Essay On Community Paramedic

An extended care paramedic are experienced clinical practitioners that specialise in patient assessment and a deliverance of quality care. Extended care paramedics treat mainly low to medium acute patients in a variety of community and clinical settings. ("Department of Health | Boosting Productivity", 2017. Their role is primarily to treat those in low need of care to take the strain off high running facilities such as hospitals and first responders. Extended care paramedics are most beneficial to those living independently and also those in aged care facilities. ECPs provide alternate care pathways for patients and assist in reducing unnecessary transport to hospital. Attendance by an ECP reduces the disruption to

Could you imagine working as a EMT and not knowing what could happen at anytime that you are on the job. As you can tell this job is in very high demand, people are in need of people to run emergency vehicles. Emergency Medical Technicians have been in need since the 1960s, Emergency Medical Technicians have to go through extensive training and meet education requirements to be able to do this job. There are many different things that Emergency Medical Technicians do while on the job, there are also very many levels to being an Emergency Medical Technicians.

My community service work at County Hospital is to care for the rudimentary needs of each patient. My goals are to provide inspiration during the healing process, teach kindness and compassion, and discover my own abilities for empathy. "Courage doesn't always roar. Sometimes it is the quiet voice at the end of the day saying, "I'll try again to tomorrow (Mary Anne Radmacher)." My hope as a volunteer is to help each patient find that voice, find that courage to go forward.

Patient-Centered Medical Homes (PCMH) are growing in popularity as the right thing to do improve patient care. PCMH are growing in popularity, as there is early evidence of their effectiveness (Egge, M. 2012). The PCMH concept has been widely promoted as a way to enhance primary care and deliver better care to patients with chronic conditions. This model of care has stimulated the attention of payers, Medicaid policy makers, physicians, and patient advocates, as it has the potential to address several of the limitations of the current healthcare system (Wang, J. et al 2014). Currently, primary care in the United States is focused on acute and episodic illness, it inadvertently limits comprehensive, coordinated, preventive and chronic care (Bleser, W. et al 2014). The PCMH address these limitations through organizing patient care, emphasizing team work, and coordinating data tracking (Bleser, W. et al 2014). A PCMH and HMO have some similarities but are markedly different.

The patient centered medical homes (“PCMH”) approach “focuses on keeping people well, managing chronic conditions like diabetes or asthma, and proactively meeting the needs of patients.” According to the Arkansas Department of Health, chronic diseases like cancer heart disease or diabetes affect approximately over fifty percent of adult Arkansans. Yet chronic diseases are often preventable. The high rate of chronic diseases can partly be attributed health insurance coverage—“when people don’t have health insurance they tend to avoid seeing doctors. People

Overview of the Patient Centered Medical Home project piloted by Geisinger Health System in Danville, Pennsylvania

New Zealand is an ongoing developing country, with the population continue to grow. This means that the health sector must improve to keep on top of the amount required to establish the care to the patients. In New Zealand, Paramedics respond to over 450,000 jobs a year (Tunnage, Swain, & Waters, 2015). A paramedic needs to carry out many assessments in different uncontrolled conditions in a minimal time to achieve the best results for the patient. Treating a vulnerable adult or a child in pre-hospital settings is always a possibility. Paramedics need to insure the keep an eye out for any signs like, bruises, fragile, lack of energy due to lack of food, etc (Phillips, 2013). Another study was conducted by Cohen, Levin, Gagin, & Friedman (2007) which indicates similar methods to identify different form of abuse, like emotional distress, low self-esteem, the feeling of not being believed when they speak.

One of the aims of the Patient Protection and Affordable Care Act (ACA) of 2010 is improved integration and coordination of services for primary patient care. The patient-centered medical home (PCMH) is one of the approaches by which improvements can be established. The patient-centered medical home model is particularly well-suited for people who have chronic illness. The design of the patient-centered medical home model departs substantively from traditional reimbursement policies, in that, the ACA provides for incentives and resources to enable care coordinators to be directly recognized and compensated for their care coordination work. Care coordinators are most often registered nurses who through their work that aligns with ACA engage in quality improvement work, cost-effectiveness measures, and patient advocacy. To bring the ACA model to a human scale, the authors present a case study of a care coordinator at a patient-centered medical home in rural Maine. The table provided below provides a basic textual analysis of the study as it is published in the professional nursing journal.

