CC - Item 3E - Presentation and Update by the Los Angeles County Fire DepartmentI Ped Pznt¢ernnm �
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Advanced Provider Response Unit (APRU) _
Consolidated Fire Protection District of Los Angeles County
Saman'Kashani, MD. MSc —Assistant Medical Director
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The problem
Emergency Medical Services (EMS) is on an
unsustainable course
Over last 10years call volume increased by -100k
(^-33%)
Largest growth in call volume are low -acuity callers and
mental health exacerbations.
,k
The solution
• Advanced Provider Response Unit (APRU)
• Improve community health by providing:
• In person simple assessments and interventions.
• Telemedicine consults
• Goal of:
• Safely redirect patients
• improve patient experience
• decompress safety net resources
• and reduce cost
County of LOS Angeles
FIRE
DEPARTMENT
APRU Model
• Vehicle that intercepts low -acuity
calls
• Firefighter Paramedic & Nurse
Practitioner respond
• Carry expanded tools and
medications
• Telemedicine
• e.g otoscope/ophthalmoscope,
sutures, lidocaine, foleys,
antibiotics...
4
911 High Utilizers
A.S. 911 Utilization 2023
_ AP10
) AP10 helps
' place in
Iny I
_� 7/17 AP10 learns
° Custod o new 9 l I
JAN FEB MAR APRIL MAY JUN JUL AUG SEPT OCT NOV DEC
Axis Title
• 911 Utilization
5
Outcomes ~1 year
Low -acuity responses
5847
Discharged from EMS Care
2161
Navigations to PUCC 329
(37%
Funding
• Fully supported by American Rescue Plan
• No cost to City or County
• Funding will expire Jan 2025
AMMk CouMd Las Angeles
IMMpFIRE
DEPARTMENT
Thank You
Saman Kashani, MD, MSc
Assistant Medical Director
Los Angeles County Fire Department
Training & EMS Bureau
saman. kashania.fire.lacounty.gov
323.629.5412