarus' patients, and to notify the Klarus Home Care nurse in the event of a 911 call to a patien on Klarus' services. Working together, the Klarus staff and the MedStar MHP determine the most appropriate care for a patient on Klarus' service.
Critical Care Paramedics (CCPs)
CCPs operate in the system as part of our Mobile Integrated Healthcare (MIH) program. CCPs are assigned to quick response vehicles and provide support for high acuity interfacility critical care transport calls. They meet up with ambulances dispatched on these types of calls and have all the equipment necessary to make any of our ambulances a Critical Care Transport Unit. CCPs also provide services to patients enrolled in various MedStar MIH programs such as high utilizers, hospice adn home health patients.
Mobile Healthcare Paramedics (MHPs)
These specially trained practitioners are also part of our MIH program. They provide scheduled and unscheduled non-emergency needs, or are enrolled in other programs in collaboration with our local healthcare community.
MedStar Events provides coverage to a variety of events ranging from EMS Standby's to Ambulance Demonstrations. MedStar Events has specialty teams to provide EMS response to any venue. The MedStar Rodeo Team provides services for equine events like the Fort Worth Stock Show and Rodeo and North Texas High School Rodeo Arena. The MedStar Bicycle Emergency Response Team provides services at fun runs/marathons and street fairs. If there is an event, we have a team for that!
Deployment Monitor System
This cutting-edge technology helps MedStar predict call volumes and locations throughout the 420+ square miles of our service area. Real time data-crunching helps to allow units to be in the right place at the right time.