B1 · Chronic disease and frequent ED users
Frequent ED user community paramedicine programs, coordinated from the payer or the hospital
Enroll frequent ED users into a recurring community paramedicine cadence, see every touch, and prove utilization change with cohort reporting.
Mission template B1 · Frequent ED user enrollment and cadence
On scene- Received09:12
Referral raised by payer, Four or more ED visits in six months; payer or hospital list.
- Scheduled10:04
A program covering the address accepts inside the window: Intake ≤7 days, then weekly ×8 and biweekly ×4.
- En route13:06
Crew departs; the patient receives an arrival window by SMS.
- On scene14:11
Root-cause assessment (clinical and social); Care plan; PCP and behavioral-health linkage.
- Completed14:40
Outcome fields recorded (ED visits in the cadence period; Plan goals met); referrer notified.
Why this program
A small group of patients accounts for a large share of ED volume, and most of their visits are driven by unmet needs at home: no transportation, no primary care relationship, untreated behavioral health, food or heat insecurity.
Recurring home touches address the actual driver. The operational problem is running a cadence for dozens of patients without a spreadsheet, and proving the effect afterwards.
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 B1
Frequent ED user enrollment and cadence · sponsor persona: Payer · window: Intake ≤7 days, then weekly ×8 and biweekly ×4 · recurring cadence · tele-MD optional
Trigger and window
Four or more ED visits in six months; payer or hospital list
Window: Intake ≤7 days, then weekly ×8 and biweekly ×4
Skills required: CP
Steps
- Root-cause assessment (clinical and social)
- Care plan
- PCP and behavioral-health linkage
- Recurring touches created automatically
Outcome fields
- ED visits in the cadence period
- Plan goals met
- PCP engaged Y/N
- Social needs addressed
Escalation and child orders
Acute concern → tele-MD; behavioral-health crisis → the BH follow-up path
Child orders: Mobility to appointments, Food and benefit referrals, DME. Logistics requests are raised on VectorCare and tracked against the same mission.
What the sponsor sees
Population-health leaders see enrollment, adherence to the cadence, and the cohort ED trend in one view.
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
The program owns the relationship and the schedule; DispatchCare keeps the cadence and the proof.
Programs choose which templates they accept, and set their own coverage area and capacity. Nothing is auto-assigned.
What you can measure
- Enrolled patients and touch adherence rate
- ED visits per enrolled patient per month, before and after
- Referrals placed and completed
- Cost-avoidance estimate for the sponsor
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 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
Four or more ED visits in six months; payer or hospital list. DispatchCare does not receive 911 calls; emergency requests stay in the dispatch system.
Related mission templates
See a mission go from the chart to the home and back.
A 30-minute walkthrough with a coordinator view, a CP program view and the dashboard your sponsor will read.