Emerging Trends in Public Health

Pre Conference - 120 Minutes

WS09 - Establishing and Facilitating Multi-disciplinary Systems of Care for High-risk Time-sensitive Conditions

Presenter(s)

• 

  Mic Gunderson, EMT-P (Ret.), FAEMS

  President
  Center for Systems Improvement
• 

  Lilly Kan, BA, MPH

  Senior Director, Infectious Disease & Informatics
  NACCHO

This session will prepare participants to establish multi-disciplinary local community/regional systems of care consortia for high-risk, time-sensitive conditions such as acute myocardial infarction, major trauma, stroke, cardiac arrest, and sepsis, using a new model developed by the American College of Cardiology (ACC) and National Association of County and City Health Officials. While communities have coalitions and committees aimed to improve systems of care for these conditions and a wide range of other public health and healthcare matters, there are many commonalities and elements that the systems of care for these distinct emergency conditions share. These elements include hospital specialty designation policies, ambulance destination protocols, inter-facility transfer policies and protocols, and multi-institutional data collection with systems-level analysis and feedback. Given these commonalities, there are clear benefits to addressing these conditions together. Specialty teams within the multi-disciplinary framework can still address condition-specific issues while working collectively on the common elements.
In this session, attendees will explore opportunities to work with any existing systems of care groups to convene area emergency departments, specialty care teams, ambulance services, non-transport medical first response agencies, 9-1-1 communications centers, regulatory agencies, and payers to participate in a multi-disciplinary systems of care consortium. These consortia will then be well-positioned to facilitate precise coordination of processes and resources needed to deliver the right patient to the right facility, within the right time frame in order to minimize morbidity, mortality, and system-wide cost for a broad spectrum of high-risk, time-sensitive conditions. Attendees will also explore opportunities to pilot the approach in their own communities and regions.