They are joining me to talk about the innovative Geisinger Mobile Health Paramedic program that they developed and piloted with Lean thinking throughout. Kathleen and David will discuss why it was important to engage stakeholders in innovation, how they viewed and addressed resistance to change, why it was important to test the idea in practice, and why it was important to measure results. They also discuss their lessons learned and their challenges along the way.
This WSJ article has a nice summary of the program: “Paramedics Aren't Just for Emergencies.”
“In the Geisinger pilot program, mobile health visits can be requested by a patient's primary-care doctor, a cardiology clinic, or after an emergency room or hospital discharge. Patients who frequently visit the ER are offered the option of being seen at home by a paramedic as an alternative to an ER visit and potential hospital admission, especially for conditions that can be treated at home if caught early.”
I hope you enjoy the episode. It's long, but it's an interesting case study, I believe.
Streaming Player (Run Time 67:17)
For a link to use for this episode, refer people to www.leanblog.org/289.
For earlier episodes of my podcast, visit the main Podcast page, which includes information on how to subscribe via RSS, through Android apps, or via Apple Podcasts. You can also subscribe and listen via Stitcher.
Download a 6-page episode summary:
Topics, Video, Resources, and Links:
Other topics discussed include:
- Past blog posts about ProvenCare and ProvenExperience
- How Kathleen and David got introduced to Lean
- What's the reimbursement model for this?
- Why do they “have a foot in two canoes?”
- How the pilot was structured
- Was this approach spread? Is it expandable?
- How this approach provides “much better care”
Here is a presentation from AME 2016 shared by Kathleen (PDF via Dropbox):
The local news station WNEP Channel 16 did a two-part story on the Mobile Health Paramedic Program.
Part 1 video is an overview of the mobile health paramedic heart failure program:
Part 2 video includes an interview with a heart failure patient: