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4/17/2015
Montgomery County hires clinical director for community paramedicine program - Your Houston News: News
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`Clinical director duties
Develop procedures for providing high­quality,
appropriate and efficient healthcare services to the
MCHD community.
Posted: Saturday, April 4, 2015 8:16 pm
By Brandon K. Scott
Montgomery County hired a clinical director from Baylor
College of Medicine to help oversee the hospital district’s
community paramedicine program, which targets the
medical needs for the county’s most frequent 911 callers.
Increase the identification and referral of individuals
who may benefit from the Paramedicine Program,
such as those who are at risk for hospital
readmission, those who do not qualify for home
health services and patients who require additional
support in the home.
Hospital district board members approved the agreement
March 24; and Travis Baker started as the clinical
director April 1.
Provide in­home visits on an as­needed basis.
Community paramedicine program coordinator Andrew
Karrer told The Courier in February that the physician
assistant position was planned after officials realized
most patients are relying on the program as their
primary care or lack access to prescribed medication.
Assist the medical director in establishing an
effective quality assurance and quality improvement
program for community paramedics.
Provide educational training for both field medics
and community paramedics.
Work with the Montgomery County Emergency
Communication District (the “911 System”) to
provide education and direction of EMS supervisors
on procedures related to the purpose and goals of
the paramedicine program.
Provide clinical decision making and continuing
education training programs to enhance the
effectiveness of the paramedicine program.
Exercise good­faith efforts to reduce the number of
individuals who overuse the 911 System regularly.
Maintain all his necessary professional licenses and
certifications in good order.
Baker could not be reached for comment.
In addition to providing in­home patient visits on an as­
needed basis, the clinical director will help develop
procedures for high­quality, efficient health care; identify
and refer more individuals who may benefit from the
paramedicine program, which could include those who
are at risk for hospital readmission or do not qualify for
home health services; and patients who require
additional support in the home.
The new position is designed to assist EMS Medical
Director Dr. Mark Escott in establishing a quality
improvement program for community paramedics. The
clinical director also will provide education and training
for field medics and community paramedics.
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“It will just help us operate a lot smoother and be more
effective and, hopefully, be able to identify more people
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4/17/2015
Montgomery County hires clinical director for community paramedicine program - Your Houston News: News
and provide services to more individuals,” Karrer told
The Courier in February.
The Courier
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Initial compensation for the clinical director paid by
MCHD is $27,325.43 through June 30, then $109,301.70
over the next year. The amount includes salary support
and a 10 percent administrative overhead fee.
6,984 people like The Courier.
The director is expected to have access to an emergency
response vehicle provided by the district but could
receive an additional $600 monthly stipend for mileage
reimbursement if a district vehicle is not available.
Board members pointed out that some of the funds will
be reimbursed through the state’s Health and Human
Services Commission Medicaid Transformation Waiver
program.
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The program was established to bring preventive
healthcare services to an under­served and at­risk
population.
For the three­month period ending Dec. 31, 2014, the Montgomery County Public Health District had 45 patients
enrolled in the program.
Collectively, it had 347 emergency call responses prior to enrollment. In the same time period post­enrollment, the
patients’ collective 911 responses dropped to 256, which amounts to a 26 percent reduction over prior EMS
utilization. Of those 45 enrolled patients, 80 percent had a decrease in EMS use.
But program officials said community paramedics spent as much time tending to the social needs of patients as
they did their clinical needs.
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Posted in News on Saturday, April 4, 2015 8:16 pm.
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