IoT for Mitigation - Telemedicine: Difference between revisions

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* [https://www.ems1.com/ems-products/communications/articles/3-potential-applications-of-ambulance-based-telemedicine-EZgjnrpb7Mmcizmq/ Potential applications of telehealth in EMS]
* [https://www.ems1.com/ems-products/communications/articles/3-potential-applications-of-ambulance-based-telemedicine-EZgjnrpb7Mmcizmq/ Potential applications of telehealth in EMS]
* The Houston Fire Department (HFD) is a leader in the use of telehealth instead of requiring transport to an ER.  HFD implemented Project ETHAN in 2014.
* The Houston Fire Department (HFD) is a leader in the use of telehealth instead of requiring transport to an ER.  HFD implemented Project ETHAN in 2014.
** Description of Project ETHAN:  https://www.clintonfoundation.org/sites/default/files/chmi_houston_ethan.pdf
** [[chmi_houston_ethan.pdf|200px|Description of Project ETHAN]]
** [https://www.jems.com/2019/04/09/tele-ems-improves-productivity-and-reduces-overall-costs/ Journal of Emergency Medical Services 2019 article detailing how Project ETHAN operates with results, costs and data analysis]
** [https://www.jems.com/2019/04/09/tele-ems-improves-productivity-and-reduces-overall-costs/ Journal of Emergency Medical Services 2019 article detailing how Project ETHAN operates with results, costs and data analysis]



Revision as of 20:56, January 12, 2022



IoT for Mitigation - Telemedicine
GCTC logo 344x80.png
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Wireless
Team Organizations [[Wireless]]
Team Leaders Bill Schrier
City, State
Contributors Bill Schrier
Website
Document

Description

[[Has description::Many calls to 9-1-1 for medical assistance are not really emergencies which require diagnosis and transport to a hospital emergency room. Such calls can be handled on a routine basis with trips to see a healthcare provider for a visit. In most jurisdictions, firefighters and emergency medical services (EMS) agencies respond to calls to 9-1-1 for medical assistance. (Some jurisdictions contract this to a local hospital or private EMS provider.) Until recently, EMS and Fire-and-Rescue Agencies would not be reimbursed by the federal Centers for Medicare and Medicaid Services (CMS) for any 9-1-1 call involving a medicare or medicaid patient unless that patient was transported to a hospital. In 2019 CMS, on a pilot program, allowed pilot EMS providers to use telemedicine and receive reimbursement for transport to alternative care locations. During the COVID crisis of 2020, this pilot program is now extended to any EMS agency using telehealth to contact healthcare professionals for alternative treatment options. But EMS agencies need to have telehealth capabilities and arrangements with physicians or other healthcare providers to engage and triage patients.

Challenges

  • The policy of the federal Centers for Medicare and Medicaid Services (CMS) has been to require transport of a medicare or medicaid patient to a hospital or emergency room (ERs) in order for an Emergency Medical Services (EMS) agency or fire-and-rescue agency to receive reimbursement after responding to a 9-1-1 call for medical assistance.
  • This policy resulted in many unnecessary transports, overburdening both EMS providers and hospital ERs.
  • With the COVID crisis, this situation results in unnecessary exposure of EMS medics and emergency room personnel to potential infection.

Implementation

Examples of Telehealth Apps


]]