Piloting Community Paramedicine

first_imgThe feasibility study, which was released in July, states, “Early experiences with CP programs suggest that they may lead to more optimal use of EMS assets and offer some potential for diversification of the EMS funding base.” Skip Kirkwood was the EMS chief at Wake County (N.C.) EMS when the agency launched its community paramedicine program. Kirkwood says Wake County EMS didn’t pilot its community paramedicine program to solve a healthcare access problem. Rather, the program was conceived “to make sure that at least one “˜very experienced’ paramedic was available for each critical call.” Californians often say that California leads the country. It’s true that in some legislative initiatives, the state with the fourth largest gross national product in the U.S. has been a leader in new requirements and allowances, such as smog certification and gay rights. However, a recent University of California, Davis, report recommending that the state pilot 10—12 community paramedicine (CP) programs is an example of California borrowing from other states to alleviate its problems–specifically ones brought on by a burgeoning population and lack of healthcare access. The UC Davis Institute for Population Health Improvement (IPHI) report “Community paramedicine: A promising model for integrating emergency and primary care” was led by Kenneth W. Kizer, MD, MPH, director of the IPHI and professor of emergency medicine in the UC Davis School of Medicine and Betty Irene Moore School of Nursing. The community partnerships, and the improvement of paramedic skills, could be the keys for the California EMS community. “Community paramedicine is not just about healthcare,” Montera says. “It is about providing and linking health services like health, oral health, mental health and social services.” “Community paramedics help alleviate the access-to-care issue by providing low-cost or no-cost healthcare to people in their homes,” Montera says. “They fill a niche between home care and hospice and we see them as partners in our need to provide health care in the home. Community paramedics also alleviate the burden on frequent users in our system by providing social and other help from within the community.”center_img The IPHI report specifies CP programs may result in more appropriate use of EMS, increased access for the underserved and additional opportunities for provider use of skills. “Expanding the role of paramedics is a very promising model of community-based care that uses existing healthcare workers in new and innovative ways,” Kizer said in a prepared statement. “It is a model of care that several other states and countries have implemented to better leverage the skills of paramedics to meet specific community needs and to help ensure that emergency departments are more appropriately utilized.” The three-person research team cites comments from a February stakeholder meeting and the results of a survey of EMS agencies when recommending that 10—12 pilot programs would be needed. “If CP pilot projects were to be undertaken, we believe that as many as 10 to 12 would be needed to provide sufficient diversity of program focus, geography, demography, and community partnerships.” The reason Chris Montera began his Colorado agency’s CP program was also to help solve an access-to-care issue. He says more than 25% of Eagle County residents are uninsured and only one of the primary care providers in the county accepts Medicare and Medicaid. In addition, the area hosts a large seasonal influx of tourists who bring their own health issues. Courtesy University of California, Davislast_img read more

Squad revealed as Bears face Castres in pre-season clash

first_imgDirector of Rugby Pat Lam takes an exciting squad with a blend of youth and experience to the Challenge Vaquerin festival.He said: “We’ve had a really valuable week-long training camp in France, building connections and taking advantage of the warm weather conditions to get through some hard work.“Castres are an excellent side and the 2018 Top 14 champions, so it’ll be a good first hit out for the team. It’s a long pre-season with Premiership Cup games to factor in as well, so we’ve structured the load management of the squad to ensure we are at our peak for the start of the season.“This trip gave us an opportunity to integrated some young guys into the environment and the likes of Harry Ascherl, Ioan Lloyd and Jack Bates will take a lot from the experience. We’re also able to leave some guys back in Bristol to continue their individual training programmes.”Bristol Bears squad to face Castres Olympique at Stade de la Balmette on Thursday, August 15th (5pm KO GMT):Backs: Mat Protheroe, Luke Daniels, Tom Pincus, Jack Bates, Piers O’Conor, Charlie Powell, Harry Ascherl, Ian Madigan, Ryan Edwards, Toby Fricker, Callum Sheedy, Ioan Lloyd, Harry Randall, Nick Stirzaker, Andy Uren.Forwards: Jake Woolmore, Ollie Dawe, Yann Thomas, George Kloska, Tom Lindsay, Harry Thacker, Will Capon, John Afoa, Nicky Thomas, Yann Thomas, Lewis Thiede, John Hawkins, Ed Holmes, Dave Attwood*, Aly Muldowney, Joe Batley, Joe Joyce, Dan Thomas, Steve Luatua, Jake Heenan, Nathan Hughes*.*Travelled on camp but will not feature versus Castres.Did not travel: Charles Piutau, Luke Morahan, Will Hurrell, Sam Bedlow, Tyrese Johnson-Fisher, Aaron Chapman, Blake Boyland, Jordan Crane, Sam Graham, James Dun, Sam Jeffries, Jake Armstrong, Shaun Malton.Unavailable (Rugby World Cup): Chris Vui, Alapati Leiua, James Lay, Jordan Lay (Samoa), Siale Piutau (Tonga).last_img read more

