2. Mercer University 2015
Hancock County Ranking in
County Health Ranking. Org
Health Factors :157
Social- Economic Factors: 157
Physical Environment: 157
Limited Primary Care Access
Overutilization of ER care
Approximately 68 percent ER
visits were non-emergent
4. Hancock Healthcare Access
Initiative
Business plan that is
sustainable
Model works in rural
area
Replicated
Use established
providers as partners
Strengthen local
infrastructure
Data
Mercer University 2015
6. Hancock Healthcare Access Initiative
Emergency Medical Technicians:
Comprehensive assessment of patients who
are ill or feel they have an emergency
Training in Use of Telemedicine Technology
Point of Care Diagnostics:
Basic on site lab evaluation
Electrocardiogram
Ultrasound
Mercer University 2015
7. Equipment in Telehealth Bag
allows for a complete examination
Mercer University 2015
High Resolution Camera
Stethoscope for examination of heart, lungs and
abdomen
Otoscope for examination of upper respiratory tract
Twelve Lead EKG
Pulse Oximetry
Potential Point of Care Diagnostics:
Flu and Strep screens
Blood counts and Chemistries
Other available
8. Hancock Co. Healthcare Access Initiative
Phase 1.
Evaluation of Patients requesting emergency
transport to area hospitals
Phase 2.
Request for in home evaluation for urgent or minor
illness with primary care follow-up
Phase 3.
Scheduled post hospital visit with care follow up by
discharging facility or primary care physician
Phase 4.
Care for minor illness requested by patient
Mercer University 2015
9. Budget and Potential Saving
$ 105,000
includes all
equipment and
network fees
Business model
that is
sustainable
Transportation
Decrease ER use
Early Intervention
Decrease NH
Transfer
Appropriate
transfer
Mercer University 2015
10. Goals for Initiative
Mercer University 2015
1.. Enhance emergency care:
Physician oversight/triage Pre-hospital intervention
2. Decrease inappropriate use of emergency transportation:
Provide in home/ in county access to urgent and non-
emergent acute and chronic disease management
3.. Decrease use of non-emergent transport from hospital ER
4 .Twenty-four seven access for minor illness intervention
5. Encourage and support development of primary care
infrastructure
6. Decrease repeat hospitalization by improving transitions
of care
7. Primary care home and a culture of health and prevention