This is a pretty revolutionary idea that I hope works:

Discussion in 'The Bar' started by BaddFunn, Dec 1, 2013.

  1. BaddFunn

    BaddFunn Kick ass fuck yeah VIP

    Reputations:
    90,861
    Joined:
    Feb 25, 2012
    Messages:
    32,877
    Likes Received:
    13,348
    Instead of the ER: Paramedics making house calls to chronic patients


    Emergency rooms — which can cost patients thousands of dollars each visithave become the primary source of medical care for the uninsured and people with chronic illnesses.

    A Minnesota health care provider is testing a new program in the hopes of reducing ER admissions and keeping people healthier: they’re sending paramedics on house calls to some of the area’s sickest patients who might otherwise end up in the ER.


    The Minnesota project started last October. To figure out which patients might benefit from the program, the hospital searched for anyone who had used the ER nine or more times in a year.

    Nine was “the number we had to land on for our own survival mode,” said North Memorial's Croston.
    Think that’s a lot?
    “We’ve had some patients that were here 23 times in a month,” he said.


    Barb Andrews, who runs the program, says it’s a new way of thinking about health care.


    “It gives us, as paramedics, an opportunity to be proactive rather than reactive,” she said. “The community paramedics empower [patients] to be able to manage their own health better in the home.”
    And ultimately, she said, that can “keep them out of the hospital, keep them out of the nursing home.”


    http://www.nbcnews.com/health/instead-er-paramedics-making-house-calls-chronic-patients-2D11632711
     
  2. Gomez

    Gomez Well-Known Member

    Reputations:
    34,140
    Joined:
    Dec 13, 2011
    Messages:
    20,890
    Likes Received:
    5,600
    I'd like a home visit from a paramedic, too

    [​IMG]
     
  3. crazypreacher

    crazypreacher Hey yo

    Reputations:
    222,670
    Joined:
    Sep 1, 2010
    Messages:
    47,090
    Likes Received:
    42,225
    Muh ballz are sore......
     
  4. VeeB

    VeeB I have a Full Member VIP

    Reputations:
    99,298
    Joined:
    Jan 2, 2012
    Messages:
    16,956
    Likes Received:
    14,988
    A good idea, but they will have to start paying paramedics more. You are asking them to act as a doctor, not as someone who patches someone up until they can get them to a doctor. Paramedics don't make nearly enough NOW for what they do, much less adding house calls for head colds to it.
     
  5. freds

    freds you broke it VIP

    Reputations:
    202,365
    Joined:
    Sep 20, 2010
    Messages:
    61,733
    Likes Received:
    27,568
    i think your use of fonts and colors is more revolutionary than the medical plan.



    well done, sir.
     
  6. BaddFunn

    BaddFunn Kick ass fuck yeah VIP

    Reputations:
    90,861
    Joined:
    Feb 25, 2012
    Messages:
    32,877
    Likes Received:
    13,348
    :omg: Situation from Jersey Shore?
     
  7. Bro

    Bro Oligarchical Corporatocracy VIP Gold

    Reputations:
    199,050
    Joined:
    Sep 26, 2010
    Messages:
    85,376
    Likes Received:
    16,559
    People that are always calling for an ambulance need to die. They're doing life wrong.
     
  8. BaddFunn

    BaddFunn Kick ass fuck yeah VIP

    Reputations:
    90,861
    Joined:
    Feb 25, 2012
    Messages:
    32,877
    Likes Received:
    13,348
    I agree that they should make more if it proves to save the health care industry a substantial amount of money.

    What the EMT's do and most importantly see during their house calls can really do a lot more to keep chronically ill people from seeing ER doctors so frequently.
     
