project ethan: how houston used innovation and technology ...€¦ · project ethan: how houston...
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Project ETHAN: How Houston Used Innovation and Technology to Achieve
Greater Value for EMS
Diaa Alqusairi, PhD
October 2015
Houston Fire Department
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Outline
The Challenge
The Solution
Did it work?
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The Challenge
HealthcareCost
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The Challenge
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Growing demand• Growing population• Increased # of EMS calls• Lowe-acuity calls (80%)
System inefficiency• Low quality• High cost• Specialized resources
Limited access to healthcare• Uninsured • Lack of transportation• Health illiteracy• Misconceptions
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The Challenge
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The Challenge
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The Solution
Safe
Easy to use
Efficient
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The Solution
Emergency Telehealth and Navigation Program (ETHAN)
• Reduce number of unnecessary transports
• Improve unit availability and dispatch times
• Focus on emergencies
• Connect patients with a medical home
• Improve quality and reduce cost
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It is a partnership
How does it work?
911 CallField
AssessmentVideo Call Disposition Navigation
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911 Call & Field Assessment
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Video Call-Physician Assessment
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• Clinic appt by cab• ER by Taxi• ER by ambulance• Home Care
Disposition
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• Healthcare navigators• Social needs• Establish medical home• Prevent future 911 calls?• Answer the patients concerns • Cancel/reschedule clinic appointments and cab rides
Navigation-Care Houston Links
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ETHAN IT Structure
Video Call, Medical Record
Pt
Info
, Ap
pt
Co
nfi
rmat
ion
• ImageTrend• Cisco Jabber• Panasonic FZ G1
• Web-based Scheduling System
• HIE-Healthconnect
• Web-based Dispatch System
• Verizon Wireless
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Did it work?
• Patient outcomes• Time/Cost saving
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Did it work?
Patient outcomes
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Did it work?
Patient outcomes
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Did it work?
Patient outcomes
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Did it work?
Patient outcomes
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Did it work?
Time/Cost saving
56 min saving
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Did it work?
Time/Cost saving
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ETHAN Partners
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