Navigating the Perfect Storm: Texas ...
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1/11/2021
Navigating the Perfect Storm:
Lower Call Volume, Less Revenue, Budget Cuts
What we’re gonna do…
• Understand the ways COVID‐19 has changed EMS
• Learn the EMS opportunities created by the pandemic
• Learn potential funding opportunities
• And, learn some insights into life under quarantine...
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Responses Transports
Budgeted Actual % Budgeted Actual %
Jan‐20 12,974 12,766 ‐2% 9,192 9,909 7.8%
Feb‐20 12,284 11,608 ‐6% 8,818 8,911 1.1%
Mar‐20 13,221 11,831 ‐11% 9,466 8,583 ‐9.3%
Apr‐20 13,170 10,060 ‐24% 9,540 6,901 ‐27.7%
May‐20 13,578 11,256 ‐17% 9,586 8,064 ‐15.9%
Jun‐20 13,188 11,787 ‐11% 9,352 8,712 ‐6.8%
Jul‐20 13,487 12,491 ‐7% 9,391 9,222 ‐1.8%
Aug‐20 13,648 12,375 ‐9% 9,281 9,269 ‐0.1%
Sep‐20 13,352 11,575 ‐13% 9,095 8,716 ‐4.2%
Totals 118,902 105,749 ‐11% 83,721 78,287 ‐6.5%
Estimated Revenue Impact due to COVID‐19
Estimated Impact March through September
Total Estimated Revenue Loss: $4,100,693
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Estimated Expense Impact due to COVID‐19
Estimated Impact March through September
Estimated COVID‐19 related expenses: $1,349,556
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On‐Site Testing
In‐Home Testing
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In‐Home Testing
SNF & Facility Assessments
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Alternate Destinations
Alternate Destinations
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Treat & Refer
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Treat & Refer
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Follow‐up on Patients Treated and Navigated Under COVID‐19 Non‐Transport Medical Directive
Summary Data for Dates of Service 3/25 ‐ 7/21/2020
Total Patients Navigated Under the Protocol with Phone Number in the ePCR: 330
Follow‐Up Calls Able to be Completed: 93 28.2%
Better Worse Same
How are you feeling now? 93 0 0
100.0%
Yes No Not Indicated
Did you follow the recommendations for follow‐up care the MedStar Crew Left You? 89 1 3
98.9% 1.1% 3.2%
No Yes
Did you seek medical care within 72 hours of the MedStar encounter? 75 ER PCP/UCC
89.3% 4 5
4.8% 6.0%
No Yes
Did you get tested for COVID‐19? 47 45
51.1% 48.9%
Positive Negative
If so, what was the result of the test? 21 24
46.7% 53.3%
One scale of 1 ‐ 5, with 5 being most satisfied, how satisfied were you
with the MedStar experience? 5 4 Other Average
91 1 0 4.99
98.9% 1.1%
Is there anything else you'd like us to know about your MedStar
experience?
"MedStar Is Fort Worths Angels."
"I Love you guys. Thank you."
"Praying For MedStar"
'Thank you for checking on me'
"Sober now…MedStar saved my life"
"Overall very good"
"Thank God For MedStar!"
"Thank you so much for calling and checking on me."
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Contact Tracing
Gillibrand, Bennet propose hiring thousands for new 'Health Force'
BY PETER SULLIVAN
4/22/20
Sens. Kirsten Gillibrand (D‐N.Y.) and Michael Bennet (D‐Colo.) on Wednesday announced new legislation aimed at
hiring hundreds of thousands of new public health workers into a "Health Force" modeled after New Deal programs
during the Great Depression.
The bill would provide $55 billion per year to hire hundreds of thousands of people who would help carry out
testing, contact tracing and eventually vaccinating to fight the coronavirus.
The push comes as overwhelmed local health departments are facing the need to hire thousands of health workers
to do contact tracing, the process of finding people that have been in contact with infected individuals and
informing them so they can quarantine themselves.
https://thehill.com/policy/healthcare/494147‐gillibrand‐bennet‐propose‐hiring‐thousands‐for‐new‐health‐force
Vaccine Distribution & Administration
• Flu, childhood immunizations
o “Shots across Texas”
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Convincing Payers
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"We are an extension of the health care system, but we are not being treated by our governmental leaders as essential
partners in this war," says Matt Zavadsky, president of the National Association of Emergency Medical Technicians, which
represents about 72,000 EMTs and paramedics in the U.S.
That total does not include New York City, where about 20% of city firefighters are calling in sick every day, says Gary
Ludwig, the organization's president.
"All of us share a worry that Congress and the public would understandably believe … that the need of the people who
are serving them was taken care of" when it hasn't been, says Aarron Reinert, president of the American Ambulance
Association, which represents more than 550 ambulance services across the U.S.
https://www.usnews.com/news/healthiest‐communities/articles/2020‐04‐06/first‐responders‐fear‐being‐left‐
behind‐in‐coronavirus‐relief
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EMS Enhanced Services Options for Health Plans
EMS Enhanced Services Options for Health Plans
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EMS Enhanced Services Options for Health Plans
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What We Need To Do…
• Prove that TIP and Alternate Destinations are safe
o Data from patients treated with this modality
• Share outcomes (clinical & economic) with major payers
o Locally and nationally
• Lobby for EMS to be Contact Tracers
o Logical and less expensive
o Preserve workforce
• Continue to collaborate
o Major associations working together
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Matt Zavadsky, MS‐HSA, NREMT
Chief Strategic Integration Officer
MedStar Mobile Healthcare
President
National Association of Emergency Medical Technicians
MZavadsky@medstar911.org
817.991.4487
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