Expansion of REMSA Partnership Enhances Carson Tahoe’s Ongoing Program Support


Expansion of REMSA Partnership Enhances Carson Tahoe’s Ongoing Program Support


Carson Tahoe Health (CTH) has been proudly supporting REMSA’s innovative Community Health Programs, including Community Paramedicine, the Nurse Health Hotline, and the Ambulance Transport Alternative, for the past two years. CTH was excited to hear about Renown Health’s announcement to sign-on as an additional supporter, as having another healthcare provider’s financial commitment will help continue to fund these vital programs for our communities.

Together, the three Community Health Programs deliver healthcare services and focus primarily on reducing out-of-pocket costs and unnecessary use of the healthcare system; while strengthening the quality and coordination of care and expanding access to the right level of care. Key features and benefits of these programs are outlined below:

  1. Community Paramedicine: Through this service, in-home visits and/or follow-up calls assist patients in avoiding hospital readmission after they have been discharged from the hospital. During these personalized visits, community paramedics reinforce healthcare provider discharge instructions and treatment plans, provide education specific to each patient’s health literacy level, and provide medication reconciliation and reminders of follow-up appointments.
  2. Nurse Health Hotline: There is only one reason to call 9-11, an emergency; there are hundreds of reasons to call the Nurse Health Hotline. This invaluable resource serves as a 24/7 dedicated call line staffed with specially trained nurse navigators. All community members, regardless of insurance status, can call with their non-emergency medical questions and concerns, at no cost to the patient. The nurse navigator will then assess the patient and recommend the appropriate level of care. Since the launch of Carson Tahoe’s forward-thinking partnership with REMSA in 2014, more than 10,000 people within our community have utilized the Nurse Health Hotline; from this group of callers, over 50% of unnecessary Emergency Department (ED) visits were avoided. Another interesting component is the number of people who called the Nurse Health Hotline that would otherwise have stayed home and tried to do self-care on their own. As a result of intervention through the Nurse Health Hotline, the number of people who sought treatment appropriately to the ED increased; in the first year of our partnership, the number of people who would have inappropriately chosen self-care at home went from 789 to 85 as a result of receiving guidance through the Nurse Health Hotline.
  1. Ambulance Transport Alternative: This patient-centered service provides pathways of care other than transport to the emergency department for 9-1-1 patients. This includes transport of patients with low acuity medical conditions to urgent care centers and clinics for treatment, the transport of medically stable inebriated patients directly to the detoxification center, and the transport of medically stable psychiatric patients directly to mental health hospital for medical clearance and admission.

Access to care is a leading concern, both within our community and across the nation. Carson Tahoe is dedicated to providing the best possible access to care, and our alliance with REMSA continues to make an invaluable impact on the health and well-being of our region. We appreciate our partnership with REMSA and the collaboration of other healthcare organizations to sustain these crucial services in our community.