Pulsara Blog

It has been a challenging year in healthcare. The second year of the COVID-19 pandemic has brought burnout, staffing shortages, and the continued struggles associated with trying to care for patients during a pandemic. 

In the midst of it all, many healthcare systems have risen to the challenge and devoted themselves to providing better, faster, and more efficient care for their patients. They've achieved amazing things in 2021, and, in spite of the setbacks and challenges, have found ways to continue to deliver top-notch care for their patients.

Join us as we take a walk through Pulsara's 2021 case studies, celebrate the stories of some of our partner organizations, and highlight the amazing results they've achieved this year!

Ouachita County Medical Center (OCMC) is a not-for-profit hospital with 99 beds, serving residents of the rural community surrounding the city of Camden in southern Arkansas, about 100 miles from Little Rock. As a smaller, non-PCI facility, OCMC often coordinates transfers for their STEMI patients to PCI facilities.

Previously, when a patient arrived in the OCMC emergency room with a STEMI, whether by ambulance or private car, staff would first page a cardiologist at the patient’s preferred receiving facility, then wait for the physician to call back. Only then could they start the process of transferring the patient to a percutaneous coronary intervention (PCI) facility that could provide critical care. “Then we had to get a bed confirmed, and then we had to wait to get our EMS service to take the patient. And then, usually, most of those patients at that time went to Little Rock, which is about an hour and a half from where we are,” explained Jennifer Ray, RN, OCMC’s ER and ICU manager. “So the timeliness of the patient getting in and out was very, very slow.” How slow? During 2017, the average door-in, door-out (DIDO) time was 72 minutes for the 19 STEMI patients who came into the OCMC ER—more than double the 30 minutes or less recommended by the American College of Cardiology Foundation and the American Heart Association.

One healthcare system used Pulsara to achieve record door-to-puncture times and improved inter-organizational team communication for better care coordination. 

BOZEMAN, Mont., Nov. 22, 2021 — Pulsara, the leading mobile telehealth, communication, and logistics platform that unites healthcare teams and technologies across organizations during dynamic events published new details on Seattle-based EvergreenHealth’s record improvements in patient care. Reporting on their hospital and stroke program growth—and the increased communication challenges that growth brought on—the EvergreenHealth Case Study reveals the solutions they found to streamline care and communication across the whole organization spanning three sites. 

Serving a population of nearly 850,000 residents, EvergreenHealth is a growing two-hospital healthcare system with two emergency departments—one in Kirkland, Washington, and a freestanding emergency department in Redmond, Washington. Historically, the stroke teams were using pagers and audio calls to coordinate care. However, as both the hospitals and the stroke program grew, they began straining the limits of what former standard technologies could support. 

EDITOR’S UPDATE: The ET3 program is mentioned throughout the below interview. 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.

__

What if you could keep hundreds of low-acuity patients a week from having to needlessly go to the emergency room? With a scalable system of care, Austin-Travis County EMS is doing just that. In just three weeks, they kept 434 low-acuity patients out of the hospital—rerouting them to faster and more appropriate care via their ET3 clinic partner agency and the telehealth communications and logistics platform Pulsara.

Recently, Commander Steve White and Dr. Carlos Navarro presented a webinar to share their experience with creating the C4 unit, walk through a case study, and offer tangible takeaways and cutting-edge insights. If you haven't yet had the chance to catch up on the conversation, check out part 1 and part 2.

Read on to hear from Commander White and Dr. Navarro as they host a Q&A, answering audience questions about their system, how it works, and how its principles can be applied to other organizations. 

What if you could keep hundreds of low-acuity patients a week from having to needlessly go to the emergency room? And what if, by doing so, you could reduce or eliminate the challenge of slow turnaround times, free up much-needed EMS and hospital resources, and help patients get the care they need faster, more affordably, and more efficiently?

Austin-Travis County EMS is doing just that. With a scalable system of care, they kept 434 low-acuity patients out of the hospital in just three weeks—rerouting them to faster and more appropriate care via the interconnected support of their ET3 clinic partner agency and the telehealth communications and logistics platform Pulsara.

On October 19th, Commander Steve White and Dr. Carlos Navarro shared their experience with creating the C4 unit, walked through a case study, and shared tangible takeaways and cutting-edge insights that you can apply to your own organization today.

