In 2007, two residents of Baltimore City accounted for more than 60 emergency calls, another resident has 110 to 911 calls, and another in 147 of these calls, investigators say. Each call to 911 EMS calls to send an ambulance to the caller.Work at SSA helps prepare students to be effective in home visits. Bernstein is teaching a class this spring, ‘Strategies for working with infants, children and their parents,’ where he helps students understand the interaction between mothers and their children so they can help in the process of power supply. The videotape of the students and then discuss the interactions between mothers and sons.
As firefighters around the country continue to get their budgets cut, find ways to reduce costs while maintaining the same level of service will be increasingly important, say the researchers.
The program, called Operation Care, was designed and built by Baltimore health care access to non-profit and ran as a pilot for three months in 2008. Now, a new report published his results were published in the American journal of emergency medicine can help inform strategies for other emergency medical services departments around the country that may be the same problem, explains the main author of the report.
In three months, the program has generated savings of over $ 14.300, more than $ 6300 of what was for the firefighters of the city. Actual savings are probably more, this number does not include the money saved from unnecessary trips to the emergency and freeing up ambulances to other callers.
None of the patients said they were reluctant to call 911 for real emergencies and they said they did not have adverse health effects due to the program.
Collectively, the 10 callers made 520 calls to 911 in the year prior to enrollment. Based on their call pattern from the previous year, the researchers estimated that these 10 people would be 100 to 911 calls during the three-month program. A bit ‘for the researchers’ surprise, there were only 57 calls, almost half of what they had expected.
‘The original idea was to help addicts get telephone access to medical care and other more, and in so doing, the city of Baltimore has ended up saving money and resources, a welcome side effect,’ said lead author Michael Rinke, MD, a pediatrician and an expert on quality and safety at the Center of the Johns Hopkins Children’s.
Nine of the 10 patients had insurance, primarily through Medicare. All 10 patients had two or more chronic diseases, including hypertension, diabetes and heart disease. Seven had a mental health problem or a problem of substance abuse or both. The average age was 60 years, ranging from 39 to 89 years. The case manager referred patients to assistance programs, insurance, medical specialists, adult care services, food services like Meals on Wheels, psychiatric evaluation and support groups for substance abuse. Nearly 70 % of referrals were non-medical services
The investigators point out that if the results are useful, their relevance is difficult to evaluate because they rely on a small number of patients.