Community Integrated Healthcare Emergency Medical Services

Project Term: 24 months; 2019-2021
Grant Amount: $160,000

This project will help the Montana Department of Public Health and Human Services (DPHHS) develop a framework to support the statewide implementation of community integrated healthcare (CIH). A part of the project, the DPHHS Emergency Medical Services (EMS) and Trauma Systems will select six EMS pilot sites to begin providing CIH services. Each site will train EMS staff to provide an expanded range of services such as wound care, post-hospitalization follow-up, medication set ups, home safety checks, and other services in the home. At the end of the grant term, the pilot projects will be evaluated, and DPHHS will convene a payer group to consider reimbursement for CIH based upon the results. Grant funds will be used primarily for supporting pilot sites to implement CIH in their systems and for program evaluation. As part of the project, partnerships will be developed with regional hospitals, critical access hospitals, Indian Health Services, VA hospitals and clinics, local clinics and providers, and community stakeholders – all of whom are essential for implementing this project successfully. The goal of the program is to reduce unnecessary EMS transports and unwarranted emergency department visits, and to improve health outcomes among medically vulnerable patient populations, meet community health needs where there are current gaps, remove barriers to health, and address disparities also affecting health outcomes. 

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