The Baker County Fire Rescue Trauma-Informed Community Paramedicine Program will aim to prevent cardiac disease by using the emergency medical services to bring primary care to patients’ doorsteps. In doing so, the emergency medical services will no longer simply respond to 911 calls but work proactively to prevent them from happening in the first place. This program will work through three actions: in home scheduled follow up visits involving patient assessment and chronic disease management, community wellness events such as 5Ks and farmers markets, and providing community resource folders to help patients better navigate the healthcare system and resources available in Baker County. This will work to help patients to live a better quality of life and learn to make wellness choices to reduce the impact of cardiac disease in their life. In doing so, this program will also reduce the frequency of nonurgent 911 calls and preserve emergency resources.
Trauma informed principles will be instilled into this program to ensure the best model of care will be provided to patients. Trustworthiness and safety will be used in the home wellness visits in a safe place for patients. The principles of peer support, empowerment, voice, and choice will all be seen in community wellness events and 5K that aim to bring the community together and empower individuals to become better. All employees will be held to the same standard and required to complete trauma informed care trainings, so the principle of collaboration and mutuality will also be addressed.
The community paramedicine program will use multiple levels of the CDC social ecological mode. On an individual level, the program will improve patient knowledge and skills of chronic disease management and heart healthy lifestyle choices. On a relationship level, the program will involve families in care to build a social support system for individuals making difficult lifestyle choices such as dieting and smoking cessation. The community level will be involved through wellness events that bring everyone together and promote health behaviors.
This program will use a public health framework to address a multitude of factors that lead to cardiac disease in the first place. The program will team up with community partners such as the YMCA, the Baker Prevention Coalition, and tobacco free Florida to help address social determinants of health such as poverty, education and access. The program will use the three stages of prevention through education and wellness tips, screening with ACE questionnaires, and emergency medical response.
References
Center for Disease Control and Prevention. (2019). Heart Disease Facts. Retrieved from https://www.cdc.gov/heartdisease/facts.htm
Center for Disease Control and Prevention. (2020). Prevention Quick Facts. Retrieved from https://www.cdc.gov/pictureofa...erica_prevention.pdf
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunctionto many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American journal of preventive medicine, 14(4), 245-258.
Florida Department of Health, Division of Public Health Statistics & Performance Management. (2016). Adults who had ever been told they had coronary heart disease, heart attack, or stroke. Retrieved from http://www.flhealthcharts.com/...Viewer.aspx?bid=0116
Robert Wood Johnson Foundation. (2019). County Health Rankings & Roadmaps. Retrieved from https://www.countyhealthrankin...mes/overall/snapshot
Substance Abuse and Mental Health Services Administration. SAMSHA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14-4884. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.
United States Census Bureau. (2018). Quick Facts Baker County, Florida. Retrieved from https://www.census.gov/quickfa...ntyflorida/PST045218
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