Pulsara Blog

Near the start of the COVID-19 pandemic in March 2020, I found myself in a conversation with a friend. We shared our concerns about the days ahead, talking about how we were going to handle the kids learning from home and discussing whether she was putting her family at risk by continuing to practice clinically. 

Are you using old, non-patient-centric communication technologies like pagers or phone calls (or even WhatsApp) to solve present-day healthcare challenges? Do you ever wonder if there's a better way to connect your care teams? 

At the European Resuscitation Council Virtual Congress on Oct. 24, 2020, Greg Brown, RN, Pulsara's Western Regional Sales Manager, hosted an exclusive webinar exploring just that. In "Patient-Centric Emergency Medicine: Why Mobile Team Communication Across Healthcare Organizations is the New Standard," Greg discusses how to improve acute care team communication and patient outcomes by switching to mobile technology — and why it is imperative to inter-organizational success.

It's been a big year for large-scale emergencies. Hurricanes, floods, wildfires, a pandemic — and responding to all these disaster scenarios involves a great deal of preparation, practice, and planning. 

Recently, a panel of industry leaders and experts in EMS and emergency preparedness (including Pulsara's own CMO, Kris Kaull) got together for an exclusive fireside chat-symposium, hosted by HERE Technologies. The group talked about overcoming the obstacles of disaster preparedness and mitigation and how to build a culture of preparedness and cross-agency collaboration. As they discussed disaster mitigation for large scale public safety scenarios, they also touched on some of the latest technology that's helping to improve scenario planning. 

Read on for the top 6 takeaways, or watch the full webinar below.

Finding A Next-Generation Telehealth Plan Of Action For Your Hospital [Part 3]

Editor's note: This is the third installment in our series on Finding the Next-Generation Telehealth Plan of Action for Your Hospital. Check out Part 1 and Part 2 here. 

Before COVID-19 sent shockwaves through the healthcare community, telehealth only comprised a very small percentage of appointments for most hospitals. Almost overnight, hospitals realized that they needed a reliable platform for evaluating patients from a distance. The pandemic set in motion a mad scramble for a workable solution, and many hospitals reached for the first option they could find. 

Earlier this year, in the weeks before COVID-19 changed life and healthcare as we know it, Latrobe Regional Hospital near Melbourne, Australia, was busy laying the groundwork for a new communication system between their hospital teams and Ambulance Victoria. Over the course of the next few months, Latrobe was able to implement Pulsara for treating patients across multiple departments, including stroke, mental health, pediatrics, trauma—and most pressingly, COVID-19. 

As lawmakers and physicians debate what to do about telehealth restrictions in the wake of COVID-19, a growing number of clinicians would like to see telehealth become a more regular part of patient care.

The motion to make telehealth permanent after the pandemic seems to be gaining momentum, both in Canada and the United States. Canadian physicians and researchers seem to agree that while it won’t solve everything, telehealth has the potential to help remedy a lot of problems in healthcare across the provinces.

Of all the various crises facing healthcare in 2020, there is one underlying root issue that directly affects all of them. It determines everything about every single patient's care journey, from each care decision to every patient outcome. 

However, very few healthcare professionals think to start with this issue in improving patient outcomes. 

What's the issue? 

Communication. 

As hospitals and EMS agencies in Colorado Springs, Colorado, watched organizations around the world respond to COVID-19, they began to anticipate what their own response would look like. “We got to watch what happened in Italy and Europe and then subsequently in New York,” said Dr. Matt Angelidis, the co-medical director for the Colorado Springs Fire Department and AMR, and emergency physician for UC Health at Memorial Central, Memorial North, and Pike's Peak Regional Hospital. “We had time to think about, ‘Is there a better answer, or do we have an alternate way that we can take care of these patients and deliver care?’”

As the world buckled under the weight of COVID-19, emergency protocols were put in place to protect as many people as possible from exposure to the virus. Many of these protocols successfully achieved what they were designed to do. However, there were also many ways in which we didn’t yet fully understand the impacts of our pandemic response protocols.

Australian EMS agency Ambulance Victoria has recently released new research on the specific causes behind one such unintended consequence: increased deaths from sudden cardiac arrest.

For Latrobe Regional Hospital (LRH) near Melbourne, Australia, streamlining communication has been a major area of focus, both to improve patient care and to strengthen collaboration across its healthcare system. Up until the beginning of 2020, they used a combination of phone calls and pagers to interface among Emergency Services, ED, and hospital staff—resulting in inefficiencies and challenging communication for caregivers.

EDITOR'S NOTE: Special thanks to Justin Baker for writing today's blog post. You can connect with him on LinkedIn. 

While the world has dealt with the far-reaching impacts of COVID-19, the healthcare community has had to deal with many unique challenges. Coming up with and implementing procedures to protect both patients and staff from possible exposure to the virus is a tricky process, especially when in some locations, hospitals have also been dealing with patient surges. Keeping up with routine scheduled visits and elective procedures then becomes even more difficult. As a result, telemedicine has become commonly used for patient care visits and follow up appointments. 

EDITOR'S UPDATE: The ET3 program is mentioned in the article below. Please note that, as reported by JEMS.com on 6/28/23, the federal government is ending the ET3 program. According to the Centers for Medicare & Medicaid Services, “This decision does not affect Model Participants’ participation in the Model through December 31, 2023.” Read the full article on JEMS for more details: ET3 Program Comes to an Abrupt End. Be advised that Mobile Integrated Healthcare and Community Paramedicine are separate initiatives and are unaffected by the ET3 program termination.

EDITOR'S NOTE: Last month, EMS1, Fitch & Associates, and the National EMS Management Association released their third annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS.

About the Author: Rob Lawrence is the principal of Robert Lawrence Consulting. He previously served as the chief operating officer of Paramedics Plus in Alameda County, California. Before that, Rob was the COO of the Richmond Ambulance Authority. Rob is a former board member of the American Ambulance Association and currently serves as chair of its Communications Committee and a member of the media rapid response task force.

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Examining how the COVID-19 pandemic, civil unrest, and reimbursement are impacting prehospital medicine, and how leaders can care for the workforce

This data for this year’s EMS Trend Report was collected in 2019 B.C. – before COVID-19. At the time, we didn’t know what was just round the corner. This year’s report provides a real indicator of the circumstances and challenges we have already seen in the COVID-19 era. As EMS staff were the first warriors into the battle and onto the front line, mental health, post-traumatic stress injury and burnout have elevated to the top of the chart.

EDITOR'S NOTE: Last month, EMS1, Fitch & Associates, and the National EMS Management Association released their third annual EMS Trend Report, proudly sponsored by Pulsara. Because the articles and advice found within contain such critical subject matter, we've elected to publish each segment one at a time here on our blog. Read, enjoy, share, and take to heart the following information brought to you by the most prestigious thought leaders in EMS.

About the authors: Jay Fitch, PhD, is a founding partner of Fitch & Associates and is internationally recognized for leadership as a consultant, educator and innovator in EMS and public safety.

Anthony Minge, EdD, is a senior partner at Fitch & Associates. Prior to joining the firm, he was the business manager for Northwest MedStar in Spokane, Washington.

TECHNOLOGY ADOPTION, PROVIDER RESILIENCY AND PREPAREDNESS: INTERPRETING THE EMS TREND REPORT 2020

EMS leaders anticipated a linear progression in 2020 – managing a slight increase in call volume and reimbursement, while trying to become more efficient and otherwise hold down costs. COVID-19 certainly changed the definition of normal, and perhaps how EMS will evolve in the future.

The EMS Trend Report asks a number of questions each year to ascertain industry perception of a wide variety of key issues and related trends, from measures used to track cardiac arrests, to clinical interventions, ePCR satisfaction, use of lights and sirens for 911 responses, budget changes, and the degree to which agencies are prepared for disruptive events.

EDITOR'S NOTE: Special thanks to Wes Gilbert for writing today's blog post. You can connect with him on LinkedIn.

The COVID-19 pandemic has affected all groups of humanity. No matter where you live, what you do, or what your situation is, everyone has been impacted by the pandemic. For many people, COVID-19 has meant some pretty significant lifestyle changes. 

So far, we have done a good job of thinking and talking about how the pandemic has impacted healthcare workers, public safety workers, and working professionals. There is one group, however, that I haven’t seen much attention devoted to: our kids. 

This is part 2 of our 5-part blog series based on the webinar “The Next-Gen Communication and Telehealth Plan of Action for Your Hospital.” Check out part 1 here. Watch the corresponding section of the webinar below, or listen to the full webinar here. 

