This toolkit can help emergency medical services (EMS) agencies develop and operate Mobile Integrated Healthcare and Community Paramedicine (MIH-CP) programs. The toolkit contains samples of forms, documents, and questionnaires that EMS agencies are currently using to run their MIH-CP programs.
MIH-CP is the provision of health care using patient-centered, mobile resources in the out-of-hospital environment. It may include, but is not limited to, services such as:
This toolkit provides resources and recommendations for reducing inappropriate emergency department (ED) use. It includes key lessons to begin the process of reducing ED use, information on how data can help to identify avoidable ED use, and initiatives currently in place to engage stakeholders. A downloadable resource guide provides additional materials for EDs to use when undertaking this initiative, and a video explains the appropriate use of ED care.
The Prehospital Medical Information System (PreMIS) is a State-mandated, Internet-based emergency medical services (EMS) information system that collects data on each EMS call report made within the States of Mississippi, North Carolina, South Carolina, and West Virginia. Submitted data provide hospitals and EMS administrators the capability to evaluate EMS patient care and system performance.
The PreMIS Web page includes video instructions and patient handoff forms. Although...
This guide for emergency department staff and clinicians is intended as a resource to promote recognition and prevention of medical morbidity and mortality associated with eating disorders.
The guide covers the following topics:
- Common presenting signs and symptoms of eating disorders
- Emergency department evaluation
- Acute malnutrition as a medical emergency
- Emergency department management
This guide for emergency department (ED) physicians, nurses, and caregivers includes information and tools for providing pain management care to “super users” in the ED. The guide offers an approach to understanding and managing two groups of super users—patients exhibiting drug-seeking behaviors and patients with chronic pain—and provides a solution for reducing ED visits.
The appendix to the guide includes sample materials such as a pain management policy, letters, and a pain...
This manual is designed to outline the process of developing and managing an overdose prevention and education program, with or without a take-home naloxone component. Overdose prevention work can be easily integrated into existing services and programs that work with people who use or are affected by drugs, including shelter and supportive housing agencies, substance abuse treatment programs, parent and student groups; overdose prevention work can also be useful for groups of people who use...
This guide describes the knowledge and core competencies necessary for potential overdose responders trained as part of the Massachusetts Department of Public Health opioid overdose prevention pilot program to respond to an opioid overdose event. Potential overdose responders are other opioid users, parents, relatives, and friends of opioid users; first responders such as police and fire departments; and staff of agencies that serve high-risk individuals. The guide provides information on...
The Community Paramedic Evaluation Tool is a self-assessment tool to be used by communities that wish to assess the current status of their paramedicine program. The assessment tool also provides a common framework by which data can be collected from multiple community paramedicine programs to develop a snapshot of common successes and challenges, and to guide in the development of new community paramedicine programs. Although the tool should be useful across urban and rural programs, it is...
This referral form for emergency physicians or other specialists, helps assess a patient who recently experienced a transient ischemic attack (TIA) or a minor stroke. The form is a first step for assessing patients to determine the best stroke prevention strategies, care, and prevention based on individual test results and health needs.
This Web site provides hospitals and health systems tools and resources to improve their systems of care when responding to a patient with ST-elevation myocardial infarction (STEMI) or out-of-hospital cardiac arrest.
Resources such as checklists, algorithms, protocols, strategies, requirements, fact sheets, and more are available under the following areas:
- Emergency medical services
- Referral center
- Receiving center