Check out part 2 of their presentation below! (If you haven't yet had the chance to read part 1, check it out here.) 

Editor's Update: The ET3 program is mentioned throughout the below interview. 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.

__

What if you could keep hundreds of low-acuity patients a week from having to needlessly go to the emergency room? And what if, by doing so, you could reduce or eliminate the challenge of slow turnaround times, free up much-needed EMS and hospital resources, and help patients get the care they need faster, more affordably, and more efficiently?

Austin-Travis County EMS is doing just that. With a scalable system of care, they kept 434 low-acuity patients out of the hospital in just three weeks—rerouting them to faster and more appropriate care via the interconnected support of their ET3 clinic partner agency and the telehealth communications and logistics platform Pulsara.

On October 19th, Commander Steve White and Dr. Carlos Navarro shared their experience with creating the C4 unit, walked through a case study, and shared tangible takeaways and cutting-edge insights that you can apply to your own organization today.

Check out part 1 of their presentation below! 

2023 Editor's Update: 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.

__

Force Multiplier Patient Care: How EMS Leaders are Revolutionizing the Industry through ET3 Clinic Partner Agencies & Mobile Technology

What if you could keep hundreds of low-acuity patients a week from having to needlessly go to the emergency room? And what if, by doing so, you could reduce or eliminate the challenge of slow turnaround times, free up much-needed EMS and hospital resources, and help patients get the care they need faster, more affordably, and more efficiently?

Austin-Travis County EMS is doing just that. With a scalable system of care, they kept 434 low-acuity patients out of the hospital in just three weeks—rerouting them to faster and more appropriate care via the interconnected support of their ET3 clinic partner agency and the telehealth communications and logistics platform Pulsara.

Presented by Steve White, Commander of Texas’s Austin-Travis County EMS Collaborative Care Communication Center Initiative (C4), along with Dr. Carlos Navarro, Medical Director for Care Value Optimization, Austin market WellMed Medical Management, the speakers will share tangible takeaways and cutting-edge insights that you can apply to your own organization today.

As a tertiary care center and Level I trauma facility in Colorado Springs, Colorado, the trauma team at UCHealth Memorial Hospital Central had their patient care process dialed in. However, there was one part of their process they weren’t satisfied with: their communication system.

The team was receiving notifications through an alarm dispatch system, which ran through the hospital operators and was then manually managed by each individual service line. UCHealth’s Associate Nurse Manager, Nikki Schroeder, BSN, RN, CEN, TCRN, described their process: “Prehospital providers would call in to our ED charge nurse, relay pertinent information, and then the ED charge nurse would determine what level of activation was required. To notify our hospital team, the charge nurse would give the information to our unit clerk, and our unit clerk would page our 811 paging system. That’s how the trauma surgeon, the ICU, and the whole trauma team got notified.”

When COVID-19 struck Texas in early 2020, Montgomery County Hospital District suddenly faced a whole host of new problems. Patients were still calling 911 and needed emergent care, but not all of them needed—or wanted—to be transported to the hospital. Paramedics were daily putting themselves at risk as they entered environments that could expose them to COVID-19. 

“Early on, we didn't know what was going to happen,” said Rob Dickson, MD, FAAEM, FACEP, FACEM, and EMS Medical Director at MCHD. “And we were all—across the nation, across the world—struggling with procedures and PPE and how we could best look after our employees.”

MCHD had a brief window to come up with innovative solutions. They had been using Pulsara to streamline care team communication around stroke and STEMI patients. But in response to the crisis, they began using Pulsara for a completely different purpose: regularly checking in with their employees who had contracted or had been exposed to COVID-19.

When the COVID-19 pandemic flared in the state of Texas in early 2020, the state struggled to load balance their COVID-19 patients. Some areas of the state experienced overwhelming waves of surge, while other areas had available beds and resources. Matching the particular needs of complex patients with available beds and other resources necessary for each patient was difficult.

They sought out a solution that would help create a virtual placement center for smooth patient transfers—supporting effective COVID-19 management and surge mitigation and a 75% reduction in excessive phone calls.

When our customers experience the benefits of Pulsara—from faster door-to-needle times and minimized errors to improved team communication and reduced costs—it goes without saying that we love to share and celebrate their successes. LewisGale Regional Health System in southwest Virginia is just such a case, recently releasing both a press release and video testimonial about how Pulsara is helping them better support their patients and care teams.

