First Illinois hospital program providing paramedic followup at home

Excerpts from DailyHerald.com:

Sherman Hospital has taken a pioneering step in Illinois by becoming the first hospital in the state to receive approval for mobile integrated health care. This innovative approach allows paramedics on staff to provide medical services outside of traditional hospital settings. In addition, five hospitals in Rockford, Peoria, and Champaign have partnered with local fire departments and ambulance services to expand this type of care.

The Sherman Hospital program focuses on weekly home visits for 30 days for patients who have recently been discharged. The primary goal is to reduce readmissions. Eligible patients include those who have survived heart attacks or are living with conditions such as pneumonia, diabetes, asthma, heart failure, or chronic obstructive pulmonary disease (COPD).

Launched at the end of December, the program is completely free and open to anyone, regardless of insurance coverage, according to Ken Snow, a paramedic who leads the initiative alongside a part-time colleague.

“We go through the discharge plan, review medications, conduct an assessment, and provide education so patients understand their condition and how to manage it at home,” Snow explained. “Afterward, I send a report back to their primary care physician.”

Mobile integrated health care is still relatively new in Illinois, but it has already gained traction in states like Minnesota, Michigan, Arizona, and California.

Valerie Phillips, co-chair of a special committee that spent two years developing the mobile integrated health plan for the Illinois Department of Public Health, noted that the pilot program was approved last year by the department’s emergency medical services advisory council.

According to national data, mobile care has proven effective in reducing hospital readmissions, particularly in areas where access to regular healthcare is limited or where traditional home health services are not available.

“One of our main concerns early on was whether this would replace traditional home health care,” Phillips said. “The answer is no. It’s meant to fill a gap for people who either don’t qualify for home health services, refuse them, or can’t afford them. It’s a specialized service for a specific need.”

So far, 22 patients have participated in the Sherman program. Of these, 10 successfully completed the 30-day period without being readmitted. Two were readmitted, while others dropped out for various reasons. This results in a 9% readmission rate for the program, compared to 12% among similar patients in 2015, according to hospital data.

“Early results show that patients who fully commit to this free program are much less likely to end up in the emergency room or be readmitted to the hospital,” said Tina Link, director of community outreach at the hospital. “As we visit more patients, we continue to identify and address barriers that might prevent them from completing the program. We’re constantly improving based on what we learn.”

Thanks, Dan

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