San Francisco Fire Commission EMS-6 Update and High-Utilization Program
Explore the initiatives of San Francisco Fire Commission's EMS-6 team, focusing on addressing high-utilization cases in emergency medical services. Learn about their roles, programs, high-user identification, encounter volumes, types of encounters, locations served, homeless statistics, and next steps for improvement. Contact EMS-6 for assistance and collaboration in emergency care management.
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Presentation Transcript
EMS-6 Update San Francisco Fire Commission March 9th, 2016
Program Description H-33 EMS Captain: Paramedic Supervisor Role SF DPH HOT Outreach Specialist: Care Coordination Role Dispatched to 911 incidents Special called by other EMS Resources, clinics, case managers 12 hours/day x 7 days/week (1200-2400) Work in conjunction with existing services to stabilize high-users and refer to non-emergency programs
EMS-6 Team H-33 EMS Captains April Bassett Simon Pang DPH Homeless Outreach Team Operations began on January 30, 2016
EMS High Users Identified clients with high 911 utilization >4 calls/month or >2 calls/day or Identified as system high users (HUMS) Work with existing resources to stabilize and connect Case Examples
EMS Super Users >15 calls/month Top 5 individuals = 35% EMS-6 encounters Active case management High Users of Multiple Systems (HUMS) Ongoing clinical management plans Case Examples
Encounter Volume 14 12 10 8 6 4 2 0 221 encounters in 30 days Average = 7 encounters/shift (7.1 + SD 2.7) BUSY
Encounter Type Other 13% Outreach 26% 911 Call Follow Up 37% 911 Incident 24%
Location Sobering Center 5% Other 15% Street 23% DPH 2% Shelter 5% Residence 12% Hospital/Clinic 37% Business 1%
Homeless 19% 19% HOUSED 17% 17% 64% 64% HOMELESS UNKNOWN
Next Steps Training additional team members Streamlining documentation to facilitate data collection Data sharing for collaboration between providers Continue to identify barriers to care
Contact EMS-6 Hours: 1200-2400 everyday Email: fireems6@sfgov.org Phone: (415)816-6739