From their press release:

“EMS plays a vital role in improving care for these patients, and we’ve known for some time that patients with life-threatening conditions receive faster treatment when EMS activate the appropriate hospital team from the field,” said Steven Pasternak, MD, emergency department medical director at LewisGale Medical Center. “This new, cloud-based, mobile technology further decreases the amount of time it takes to communicate vital data and activate hospital teams compared to traditional methods of communication between ERs and EMS. For example, if a patient has had a suspected cardiac event, the EKG administered by EMS in the field can be transmitted in real-time to the hospital, which enables the hospital to be ready to perform, if necessary, a cardiac catheterization procedure to open blocked arteries as soon as the patient arrives.”

EDITOR'S NOTE: This article originally appeared on EMS1.com. Special thanks to our guest author, Sarah Calams of EMS1 Frontline Voices. 

__

Community paramedics are pioneering new ways to care for mental health patients – here’s how

Since the COVID-19 pandemic, EMS providers have seen an alarming uptick in patients refusing to go to their doctor’s office or the emergency room. Many others – including those with urgent conditions – have even been hesitant to call 911.

“We saw patients who were just foregoing all of their medical care – they were ignoring their emergency conditions,” said James McLaughlin, director of the community paramedicine program at Ute Pass Regional Health Service District in Woodland Park, Colorado.

To ease his community’s fears, McLaughlin introduced a new Healthcare Options Mobility and Engagement, or HOME, program, which pairs an in-home paramedic visit with a telehealth consult by a physician – like Dr. Jeremy DeWall, EMS medical director at Ute Pass Regional Health Service District.

New technology is often an exciting prospect. It's fun to experiment with, especially when it promises to help streamline a cumbersome process. But ultimately, the true test of technology is whether it actually improves the way you do things...and when it comes to technology in healthcare, how it helps you provide better care for your patients.  

So when a group of leading experts and clinicians in Victoria, Australia implemented Pulsara to improve communication between their care teams, they were curious about what the innovative new technology could do for them. But more importantly, they wanted to see what it could do for their patients.

Over the past few years, they have successfully developed a streamlined system for making sure everyone on the team has the right information at the right time. And, they're happy to report, their new system has helped them provide stellar care for their patients.

EDITOR'S NOTE: Special thanks to Brittany Norman for writing today's blog post. You can connect with her on LinkedIn. 

2020 was a year of pivots.

Movies being released on streaming services and Netflix rather than in theaters. Peloton and home virtual gym sales through the roof. Zoom & Microsoft Teams replacing the office board room. All of these are shining examples of our ability to use technology to adapt during the perilous times of COVID-19. With our need to remain connected while isolated, we saw everything from your cousin’s baby shower to your favorite artist’s concert taking place online.

So what was the answer that Pulsara, a company already based in healthcare communication and connection, had for the sudden need for flexibility that the global pandemic demanded?

Enter: Pulsara PATIENT. 

Change management is hard. Adopting new technology and new workflows can be an exciting process, but that process may also bring hesitance, skepticism, fear, and doubt. It's not easy to change the way you've always done things. 

So when a group of leading experts and clinicians in Victoria, Australia implemented new technology to improve communication between their care teams, they worked hard to make sure that everyone was on the same page. And it worked. They've seen a great deal of success with their strategies, and have successfully developed a streamlined system for making sure everyone on the team has the right information at the right time—a system that their teams now love. 

Patient care involves many moving parts, several teams, and a lot of people. How do you get everybody on the same page, especially when messages have to travel through multiple communication methods before they reach their intended recipient? How do you unite all the disparate teams involved in a patient's healthcare journey—from ambulance to emergency department to specialty teams—into one region-wide system of care? 

Over the last few years, a group of leading experts and clinicians in Victoria, Australia have implemented cutting-edge technology to improve communication between their care teams. They've seen a great deal of success with their strategies, and have developed a streamlined system for making sure everyone on the team has the right information at the right time.  

In this three-part series, you'll hear directly from them on their search for a solution, the results they've seen, and the advice they would offer other systems that want to build their own regional system of care. 

View the full webinar video discussion below, or read on for Part 1 of the full roundtable! (Part 2 and Part 3 can be accessed here.)