EMS-6 Update San Francisco Fire Commission March 9th, 2016

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 highusers 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 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 -1 n-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 b-1 n e e e e e e e e e e e e e e e e e e e e e e e e e e e e e -Ja 1-Ja -F 2-F 3-F 4-F 5-F 6-F 7-F 8-F 9-F 0-F 1-F 2-F 3-F 4-F 5-F 6-F 7-F 8-F 9-F 0-F 1-F 2-F 3-F 4-F 5-F 6-F 7-F 8-F 9-F 0 1 3 3 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 221 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 25%

Location Other 15% Street 23% Sobering Center 5% DPH 2% Shelter 5% Residence 12% Hospital/Clinic 37% Business 1%

Homeless 19% HOUSED 64% HOMELESS UNKNOWN 17%

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: [email protected] Phone: (415)816-6739