Resolution No. 12 – Fire-Based Community Healthcare Provider

Resolution No. 12
COMMITTEE ASSIGNMENT: Policy
Re: Fire-Based Community Healthcare Provider – Adopted as Amended
(AKA: Community Paramedic, Integrated Healthcare Program)

1	WHEREAS, the provisions of the Patient
2	Protection and Affordable Care Act (ACA) and the
3	associated regulations are driving change in
4	traditional healthcare delivery and in local EMS
5	systems; and
6	WHEREAS, local healthcare systems are
7	changing to embrace the savings or avoid penalties
8	set forth in the ACA; and
9	WHEREAS, these changes can threaten local fire-
10	based EMS systems if they are not included in the
11	integrated community healthcare programs; and
12	WHEREAS, Fire-Based Community Healthcare
13	Provider Programs (FBCHP) are intended to provide
14	public health services to elderly, underserved, and
15	chronic condition-patient populations by providing
16	primary care as an extension of a physician; and
17	WHEREAS, FBCHP Programs may provide
18	health, assessment, chronic disease monitoring,
19	patient education and prescription regime
20	compliance, immunizations and vaccinations,
21	hospital discharge follow-up care, and minor medical
22	procedures approved by the system medical director
23	or patient’s primary care physician; and
24	WHEREAS, based on state or provincial law and
25	community need, FBCHP Programs may include
26	transport to alternative destinations such as walk-in
27	clinics, mental health triage, social detox facilities,
28	homeless shelters and in-home assistance services; and
29	WHEREAS, FBCHP Programs may conduct
30	frequent caller education and assist high risk patients
31	to better learn about their condition and ways to
32	manage it better so that they can eliminate
33	unnecessary hospitalizations and transports; and
34	WHEREAS, FBCHP Programs may also include
35	scheduling in-home evaluation of high-risk patients
36	following hospital discharge; and
37	WHEREAS, a FBCHP has the potential to reduce
38	health system expenditures, become self-sustaining,
39	and enhance public health and safety by supporting
40	the health and social welfare needs of the
41	community; therefore be it
42	RESOLVED, That the IAFF support and promote
43	Fire-Based Integrated Healthcare Provider Programs
44	designed to provide added value to local
46	communities; and be it further
47	RESOLVED, That the IAFF supports the process
48	of working with administrative personnel to
49	implement FBCHP Programs so that it is agreed
50	upon by both the union and the authority having
51	jurisdiction; and be it further
52	RESOLVED, That the IAFF develop resources
53	and services to educate and assist local affiliates and
54	their departments to implement successful Fire-
55	Based Integrated Healthcare Provider (Community
56	Paramedic) Programs; and be it further
57	RESOLVED, That these resources include
58	assessment of related local, state or provincial laws
59	for necessary changes to enable local implementation
60	of such programs; and be it further
61	RESOLVED, That the IAFF will pursue any
62	enabling federal legislative and/or regulatory
63	language changes that would be necessary in
64	allowing reimbursement to jurisdictions for services
65	delivered through a FBCHP Program; and be it
66	further
67	RESOLVED, That the IAFF assist local, state,
68	and provincial affiliates in developing appropriate
69	legislation and/or regulation language changes
70	necessary to allow fire-based EMS systems to
71	deliver services associated with a FBCHP Program
72	and to coordinate the eligibility for reimbursement
73	to jurisdictions for services delivered through a
74	FBCHP Program.

Submitted by: IAFF Executive Board

Cost Estimate: None

COMMITTEE RECOMMENDATION: Adopt

CONVENTION ACTION: Adopted as Amended

Resolution No. 12 – Fire-Based Community Healthcare Provider

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