Degree
Doctor of Philosophy (PhD)
Department
Engineering Science
Document Type
Dissertation
Abstract
This study applied a holistic method of healthcare program assessment, known as systems approach, to evaluate the efficacy of the East Baton Rouge Parish (EBRP) EMS Community-integrated Health Program (CIHP). The author developed assessment metrics following the Quadruple Aim Framework: IHI (Institute for Healthcare Improvement) Triple Aim + Provider Experience.
Results showed that the CP program in this study delivers high ratings on patient experience and provided a 51% return on investment (ROI) through reduced emergency service utilization, ED visits and inpatient hospital admissions. However, findings did not demonstrate meaningful improvement in patients’ health-related quality of life (HRQoL) and self-efficacy (SE). Nevertheless, provider (specially-trained EMS paramedics) experience from the mixed-methods assessment offers suggestions to improving the program, as well as insights into the barriers to healthcare access that are often encountered by the frequent ED user population.
Date
9-24-2019
Recommended Citation
Aiyedun, Oluwakemi, "Systems Approach to Evaluating MIH-CP (Mobile Integrated Healthcare – Community Paramedicine): A Case Study of East Baton Rouge Parish (EBRP) Emergency Medical Services (EMS) Community Paramedicine Program Initiative" (2019). LSU Doctoral Dissertations. 5049.
https://repository.lsu.edu/gradschool_dissertations/5049
Committee Chair
Ikuma, Laura
DOI
10.31390/gradschool_dissertations.5049
Included in
Community Health Commons, Industrial Engineering Commons, Management Information Systems Commons