TELEMEDICINE IN EMS Kyle R. Gorman, MBA, CMOD Clackamas Fire District 1 Clackamas County, OR.
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Transcript of TELEMEDICINE IN EMS Kyle R. Gorman, MBA, CMOD Clackamas Fire District 1 Clackamas County, OR.
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TELEMEDICINE IN EMS
Kyle R. Gorman, MBA, CMOD
Clackamas Fire District 1Clackamas County, OR
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WHY TELEMEDICINE IN EMS?
• Medical Complexity• Prevention• Reducing readmissions• Rural access, including
correction facilities• Video documentation of
scenes to improve medical decision-making.
• Disaster medicine• Accuracy
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WHY NOW IS THE TIME
• This is not a new idea. • Convergence of
technology--telemedicine and videoconferencing.
• Smaller and more powerful mobile devices,
• Widespread wireless broadband mobile data,
• An emphasis on healthcare cost reduction,
• Documentation of improved quality and patient satisfaction.
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TYPICAL PROGRAM GOALS
• Maximize quality• Reduce costs• Improve patient safety• Improve decision making• Reach the medically underserved—rural areas,
incarcerated patients, wilderness misadventures• Improve resource availability by reducing high
utilizers.
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IS IT WORTH IT?
Financial Benefits
• Reduce transports• Reduce admissions• Free-up resources• Reduce wait times• Improved quality• Reduce costs and• Improve access to
medically underserved
The 7 Deadly Wastes
• Overproduction• Inefficient Transport
(all transport is waste!)• Unnecessary Motion• Waiting Times• Poor Quality• Inappropriate
Processing• Unnecessary Inventory
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BARRIERS TO IMPLEMENTATION
• Getting over the “Telemedicine Funding” issue• Certification—will additional be needed?• Scopes of practice• Paucity of evidence-based research • Integrating data• Patient tracking (without confusing patients)
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WHO’S USING THE TECHNOLOGY?
United States Government
• Military—especially forward outposts• NASA• Remote outposts—
Dr. Jerri Nielson (Antarctica)
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WHO’S USING THE TECHNOLOGY?
E. Baton Rouge Parish, Louisiana
• Used primarily to prevent hospital readmissions
• COPD patients, diabetics and substance abusers
• Moving toward pediatric asthmatics and corrections patients
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WHO’S USING THE TECHNOLOGY?
Liberty County, Texas
• Used DREAMS Ambulance in Katrina• Dr. “Red” Dukes• Contributed to PA
assistance during complex hand surgery.
• Others in disaster medicine:• Loma Linda University
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THANK YOU!
• For more information:
Kyle R. Gorman, MBA, CMODClackamas Fire District [email protected](503) 939-8664