Military Community Health Medic Program
This proposal would change the current paradigm for Federal EMS to allow outreach of prevention services for military beneficiaries. Delivery of care in the US is traditionally directed at the episodic needs of a single patient for a discrete complaint, rather than addressing community health in a systemic fashion. A community collaborative approach is needed with coalitions of private and public services for management of these services. No single actor may successfully coordinate the care of the diverse medical and social needs for these populations. Localizing patients, assisting with transportation and scheduling, establishing care plans, aiding patients with medical or mental health management, and periodic health assessments are but a few of the necessary tasks for reducing emergency services utilization. Military EMS has traditionally emphasized on transportation of life threatening diagnoses though the majority of transports are non-emergent and volume of transports are generally low.
A multidisciplinary health care team including Federal Fire (FedFire) EMS may serve to identify and coordinate treatment for high-risk military beneficiary populations and super-users. A number of bio-surveillance mechanisms (GPS, Tricare billing, dispatch records) may be utilized for community-based EMS allowing an “identify and alert” through defined “triggers.” This would be established on current technology and bidirectional communication through a health information exchange (HIE). Alerts on high risk patients may include admissions to outside medical facilities, post discharge, and identify excessive utilization of EMS. This information may coordinate multidisciplinary services to compliment a medical home model.