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Education and Practice

Advanced Practice Providers in the Field: Implementation of the Los Angeles Fire Department Advanced Provider Response Unit

, MD, , MD, MSc, , RN, DNP, , MPH, , BS & , MD, MPH
Pages 693-703 | Received 27 Mar 2019, Accepted 04 Sep 2019, Published online: 11 Dec 2019

References

  • Rockwood CA, Jr., Mann CM, Farrington JD, Hampton OP, Jr, Motley RE. History of emergency medical services in the United States. J Trauma. 1976;16:299–308. doi:10.1097/00005373-197604000-00008.
  • Cannuscio CC, Davis AL, Kermis AD, Khan Y, Dupuis R, Taylor JA. A strained 9-1-1 system and threats to public health. J Commun Health. 2016;41:658–66. doi:10.1007/s10900-015-0142-x.
  • Langabeer J, Gonzalez M, Alqusairi D, Champagne-Langabeer T, Jackson A, Mikhail J, Persse D. Telehealth-enabled emergency medical services program reduces ambulance transport to urban emergency departments. West J Emerg Med. 2016;17:713–20. doi:10.5811/westjem.2016.8.30660.
  • Gregory EF, Chamberlain JM, Teach SJ, Engstrom R, Mathison DJ. Geographic variation in the use of low-acuity pediatric emergency medical services. Pediatr Emerg Care. 2017;33:73–9. doi:10.1097/PEC.0000000000000581.
  • Clarke JL, Bourn S, Skoufalos A, Beck EH, Castillo DJ. An innovative approach to health care delivery for patients with chronic conditions. Popul Health Manage. 2017;20:23–30. doi:10.1089/pop.2016.0076.
  • Sanko SE. Epidemiology of accelerated use of 911 in city of Los Angeles. Prehosp Emerg Care. 2019;29:97–152. doi:10.1080/10903127.2019.1668988.
  • Bernstein SL, Aronsky D, Duseja R, Epstein S, Handel D, Hwang U, McCarthy M, John McConnell K, Pines JM, Rathlev N, et al. The effect of emergency department crowding on clinically oriented outcomes. Acad Emerg Med. 2009;16:1–10. doi:10.1111/j.1553-2712.2008.00295.x.
  • Vieth TL, Rhodes KV. The effect of crowding on access and quality in an academic ED. Am J Emerg Med. 2006;24:787–94. doi:10.1016/j.ajem.2006.03.026.
  • Eckstein M, Chan LS. The effect of emergency department crowding on paramedic ambulance availability. Ann Emerg Med. 2004;43:100–5. doi:10.1016/S0196-0644(03)00747-9.
  • Alpert A, Morganti KG, Margolis GS, Wasserman J, Kellermann AL. Giving EMS flexibility in transporting low-acuity patients could generate substantial Medicare savings. Health Affairs. 2013;32:2142–8. doi:10.1377/hlthaff.2013.0741.
  • Choi BY, Blumberg C, Williams K. Mobile integrated health care and community paramedicine: an emerging emergency medical services concept. Ann Emerg Med. 2016;67:361–6. doi:10.1016/j.annemergmed.2015.06.005.
  • Coffman J, Blash L, Amah G, UCSF Healthforce Center for Research and Health Leadership Development. Update of evaluation of California’s community paramedicine pilot program. 2018.
  • Beck E, Craig A, Beeson J. Mobile integrated healthcare practice: a healthcare delivery strategy to improve access, outcomes, and value. Modern Healthcare. 2013.
  • Goodwin J, Lane P, Zavadsky M, Hagen T, Hinchey P, McGinnis K, Bourn S, Myers B. Mobile integrated healthcare and community paramedicine (MIH-CP): insights on the development and characteristics of these innovative healthcare initiatives, based on national survey data. National Association of Emergency Medical Technicians (NAEMT), 2015 [cited 2019 Aug 1]. https://www.naemt.org/docs/default-source/community-paramedicine/naemt-mih-cp-report.pdf.
  • Huff C. Paramedicine programs making house calls, but scope of practice under scrutiny. Ann Emerg Med. 2017;69:A13–16.
  • Barnes H, Richards MR, McHugh MD, Martsolf G. Rural and nonrural primary care physician practices increasingly rely on nurse practitioners. Health Affairs. 2018;37:908–14. doi:10.1377/hlthaff.2017.1158.
  • Hjortdahl M, Zakariassen E, Wisborg T. The role of general practitioners in the pre hospital setting, as experienced by emergency medicine technicians: a qualitative study. Scand J Trauma Resusc Emerg Med. 2014;22:47. doi:10.1186/s13049-014-0047-1.
  • Tohira H, Williams TA, Jacobs I, Bremner A, Finn J. The impact of new prehospital practitioners on ambulance transportation to the emergency department: a systematic review and meta-analysis. Emerg Med J. 2014;31:e88–94. doi:10.1136/emermed-2013-202976.