Over the last four months, COVID-19 has forever changed the landscape of healthcare. Telehealth has experienced explosive growth since March, creating groundbreaking changes in telemedicine regulations and reimbursement opportunities. Prior to four months ago, only a small minority of systems utilized telehealth in beyond three to five percent of their appointments. Since the start of COVID-19, telehealth has grown to millions of claims in less than a few months. According to a published stat, the number of Medicare beneficiaries using telehealth services during the pandemic increased 11,700%. 

Looking at a graph of telehealth’s "hockey stick" growth is astonishing. For many years, there was no substantial change. March 2020 marks the shift between the blue and red growth markers. Telehealth shot from near non-existence to millions of claims practically overnight. 

As EMS agencies all over the country have struggled to handle COVID-19, many are searching for answers. How do we prepare for possible future waves of COVID-19? Outdated technology cannot keep up with the variety of new challenges. Is there a way to streamline communication and use mobile technology to solve problems and still deliver high-quality patient care? Could such a solution be flexible and scalable, able to handle any situation—even a pandemic?

When COVID-19 hit, Austin-Travis County EMS, serving the Austin, Texas area, had the tools at their disposal to build an efficient system to help mitigate the crisis. They embraced mobile technology in an effort to improve communication, minimize the risk of exposure to healthcare providers, and continue to provide patients with the smartest and most effective quality of care.

This 5-part blog series is based on the webinar “The Next-Gen Communication and Telehealth Plan of Action for Your Hospital.” Watch the corresponding section of the webinar below, or listen to the full webinar here. 

Telehealth and telemedicine have gone through dramatic changes over the last four months, far more than many of us dreamed possible. Regulations and reimbursement are evolving rapidly, which has opened up the door to many new opportunities for using telehealth. Telehealth is helping us improve both the quality and the value of the care that we deliver to our communities. 

However, all this change will almost certainly have wide-reaching implications for your health system, especially in the acute care space. Over the next five posts in this series, we’ll discuss the rapidly shifting landscapes of telehealth regulations and reimbursement and how you can navigate them. We’ll also dive into some of the questions surrounding how to best leverage telehealth in the acute care space.

As the summer progresses, more and more cities are experiencing a spike in their numbers of COVID-19 cases. The second wave of the coronavirus is closing in, which means that the remainder of this summer is vital. Now is the time to prepare for the challenges of the months ahead.

A new telehealth solution is an excellent way to plan ahead. Telehealth can greatly expand patient access to essential health services, ensuring that providers can continue to give them high quality care from a distance. Recently, the CDC came out with an article explaining how a secure telehealth solution can set a medical practice up for the best possible results in mitigating the spread of COVID-19.

I recently read an article that interviewed doctors from San Francisco who volunteered to work on the front lines of the pandemic in New York. They warn that while many states are reopening and life seems in some ways to be returning to normal, it can be easy to forget that COVID-19 is still spreading and still deadly. Pandemic fatigue is setting in, but the fight is far from over. 

EDITOR'S NOTE: Special thanks to Courtney Chumley, FACPE, for writing today's blog post. You can connect with her on LinkedIn. 

At Pulsara, we're committed to helping your organization recover from the initial COVID-19 wave, and prepare for current and future cases. One such way we're striving to equip care teams is by publishing thought leadership and real life examples of how other health systems have successfully managed COVID-19 and its widespread effects.

When COVID-19 hit the U.S., Pulsara client Cy-Fair Fire Department was prepared. They immediately put protocols in place to help mitigate the spread, which they are continuing to use and refine, and even put together a few informational videos to help other EMS agencies. Read on to learn how Cy-Fair was able to prepare for the first wave, and what they are currently doing to manage and mitigate the spread of COVID-19 by leveraging innovative technologies and systems.

On January 23^rd, while the world was watching the evolution of the COVID-19 crisis overseas, the command staff at the Cy-Fair Fire Department met to plan their response. Headed up by Assistant Chief Justin Reed and Communications Chief Angela Burrer, the group began to discuss the threat they knew they were about to face. 

With a service area covering 156 square miles and a population of approximately 475,000 people, the Cy-Fair team knew the potential impacts for the area were enormous. Clear communication was going to be important, they decided, so after that initial meeting, they chose to schedule daily morning video/phone briefings for all on-duty personnel and recorded them for those that were on a response. 

As the virus slowly advanced towards the United States, Cy-Fair staff recognized the logistical concerns of providing appropriate clinical care, recognizing patients early, being mindful of overtriage, and managing personal protective equipment and force protection. They made it a priority to plan accordingly.