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
Doctor of Philosophy (PhD)
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.
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.