Associate Professor of Nursing/Treasurer, Board of Directors Maryville University/Mehlville Fire Protection District St. Louis, Missouri
Description: Mehlville Fire Protection District was chosen to take part in the ET3 pilot that began January 2021. We immediately implemented both interventions: treatment in place via telehealth, and transport to an alternative destination. ET3 is a new concept, and we had to learn how to educate and motivate our crews and convince patients to participate. We had to create new protocols and training modules to navigate the concerns of our firefighters and paramedics. We had to learn to communicate efficiently with patients, so they understood their options. Our medical direction was essential in shaping our ET3 program, by creating protocols and education for the program. Our medical direction stayed engaged and continued to build upon the education and protocols while also motivating our crews and keeping them engaged. While educating our crews we found that not all firefighters and paramedics were excited to see a new concept. Throughout the year we have collected multiple data points, including patient satisfaction, that we will share with you. Participation in ET3 has led to other opportunities – initiatives in conjunction with our MIH programs, as well as new payor opportunities as the success of ET3 gains notice from other insurers.
Define and explain the criteria for alternative destinations and treatment in place via telehealth
Reproduce firefighter and paramedic buy in as explained through examples of protocols and education created for ET3
Understand the role of the Medical Director in writing protocols, developing training modules, monitoring progress, motivating crews
Implement integration with MIH (i.e. ET3 calls can lead to enrollment in high utilizer program) and discuss other next steps for AD and TIP