Digital Health

Cleveland Clinic Paramedic Telehealth Program: Incorporating In-Home Acute Care to Meet the Needs of Homebound Older Adults

The Better Care Playbook
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Cleveland Clinic Paramedic Telehealth Program: Incorporating In-Home Acute Care to Meet the Needs of Homebound Older Adults

Where does Telehealth fit into elder care?

In this Better Care Playbook article, you'll learn about:

  • Cleveland Clinic's paramedic telehealth program

" Community paramedics provide a same-day response for urgent care needs, in-home treatment, and follow-up visits after hospitalization. Paramedics also facilitate greater access to telehealth and enhance the services delivered as part of a telehealth visit. "

  • How the program was implemented

" While initially, paramedics supported assessments and access to technology during telehealth visits, over time the program has dramatically increased the role and scope of this position. Now, at the beginning of the appointment, the paramedic uses handheld lab devices and blood analysis machines to get lab work completed, conducts patient assessments, and leads the hands-on part of the exam, before connecting electronically with the physician to conduct a virtual visit, informed by the information gathered by the paramedic."

  • The impact telehealth has on the homebound population

" An 87-year-old patient living at home developed an acute kidney injury, which usually would have led to hospitalization. When the patient refused hospital care due to the COVID-19 pandemic, however, the HBPC team worked together to provide acute care at home. The paramedic collaborated with the physician to run labs and start the patient on intravenous fluids, and then a nurse practitioner and community paramedic partnered to care for this patient until her issues were resolved. "


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