  9. newcastlefan

    newcastlefan גֵּרְשֹׁם VIP

    Reputations:
    135,792
    Joined:
    Dec 31, 2011
    Messages:
    57,658
    Likes Received:
    16,964
    i would expect resistance from the AMA too
     
  10. BaddFunn

    BaddFunn Kick ass fuck yeah VIP

    Reputations:
    90,861
    Joined:
    Feb 25, 2012
    Messages:
    32,877
    Likes Received:
    13,348
    Just reading my audience. :mrpeanut:
     
  11. gwartney

    gwartney Unafilliated Gold

    Reputations:
    103,068
    Joined:
    Sep 23, 2010
    Messages:
    42,903
    Likes Received:
    15,337
    Yeah, I can see it now. $500 charge for Robitussin. I'll just let my broken leg heal itself.
     
  12. newcastlefan

    newcastlefan גֵּרְשֹׁם VIP

    Reputations:
    135,792
    Joined:
    Dec 31, 2011
    Messages:
    57,658
    Likes Received:
    16,964
    i think they are basing this on an incorrect premise: it sounds like they assume that really sick people repeatedly use the ER rooms for treatment because they are too poor to have a regular doctor. i don't think that's accurate: i think people use the ER because they know the feds will cover uninsured patient visits to the ER if delivered by ambulance. the chroniclly sick and poor are covered by various federal programs and clinics. when i ran on an ambulance squad in so jersey the summer month calls were filled with pregnant women who intentionally waited until they were crowning before calling the ambulance because they were advised by their local churches (and one of the reasons i hate Abyssinian churches) that once in labor it was a valid emergency and the ambulance and hospital had to treat them for free per federal law.
     
  13. BaddFunn

    BaddFunn Kick ass fuck yeah VIP

    Reputations:
    90,861
    Joined:
    Feb 25, 2012
    Messages:
    32,877
    Likes Received:
    13,348
    Doctor's offices won't schedule appointments for uninsured people. This is the only way for millions of people to see an actual doctor.
     
  14. BaddFunn

    BaddFunn Kick ass fuck yeah VIP

    Reputations:
    90,861
    Joined:
    Feb 25, 2012
    Messages:
    32,877
    Likes Received:
    13,348
    Do those programs/clinics also include transportation?

    And I don't think the house calls are for delivering babies and broken legs. They're for the people that can't take care of themselves and repeatedly let themselves get to a point where they call 911 for some treatment or even just a little company.
     
  15. Billy Brown

    Billy Brown Thinking big VIP

    Reputations:
    68,724
    Joined:
    Dec 15, 2011
    Messages:
    37,661
    Likes Received:
    5,228
    EMS saved my life.
    I was pissed when I got the bill.

    I miss Wicked. :sad:
     
  16. Billy Brown

    Billy Brown Thinking big VIP

    Reputations:
    68,724
    Joined:
    Dec 15, 2011
    Messages:
    37,661
    Likes Received:
    5,228
    Rub some tussin on it.
     
  17. TonyJax

    TonyJax White Privilege Denied. VIP

    Reputations:
    116,493
    Joined:
    Jul 3, 2012
    Messages:
    25,582
    Likes Received:
    12,249
    His penis is that well known? :dontknow:
     
  18. Scott

    Scott Masshole Staff Member

    Reputations:
    89,025
    Joined:
    Sep 17, 2010
    Messages:
    29,642
    Likes Received:
    16,222
    Any time you make patient contact and don't transport you need to call medical control and speak to the doctor who ultimately makes the decision and gives orders. And they get paid. So the AMA will love it. The docs can stay home and answer their phones and still get paid. It's a win for them.
     
  19. BaddFunn

    BaddFunn Kick ass fuck yeah VIP

    Reputations:
    90,861
    Joined:
    Feb 25, 2012
    Messages:
    32,877
    Likes Received:
    13,348
    [video=youtube;joMKGfLsByc]http://www.youtube.com/watch?v=joMKGfLsByc[/video]
     
  20. Ridic Too

    Ridic Too New Member Banned User

    Reputations:
    25
    Joined:
    May 5, 2013
    Messages:
    3,787
    Likes Received:
    2
    That is already going on down here in Florida. Humana is contracting with hospitals and charging a flat fee to case manage some of the hospitals most notorious ER users.

    A Humana RN completes a series of visits with the patient where he/she assesses them and coordinates all their healthcare needs so they stop using the ER as their PCP.