As health care providers, we know that patient transitions between care venues is a vital component within our health care system. Helping individuals to live independently and safely at home has always been the mandate of the North East CCAC, and now through a new partnership with Health Sciences North and the City of Greater Sudbury Paramedic Services, additional resources will be available to support even more people at home. The goal of the new Community Paramedicine program is to help ease care transitions, prevent re-admissions to hospital, and reduce demand for services with a focus on education, injury prevention and early recognition of illness.
Here's how it works. A small team of paramedics will provide follow up care and monitoring for select patients in their own homes after they have been discharged from hospital with a chronic condition such as COPD, congestive heart failure, diabetes and dementia. The goal of the pilot project is to help prevent hospital readmissions and unnecessary emergency room visits. The paramedics will work closely with health care providers and community partners to create care plans geared specifically to each individual.
The team will also conduct wellness checks at seniors' housing, as well as soup kitchens and emergency shelters, and provide education surrounding injury prevention and early recognition of illness.
In other areas of the province, similar paramedicine programs have created a unique safety net in communities, with paramedics identifying individuals at risk who would benefit from CCAC care or current patients who now require enhanced support at home. This program is now active in most areas of the North East.
"These partnerships recognize that the continuum of care does not stop at any one door in the health care system," says Richard Joly, CEO, North East CCAC. "Extending links across this continuum ensures smooth transitions between care providers and that we are using all available resources to provide a better patient experience."