Abbeville Community Paramedicine Program To Prevent Frequent ED Use
Findings: Of the 59 patients enrolled into the program, 46 patients were uninsured at the time of enrollment. 22 uninsured patients were referred to Medicaid, Medicare, or disability benefits. Other uninsured patients were given a medical home at a free clinic. 34 patients are now seeing a PCP on a regular basis.
Following 4 months of enrollment into the program, we found a 64% decrease in ER usage. Inpatient stays fell by 71%, with the average length of stay falling from 2.6 days to 1.0 day among those with a stay. We also found significant differences in the disease-specific quality measures. As a group, 84% of patients diagnosed with hypertension saw a decrease in their blood pressure readings, while 78.7% of diabetic patients had a significantly lower average blood glucose level.
Conclusions: At the current time, the CP program has shown the ability to make a significant difference in the health of patients, and a reduction in their health care utilization. Future analyses regarding sustainability and funding models of the CP program are planned.
Learning Areas:Administration, management, leadership
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Provision of health care to the public
Evaluate the CP Program's effectiveness to prevent frequent ED use in the community of Abbeville, SC.
Keyword(s): Emergency Medical Services, Health Care Delivery
Qualified on the content I am responsible for because: I have been the working with Abbeville Community Paramedicine Program as an evaluator. I collect and analyze the data from the program.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.