Treat in Place

CMS's new payment model, – dubbed the Emergency Triage, Treat and Transport Model, or ET3 – will make it possible for participating EMS agencies to partner with qualified healthcare providers to deliver treatment in place (on-scene or via telehealth) and with alternative destination sites (such as primary care doctors’ offices or urgent-care clinics), and still be reimbursed for their services.

The COVID-19 pandemic has elevated the importance of treat-in-place approaches to use community paramedics to assess and treat non-emergent patients at home with the use of telehealth technology, or to transport to alternate destinations to reduce the impact on hospital resources.

As EMS moves away from a transportation service, the EMS1 treat in place topic contains the latest news, videos, podcasts and analysis on treat-in-place programs and reimbursement.

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Continue to innovate; continue to collaborate
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Peer-reviewed, empirical data is needed to pursue alternative payment structures
ET3: Don’t let this be the final word
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Turning frustration into action as the end of ET3 puts a wrench in treatment in place, alternate destinations
Sponsored content

Webinar: Building resilience: Procurement strategies and grant opportunities for enhancing EMS preparedness
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Stryker

Learn to fortify your EMS system
Op-Ed: To ease hospital crowding, let EMS providers treat patients in place
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In a Boston Globe opinion piece, Dr. Eric Dickson says paying ambulance services to care for patients at home instead of transporting them would also cut costs
What paramedics want in 2022
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3,213 EMS providers speak up about job satisfaction, effective leadership, safety and innovation in the EMS Trend Survey
Photos: Tractor trailer slams into Calif. apparatus staging crash scene
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San Bernadino firefighter-paramedics treated two people who were injured in the crash
Calif. county EMS crews told to 'assess and refer' patients due to staff shortages
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The new policy should help hospitals cut about 15-20% of daily calls for service, said Dan Lynch, emergency medical services director
Charting the year in review
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Looking back into the data on EMS activations and trends, and looking forward in hope
New York insurance, health system collaborate on new care delivery models
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Empire BlueCross BlueShield and Mount Sinai Health System have reached an agreement to offer community paramedicine, ET3 and treat-in-place options
Quick-Take: Building a sustainable economic model for an EMS telehealth program
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Learn where to find willing partners and payers for an EMS telehealth navigation program
Medical direction: Stepping up the ladder
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Communication applications, tech allow real-time feedback on critically ill patients; enable error-insulated hospital reporting
Telehealth funding to increase access to real-time care
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Grant programs and relief funding to support telemedicine initiatives, technology and training offer continued financial assistance to eligible agencies
Acadian eyes tiered response amidst La. COVID surge
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Medics are preparing to treat some patients at home rather than transport them to hospitals
AMR ET3 program expands to Ga. counties
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After a successful pilot program in DeKalb County, AMR becomes the largest group included in the CMS ET3 model
CMS implements waiver for treatment in place reimbursement during pandemic
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The waiver is retroactive to March 1, 2020 and allows for reimbursement when patients aren't transported due to community-wide COVID-19 protocols
‘Even not-for-profit doesn’t mean all-for-free’
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As prices soar on gas, lumber and consumer goods, EMS cannot follow market forces to increase prices for our services
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