  • Morgan SR, Chang AM, Alqatari M, Pines JM. Non-emergency department interventions to reduce ED utilization: a systematic review. Acad Emerg Med. 2013;20:969–85. doi:10.1111/acem.12219.
  • California Code of Regulations: TItle 22; Division 9, 2019 [accessed Aug 1]. https://govt.westlaw.com/calregs/Browse/Home/California/CaliforniaCodeofRegulations?guid=I2E586D50D4C011DE8879F88E8B0DAAAE&transitionType=Default&contextData=%28sc.Default%29.
  • Vega WA, Lloyd DA, Kuo T, Trejo L, Wu S, Shapiro M. The 2015 Los Angeles healthy aging report. Los Angeles (CA): USC Edward R. Roybal Institute on Aging; 2015 [cited 2019 Aug 1]. http://roybal.usc.edu/wp-content/uploads/2016/04/USC_Roybal-LA_HealthyAging.pdf.
  • Folsom DP, Hawthorne W, Lindamer L, Gilmer T, Bailey A, Golshan S, Garcia P, Unützer J, Hough R, Jeste DV. Prevalence and risk factors for homelessness and utilization of mental health services among 10,340 patients with serious mental illness in a large public mental health system. Am J Psychiatry. 2005;162:370–6. doi:10.1176/appi.ajp.162.2.370.
  • Kashani S, Ito T, Guggenheim A, Sanko S, Sidhu S, Balagna J, Green JL, Wong C, Eckstein M. Implementation of a nurse practitioner response unit in an urban EMS system. Ann Emerg Med. 2016;68:S37. doi:10.1016/j.annemergmed.2016.08.099.
  • Larkin GL, Claassen CA, Pelletier AJ, Camargo CA. Jr. National study of ambulance transports to United States emergency departments: importance of mental health problems. Prehosp Disaster Med. 2006;21:82–90. doi:10.1017/S1049023X0000340X.
  • Department of Health Services of Los Angeles County. Los Angeles County Department of Health Services reference 502 patient destination.; 2015 AoA; 2018 [cited 2019 Aug 1]. http://file.lacounty.gov/SDSInter/dhs/1040118_502.pdf.
  • Hall MK, Raven MC, Hall J, Yeh C, Allen E, Rodriguez RM, Tangherlini NL, Sporer KA, Brown JF. EMS-STARS: emergency medical services “superuser” transport associations: an adult retrospective study. Prehosp Emerg Care. 2015;19:61–7. doi:10.3109/10903127.2014.936630.
  • Knowlton A, Weir BW, Hughes BS, Southerland RH, Schultz CW, Sarpatwari R, Wissow L, Links J, Fields J, McWilliams J, et al. Patient demographic and health factors associated with frequent use of emergency medical services in a midsized city. Acad Emerg Med. 2013;20:1101–11. doi:10.1111/acem.12253.
  • Sanko S, Eckstein M. Characteristics of the most frequent “super-users” of emergency medical services. Prehosp Emerg Care. 2014;18:123–62.
  • Sanko S, Eckstein M. Emergency medical service frequent user resource utilization: the Los Angeles experience. Ann Emerg Med. 2013;62:S145.
  • Sanko S, Ito T, Guggenheim A, Eckstein M. A new tradition: nurse practitioner unit helps L.A. J Emerg Med Serv. 2017;42:59–62.
  • Munjal K, Carr B. Realigning reimbursement policy and financial incentives to support patient-centered out-of-hospital care. JAMA. 2013;309:667–8. doi:10.1001/jama.2012.211273.
  • CMMI. 2019. Emergency Triage, Treat, and Transport (ET3) model. 2019 [cited 2019 Aug 1]. https://www.cms.gov/newsroom/fact-sheets/emergency-triage-treat-and-transport-et3-model.
  • Los Angeles County Department of Public Health, Office of Health Assessment and Epidemiology. Key indicators of health by service planning area. Los Angeles (CA): Los Angeles County Department of Public Health, 2013 [cited 2019 Aug 1]. http://publichealth.lacounty.gov/ha/docs/2015LACHS/KeyIndicator/PH-KIH_2017-sec%20UPDATED.pdf.
  • City of Los Angeles Department of City Planning. Health atlas for the city of Los Angeles. 2013 [accessed 2018 Oct 1]. http://planning.lacity.org/cwd/framwk/healthwellness/text/HealthAtlas.pdf.
  • The U.S. Department of Housing and Urban Development Office of Community Planning and Development. The 2017 Annual Homeless Assessment Report (AHAR) to Congress, part 1: point-in-time estimates of homelessness. 2017 [accessed 2018 Oct 1]. https://www.hudexchange.info/resources/documents/2017-AHAR-Part-1.pdf.
  • SRBI A. 2014-2015 Los Angeles County Health Survey methodology report. 2017 [accessed 2017 Sep 1]. http://www.publichealth.lacounty.gov/ha/docs/2015LACHS/LACHS_2014-15_Methodology_Report_170630.pdf.

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