The patient- centered medical home is designed to improve quality of care through a team-bases coordination of care, which would treat the majority of a patients needs at once by increasing access to care and empowering patients to be a part of their own care (U.S Department of Health and Human Services, 2014). In order for these homes to work, the authors suggest that specialists might be the best candidates to certain conditions, however for these specialist to function in the capacity that is needed in these medical homes, they would have to have interest and proficiency to manage other conditions that fall outside of their

I also was quite startled by the health disparities rural populations face in regard to access to care issues and recruiting health care providers. I am originally from the state of Iowa -- I saw many parallels between rural health care in West Virginia and Iowa. In college I did my nursing clinical rotation in a rural area in Iowa and I remember how hard it was for patients to find transportation to a health care facility. It was especially difficult for patients who needed specialty health care services like oncology. This is where I really think innovative information technologies like Telehealth can make a difference in rural populations’ health outcomes. Hopefully, more rural health care centers will make the commitment to adopting

As the continued support grows the PCPCC, the health care sector is recognizing the role of the medical home model, Accountable Care Organizations(ACO), many entities are embracing the model and performing better. According to Center of Medicare and Medicaid, the medical home model shows that there is an improvement cost effectiveness, which helps practitioners deliver quality care and advanced approaches to care coordination, care teams, and chronic disease management. As evaluations of ACOs, integrated health systems, and the medical neighborhood continue, the Patient Center Medical Home will be essential to driving improvements in cost, quality, and outcomes. [3]

Similarly, other research has shown women spent more time to contact EMS than men (P<0.05) which affected the delay to arrive at the hospital (Vidale et al., 2013). Consequently, presenting symptoms and responses to symptoms may be the causes of pre-hospital delay in women. Nevertheless, the evidence in a comparison of behaviors among female and male patients is lacking.

The author has been employed in the healthcare field for over fifteen years that has allowed the time to observe the transformation of the primary care practice. This paper will examine the industry using Aspirus, Inc. as the reference point; however encompassing an examination of other healthcare institutions. Evidence suggests the Patient Centered Medical Home (PCHM) model, also known as the medical come, of care can offer many benefits, including improved quality in the patient experience and disease management and lower costs to the patient and system because of reduced emergency room visits or hospital admissions. The main objective of this paper is to highlight the challenges and explore what the PCMH model will be like in five years within the primary care setting of a healthcare organization.

A patient centered medical home (PCMH) could integrate patient care. A patient centered medial home is a team of healthcare providers coming together to improve the health of a specific population. A PCMH is designed to integrate primary care and specialists into improve care coordination, safety and quality.(Stange, et al 2010) A PCMH would also improve physician training and development to provide a commitment to treat the whole patient, rather than just one part.(Stange, et al 2010) Healthcare fragmentation can also be limited through improved communication between providers using e-mail and social media tools such as facebook and twitter.

The best health care systems in the world offer integrated care. Systems like the Mayo Clinic and Geisinger Health System own hospitals and labs and employ all the physicians and nurses a patient is likely to see, so they can easily integrate a patient’s care. In contrast, patients in North Carolina and throughout America typically obtain their care from a variety of independent providers. Health care expenses are paid by a variety of sources including private insurers, employers, the government and patients themselves. But unlike any other state, or even any large geographic area, North Carolina has the capacity to create a “virtually” integrated system, one that can provide the same integrated care but across an entire state. When patients’ transition between providers and health care settings, the result is often poor health outcomes, medical errors and costly duplication of tests and procedures. Through partnerships with other organizations and providers, NCHQA is seeking ways to better coordinate care and address systemic problems that cause dangerous and costly gaps in care. (NCHQA, 2014)