Integrated: the Community Paramedicine podcast

Meeting the front line and academic leaders of this emerging paramedical sub-specialty and hearing their stories #mihcp #communityparamedic #sdoh

[GamER MD @GamER_MD_Actual]

IT’S NOT THE DOCTORS DRIVING UP HEALTHCARE COSTS!!! LOOK AT WHAT THESE SOULLESS, GRIFTING, CHARLATAN, MONEY WORSHIPPING, INSURANCE COMPANIES ARE DOING!!! THEY ARE LYING ABOUT DIAGNOSES TO MAXIMIZE BILLING!!! WHY ISN’T THE FEDERAL GOVERNMENT AUDITING THESE THIEVES AND TAKING THEM TO COURT?!?!!? @CMSGov, @SecBecerra, @FTC QUIT BEING INDUSTRY SHILLS AND DO YOUR GODDAMNED JOBS!!!

[Integrated: the Community Paramedicine podcast @CP_Integrated]

Squeezing blood from a stone instead of working to improve patient outcomes and experience seems to be the American way.
https://t.co/nYKpoYLhhl

[Integrated: the Community Paramedicine podcast @CP_Integrated]

Adding to the education list:
https://t.co/l39bNoaf9d

[Integrated: the Community Paramedicine podcast @CP_Integrated]

And the impact this has on not only patient outcomes but patient engagement overall can only be guessed at...

[David S Chang @dschan02]

It’s not a technology barrier, it’s a perverse incentive barrier.

Hospital and multispecialty group administrations have big incentives to make filesharing as difficult as possible:

1) Outmigration moat: if it’s too easy to share films to outside physicians, patients might get a second opinion and stick with the outside doc. Making file sharing difficult makes it harder for patients to leave.

2) HIPAA enforcement paranoia: Admins believe that it is easy to get sued/fined if you accidentally share too much info (violating privacy), whereas no one has ever heard of getting sued/fined for sharing too little info.

3) Lack of feedback: If your healthcare group is bad at sharing films with physicians inside your group, those physicians will complain and admin has pressure to do something. But if you’re bad at sharing outside your group, the outside physicians have no way to get anyone to listen to their feedback.

[Integrated: the Community Paramedicine podcast @CP_Integrated]

https://t.co/rzTcYMNyhC

[Integrated: the Community Paramedicine podcast @CP_Integrated]

Many people read your note

[Robert Oubre, MD | The Doctor of Documentation @Dr_Oubre]

People who read your note:

EMTs
PCPs
Coders
Patients
Lawyers
Auditors
Coroners
Future you
PT/OT/STs
CDI nurses
Insurances
Hospitalists
Abstractors
Consultants
Pathologists
ER physicians
Social Workers
Appeals teams
Bedside Nurses
Case Managers
Mortality committees
to name a few

[Integrated: the Community Paramedicine podcast @CP_Integrated]

Get your papers written and out there!

[davidpage @davidpage]

Calling all EMS Researchers!!! https://t.co/GGmzXc8yJM

[Integrated: the Community Paramedicine podcast @CP_Integrated]

Who else is here for the 2023 Mobile Integrated Health and Community Paramedicine Clinical and Leadership Summit? Talking about the @CAMTS1 #MIH #MIHCP program standards later today @namihp @AtriumHealth

[Integrated: the Community Paramedicine podcast @CP_Integrated]

DEA announces proposed rules to make telemedicine permanently flexible, safeguarded https://t.co/SuTtioPn7l

[Integrated: the Community Paramedicine podcast @CP_Integrated]

Excellent thread and has significant implications beyond physician specialization and compensation

[Jonah Thompson @JNT_TR]

Just came across this tweet and it does a better, concise job of explaining the persistent, structural undermining of #valuebasedcare than most any other single source I've read.

[Integrated: the Community Paramedicine podcast @CP_Integrated]

The @AtriumHealth #MIHCP #CommunityParamedic summit is the largest #MIH centered professional conference and should be on your priority travel list

[Integrated: the Community Paramedicine podcast @CP_Integrated]

Great synopsis and some real action items

[Joshua Kimbrell @joshkimbre]

Things I'm thinking about while sipping a beer before flying out from #NAEMSP2023

1) There are so many brilliant minds in EMS. Agencies across the country and the world are pushing the industry forward.

[Integrated: the Community Paramedicine podcast @CP_Integrated]

Certainly critical for physicians, but understanding regulatory burden and not falling prey to unnecessary "CYA" complications (that tend to compound) is key to improving access to care and decreasing barriers
https://t.co/BIHZ133CM6

[Integrated: the Community Paramedicine podcast @CP_Integrated]

Say it louder for your peers and the rest of us in healthcare/medicine

[Sanjee Baksh @S__Baksh]

@Nouronal More often than not numerous risk factors are inaccurately oversimplified into a patients race which leads to (a) premature diagnostic closure and (b) false attribution of biological significance to race

[Integrated: the Community Paramedicine podcast @CP_Integrated]

Big steps forward in NJ for #paramedicine and #MIHCP

[Kevin Collopy, MHL, FP-C, FAEMS, FICAPP @ktcollopy]

New Jersey has passed a law to license #paramedics and enshrine mobile integrated health in the #ems scope. This is great work. Will NC and others also follow such progress? https://t.co/b35U4Cbc7L

[Integrated: the Community Paramedicine podcast @CP_Integrated]

@Aidan_Baron Mobile Integrated Health programs (with Community Paramedics, social workers, pharmacists, community health workers, physicians, nurses)

[Integrated: the Community Paramedicine podcast @CP_Integrated]

#MIHCP leaders, this needs to be the next book on your list: The Practical Playbook: Public Health and Primary Care Together
https://t.co/GPvo5jTFRC

[Integrated: the Community Paramedicine podcast @CP_Integrated]

Check out my latest #podcast https://t.co/YWcDGsoRAy on #Podbean

[Integrated: the Community Paramedicine podcast @CP_Integrated]

Check out my latest #podcast https://t.co/3WNkSLk0RQ on #Podbean

[Integrated: the Community Paramedicine podcast @CP_Integrated]

What's old is new and the opportunities for multidisciplinary teams, #MIHCP , to make a substantial impact in the future of primary care can not be overstated
https://t.co/EkDwPMpR0G