Auburn could face Barry Alvarez after Gary Andersen leaves Wisconsin for Oregon State

first_imgAUBURN – Who will be calling the plays against Auburn in the Outback Bowl is now in question as Gary Andersen shockingly left Wisconsin to become coach at Oregon State on Wednesday.The stunning news leaves an unexpected void for the Badgers, who could see former coach Barry Alvarez, now Wisconsin’s athletic director, coach the team in the bowl game.Alvarez returned to the sidelines to coach Wisconsin in the 2013 Rose Bowl after Bret Bielema left the program for Arkansas following the 2012 season. Wisconsin’s players asked Alvarez to coach the team against Auburn.“I told them I’ll make up my mind tonight,” Alvarez said Wednesday. “I’ll definitely consider that.”Alvarez, who went 118-74-4 at Wisconsin, finished his full-time coaching career against Auburn in the 2006 Capital One Bowl, a 24-10 win for the Badgers.Meanwhile Auburn still has to fill its vacancy at defensive coordinator, which has been open for 10 days since Gus Malzahn fired Ellis Johnson a day after the Iron Bowl. Will Muschamp is still believed to be the lead candidate for the position and a decision could come in the next few days.Alvarez, who serves on the College Football Playoff selection committee, has begun the process for hiring a replacement, with the goal of doing so before the bowl game. He told Andersen, who contacted Alvarez by phone earlier Wednesday, he expects the current assistant coaches to remain at Wisconsin through the Jan. 1 game.“I began working to find a new head coach as soon as I spoke with Gary this morning,” Alvarez said in a statement. “My first concern is taking care of the players on the current team, especially the senior class, and ensuring that their bowl experience is a memorable one. I will find a head coach to uphold the great tradition at Wisconsin, someone who is committed to excellence both on and off the field.”Gary Andersen has left Wisconsin to become head coach at Oregon State.Gary Andersen has left Wisconsin to become head coach at Oregon State.Andersen, 50, went 19-7 in his two seasons at Wisconsin, including 13-3 in Big Ten play. He led the Badgers to a Big Ten West division title this season, though they lost 59-0 to Ohio State in the Big Ten Championship game.Andersen, whose departure was first reported by the Portland Tribune, will owe Wisconsin a $3 million buyout for leaving during the first two years of his contract, according to USA TODAY. He will be introduced in Corvallis Friday afternoon.“First and foremost I want to thank coach Alvarez for the opportunity to coach at the University of Wisconsin,” Andersen said in a statement. “I also want to thank my staff and the people at UW. We worked very hard together and accomplished some great things. I had the opportunity to meet and coach some great young men and I look forward to watching them as they continue their careers and move though life.”last_img read more

Barcelona has a new coach

first_imgBarcelona legend Ronald Coeman is officially the new coach of the Catalan club.The former defender signed for two years after yesterday he terminated his contract as a coach of the Dutch national team, for which Barça will pay between 4 and 5 million euros in compensation. Its official presentation will be today around 19:00.Kuman took over after the dismissal of Kike Setien after the resounding 2: 8 loss to Bayern in the quarterfinals of the Champions League, being selected in the competition of Mauriso Pochettino and after the refusal of the legend Xavi Hernandez to return to the club.The Dutchman has already sat on the Barcelona bench as an assistant to Luis Van Gaal from 1998 to 2000, after which he worked for Vitesse, Ajax, Benfica, PSV Eindhoven, Valencia, AZ Alkmaar, Feyenoord, Southampton, Everton and the Dutch national team.As a coach, the specialist has three Dutch championship titles (two with Ajax and one with PSV), a national cup (Ajax), two Dutch super cups (Ajax and AZ Alkmaar), the Portuguese Super Cup with Benfica, the King’s Cup in Spain with Valencia. and second place in the League of Nations with the Netherlands (loss to Portugal 0-1 in the final).Winbet – victory is an emotion! (18+)Welcome home, @RonaldKoeman!️ #KoemanCuler— FC Barcelona (@FCBarcelona) August 19, 2020last_img read more