C4 · Treat-in-place and alternate destination
Skilled nursing and assisted-living acute-change assessments, coordinated with the facility
Give facility nurses a two-hour alternative to a 911 call: an assessment, point-of-care diagnostics, a physician on video, and a documented transfer decision.
Mission template C4 · SNF / ALF acute-change assessment
On scene- Received09:12
Referral raised by cp program, A facility nurse calls the program instead of 911.
- Scheduled10:04
A program covering the address accepts inside the window: ≤2 hours.
- En route13:06
Crew departs; the patient receives an arrival window by SMS.
- On scene14:11
Assessment; Labs or ECG; Tele-MD.
- Completed14:40
Outcome fields recorded (Transfer avoided Y/N; Disposition); referrer notified.
Why this program
A change in condition at 2 a.m. in a nursing facility usually becomes an ambulance and an ED bed, because that is the only number the nurse can call.
A scheduled two-hour assessment with tele-medical control gives the facility a second option and gives the sponsor a record of the transfers that did not happen.
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 C4
SNF / ALF acute-change assessment · sponsor persona: CP program · window: ≤2 hours · single mission · tele-MD required
Trigger and window
A facility nurse calls the program instead of 911
Window: ≤2 hours
Skills required: P, CP
Steps
- Assessment
- Labs or ECG
- Tele-MD
- Treat or transfer decision
Outcome fields
- Transfer avoided Y/N
- Disposition
Escalation and child orders
Unstable → 911 or a coordinated transfer
Child orders: Non-emergency transfer via VectorCare if needed. Logistics requests are raised on VectorCare and tracked against the same mission.
What the sponsor sees
The facility and the sponsor see response time, the disposition, and whether a transfer was avoided.
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 responds inside the window, works the assessment with a physician on video, and records the decision.
Programs choose which templates they accept, and set their own coverage area and capacity. Nothing is auto-assigned.
What you can measure
- Response time against the two-hour window
- Transfers avoided, with 72-hour follow-up attached
- Disposition mix by facility
- Repeat calls from the same facility
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 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
A facility nurse calls the program instead of 911. 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.