City of Austin Performance Report 2015-16

Percent Reduction of EMS Transport to Hospitals of Enrolled Community Health Paramedic Clients 

Measure Description
This key performance indicator measures the percent reduction of ambulance transports for unique patients enrolled in the Austin/Travis County Emergency Medical Services (ATCEMS) Community Health Paramedic program (CHP). The CHP program is a preventative care approach to connect patients to appropriate health care resources prior to the patient having to use 9-1-1 as their only option.
Calculation Method
This measure is calculated by determining the total number of patient contacts 30-days pre-enrollment minus the total number of patient contacts 30-days post-enrollment. The difference between Pre and Post Enrollment is divided by the Pre-Enrollment-30 day number.
FY 2015-16 Results
In FY 2015-16, the patients enrolled in the Community Health Paramedic program experienced a 53% reduction of ambulance transports to hospitals, 4% below the established goal.
Assessment of Results
ATCEMS Community Health Paramedic program has experienced an increase in the number of enrolled patients this year compared to prior years. Recently, the CHP program partnered with the Austin Police Department (APD) and Austin-Travis County Integral Care (ATCIC) to launch the Homeless Outreach Street Team (HOST). This initiative has increased the number of enrolled individuals who are homeless and have more complex medical needs. In many cases, enrolled individuals who are homeless require more time to adjust from requesting 9-1-1 emergency care for basic healthcare to actively participating in the case management prescribed by their healthcare provider.
Next Steps
ATCEMS continues to work collaboratively with other healthcare providers and hospital networks to identify resources or services to reduce the need for transport to the Emergency Room for patients enrolled in the CHP program.
As the healthcare needs of the community continue to change, ATCEMS continues to develop new healthcare delivery models. ATCEMS has adopted the Institute for Healthcare Improvement’s “Triple Aim” which calls for improving the patient experience of care, improving the health of populations, and reducing the per capita cost of healthcare.  By bringing proactive care to vulnerable citizens, we can prevent emergencies and save money.  Mobile Integrated Healthcare programs aim to reduce the high costs of emergency room visits and inpatient hospital stays.  ATCEMS’ program provides expanded services to the communities we serve.  Several of these services include: patient navigation to the right resource at the right time, chronic disease management, medication compliance, home safety (fall prevention), and case management for frequent users of ATCEMS services.
Contact Information
For more information contact James Hawley, Assistant Chief, at (512) 972-7262.