C1 · Treat-in-place and alternate destination
Treat-in-place programs, coordinated between clinics, hospitals and EMS
Support scheduled treat-in-place pathways with structured missions, online medical control and disposition reporting a state sponsor can use.
Mission template C1 · Low-acuity assessment, treat-in-place
On scene- Received09:12
Referral raised by cp program, Scheduled from a clinic or case manager for a symptomatic patient who would otherwise go to the ED.
- Scheduled10:04
A program covering the address accepts inside the window: Same day, 2–4 hour window.
- En route13:06
Crew departs; the patient receives an arrival window by SMS.
- On scene14:11
Assessment; Point-of-care labs or ECG; Tele-MD.
- Completed14:40
Outcome fields recorded (Disposition (home / clinic / ED); ED avoided Y/N per protocol definition); referrer notified.
Why this program
Treat-in-place keeps care at home when a transfer adds distance and risk without adding benefit. States are funding it by name under Rural Health Transformation.
The pathway needs three things to be defensible: a clinician on the line, a documented disposition, and a record that ties the decision to what happened next.
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 C1
Low-acuity assessment, treat-in-place · sponsor persona: CP program · window: Same day, 2–4 hour window · single mission · tele-MD required
Trigger and window
Scheduled from a clinic or case manager for a symptomatic patient who would otherwise go to the ED
Window: Same day, 2–4 hour window
Skills required: P, CP
Steps
- Assessment
- Point-of-care labs or ECG
- Tele-MD
- Treat per protocol
- Disposition
Outcome fields
- Disposition (home / clinic / ED)
- ED avoided Y/N per protocol definition
- Tele-MD used
Escalation and child orders
The physician decides; 911 if unstable
Child orders: Pharmacy delivery, Follow-up post-ED mission. Logistics requests are raised on VectorCare and tracked against the same mission.
What the sponsor sees
Hospital and state sponsors see the disposition mix and the 72-hour outcome behind remain-home decisions.
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 runs the encounter; DispatchCare records the consult, the disposition and the follow-up.
Programs choose which templates they accept, and set their own coverage area and capacity. Nothing is auto-assigned.
What you can measure
- Disposition mix
- 72-hour ED contact after a remain-home decision
- Tele-MD response time
- Transfers avoided, reported with the follow-up outcome attached
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
Scheduled from a clinic or case manager for a symptomatic patient who would otherwise go to the ED. 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.