B6 · Chronic disease and frequent ED users
Fall follow-up community paramedicine visits, coordinated from the hospital
Coordinate in-home fall assessments after an ED visit or a lift assist: hazards, medications, mobility equipment, and the referral that prevents the next fall.
Mission template B6 · Fall follow-up (post lift-assist)
On scene- Received09:12
Referral raised by hospital cm, 911 lift-assist without transport, entered manually, or an ED fall visit.
- Scheduled10:04
A program covering the address accepts inside the window: ≤72 hours.
- En route13:06
Crew departs; the patient receives an arrival window by SMS.
- On scene14:11
Home safety survey; Gait and balance; Review of fall-risk medications.
- Completed14:40
Outcome fields recorded (Hazards found and fixed; Fall-risk medications flagged); referrer notified.
Why this program
A patient discharged after a fall goes home to the same rug, the same stairs, the same lighting. The next fall is usually the one that breaks a hip.
An in-home assessment converts a discharge into an intervention: hazards removed, medications reviewed for orthostatic risk, equipment ordered, therapy referral placed.
The template is fixed so every referral arrives the same way: a defined trigger, a defined window, a defined skill set, and a defined set of outcome fields. That is what makes the work reportable later without asking crews to write anything twice.
Mission template B6
Fall follow-up (post lift-assist) · sponsor persona: Hospital CM · window: ≤72 hours · single mission · no tele-MD
Trigger and window
911 lift-assist without transport, entered manually, or an ED fall visit
Window: ≤72 hours
Skills required: CP
Steps
- Home safety survey
- Gait and balance
- Review of fall-risk medications
- Footwear
- Lighting
Outcome fields
- Hazards found and fixed
- Fall-risk medications flagged
- DME ordered Y/N
Escalation and child orders
Injury or syncope → tele-MD
Child orders: Grab bars/DME, Home health PT or OT. Logistics requests are raised on VectorCare and tracked against the same mission.
What the sponsor sees
The referring unit sees the assessment outcome and whether equipment was ordered and fulfilled.
Status moves through received, scheduled, active, and completed, escalated or aborted. Exception statuses notify the referrer rather than waiting to be discovered at the end of the week.
What the program does
Accept the mission, complete the fall assessment, flag logistics needs, record outcomes.
Programs choose which templates they accept, and set their own coverage area and capacity. Nothing is auto-assigned.
What you can measure
- Visits completed inside 72 hours of the index fall
- Hazards remediated per visit
- Repeat fall responses at 90 days
- Equipment child-orders fulfilled
Figures shown elsewhere on this site are illustrative unless a source is given. Your reporting reflects your own missions.
Rural Health Transformation
This template maps to CMS strategic goals 1 and 2 and 4. Missions, outcome fields and county-level coverage export for state reporting.
DispatchCare is a technology vendor. It does not administer Rural Health Transformation funds.
Questions buyers ask
911 lift-assist without transport, entered manually, or an ED fall visit. DispatchCare does not receive 911 calls; emergency requests stay in the dispatch system.
Related mission templates
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