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Nurse Practitioner Response Unit

Terrance Ito, NP and Jennifer Farah, MD
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08:44
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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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03:27

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EM:RAP 2017 January Written Summary 926 KB - PDF

How often do you hear someone say, "That person does not need to be in the ED."?  What if there were a system where the ED came to them?

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Brad N., M.D. -

Interesting evolution to pre-hospital care. I'm curious about the economics of this service. Are patient's billed not only for the EMS call, but also billed for the NP services? What is the reimbursement rate, on average? Is the program financially self-sustaining or does it require funding from the county/city (which then is passed on to tax payers)? Thank you for your insight.

Jennifer F. -

Sorry for the delay...The overarching goal of the Advanced Practitioner Response Unit is to pursue patient-centered care by ensuring client safety, timely linkage to medical and social services, and providing for a positive experience of care.  Upstream dispositioning by experienced NPs has helped a select group of patients save on both the direct and indirect costs of acute care, and this approach has served to highlight and improve systemwide inefficiencies.  LAFD also sees the benefits of using Advanced Practitioners to free-up other 911-responders, so these other ambulances in turn can quickly attend the next time-critical emergency in the community.  LAFD is currently not billing for this service, and like many mobile integrated healthcare programs around the country, is working on ways to ensure sustainability and improve patient navigation in close collaboration with each client's respective payer.  CMS has suggested in the past that mobile integrated healthcare will be re-imbursed using value-based strategies, however these remain to be defined.

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Broken Ankles, Ribs, and Pumps Full episode audio for MD edition 227:43 min - 318 MB - M4AEM:RAP 2017 January Canadian Edition Canadian 22:10 min - 31 MB - MP3EM:RAP 2017 January Australian Edition Australian 43:30 min - 60 MB - MP3EM:RAP 2017 January German Edition Deutsche 90:03 min - 124 MB - MP3EM:RAP 2017 January French Edition Français 32:33 min - 45 MB - MP3EM:RAP 2017 January Spanish Edition Español 65:46 min - 90 MB - MP3EM:RAP 2017 January Board Review Answers 220 KB - PDFEM:RAP 2017 January Board Review Questions 202 KB - PDFEM:RAP 2017 January Separate MP3 Files 265 MB - ZIPEM:RAP 2017 January Spanish Written Summary 1 MB - PDFEM:RAP 2017 January Written Summary 926 KB - PDF

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