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State Innovation Model of Iowa's (SIM) monthly SIMplify newsletter header image including a desktop computer.
Volume 31  ▪   September 19, 2018
"Annual plants are natures' emergency medical service, seeded in sounds and scars to hold the land until the perennial cover is re-established"
Wendell Berry 
Spotlight   ▪   Save the Date  ▪   Tools, Links and Resources   ▪   Statewide Strategies   ▪   Data Corner   ▪   Series on Mediation Safety and Effectiveness   ▪   Information Sharing
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Linn County Public Health (LCPH) was honored at the 2018 annual conference of the National Association of County and City Health Officials (NACCHO) with the “Local Health Department of the Year Award – Medium Category.” The award recognizes and honors the outstanding accomplishments of local health departments for their innovation, creativity and impact on their community.

The award specifically recognized the State Innovation Model (SIM) community care coordination (C3) project in which partners created a standardized cross-sector referral system to improve health outcomes. The closed-loop referral occurs between health and social service agencies serving residents and creates a “no wrong door” system – allowing agencies to better identify and address social determinants of health issues while reducing the burden on the client to navigate community resources. 
 "We're proud of all the hard work and commitment our community partners have put into improving the way we collaborate," said Hayley Hegland, Linn County's SIM C3 Project Manager. "We hope to continue enhancing this network to improve the way we support and provide care for our residents." 
To date, more than 700 clients have been supported by the new collaborative platform with 18 organizations and nearly 200 end-users who can make and document referrals. 

SIMplify is a system designed to make interacting with others of the same cloth, well, simpler. From sharing documents to sharing stories to organizing meetings, this system is intended to handle the communication needs of the group. Members of SIMplify are focused on respect, consideration for other’s ideas, collaboration, and fairness. 
Join SIMplify (link) today or sign up (link) for our monthly SIMplify newsletter. 
Save the Date
Compass HIIN Learning Community: Palliative Care
September 25
Des Moines
Event Registration (Link)

IHA Annual Meeting
October 9 – 11
Des Moines 

SIM Learning Community 
November 6
Des Moines 

IHC Annual Conference
November 7
Des Moines

29th Annual IA Emergency Medical Association Conference and Trade Show
November 8 – 10
Des Moines

Iowa Rural Health Association Annual Conference
November 15

Event Registration (Link)

EMS Day on the Hill at IA Capital Rotunda
February 6, 2019
Des Moines
State Innovation Model of Iowa's (SIM) logo.

The Iowa State Innovation Model (SIM) is aimed at improving healthcare quality, effectiveness, and efficiency through population-based, community-applied solutions. In pursuit of these aims, a portion of SIM funding and technical assistance is deployed at the local level to facilitate community health management initiatives. 

More information (link) about SIM is located on our website.
Tools, Links and Resources
Community Paramedicine 

Community Paramedicine (link) is a relatively new and evolving healthcare model. It allows paramedics and emergency medical technicians (EMTs) to operate in expanded roles by assisting with public health and primary healthcare and preventive services to underserved populations in the community.

Rural Emergency Medical Services and Trauma

Rural EMS (link) typically serve a geographically large and sparsely populated area.

Bureau of Emergency and Trauma Services 

The Bureau of Emergency and Trauma Services (BETS) (link) works to protect the health of Iowans in an emergency. The bureau works with Iowa’s 99 local public health agencies, 118 hospitals and trauma centers, 931 EMS services and 11,771 EMS providers.
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Statewide Strategies

EMS is one of the most critical services in healthcare, especially in rural settings. From being first to respond to crises and emergencies and providing medical transport among care settings to supporting well checks and home visits and being present and ready at the sidelines of the Friday night football game, our EMS personnel have a unique presence that crosses the boundaries of healthcare delivery and community.

Because of this role, our EMS agencies are prime partners in our efforts to improve health performance and outcomes – both locally and in statewide efforts. Our EMS partners offer a unique perspective that can capture the skilled side of healthcare while maintaining the lens of the everyday person – because often our EMS personnel are themselves volunteers. Teachers, carpenters and city council members by day, volunteer life-savers by night.

Involvement of EMS in our strategic efforts to advance and protect the health of our neighbors and selves, communities, and state are recognized within our statewide strategies. EMS representatives have been key contributing members of many of our strategy development work groups, such as IPOST, Falls Prevention and Care Coordination to simply call out a few. Their involvement has enabled the inclusion of numerous tactics addressing gaps and opportunities that otherwise would not have been identified. And EMS has proven to be some of the most ardent champions and trusted stakeholders, both in their local communities and as agents for statewide change, in the actual doing of the work necessary to see our strategies and accountable communities of health come to fruition. 

So as we honor EMS and their exceptional contributions throughout the health continuum, I challenge each of us to look within and across our committees, coalitions and teams. Do we already have EMS represented? How can be bring them on board if they aren’t? And how can we work together to achieve our aims for population-based, community-applied health.
Learn more about Iowa Healthcare Collaborative (Link)
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Data Corner

Traditionally, Emergency Medical Services (EMS) provide medical care for all types of emergencies (injuries, illness, natural disasters and so on). Nowadays, a significant proportion of EMS has been used for non-emergent services by people in lack of access to primary cares. As a result, EMS now serves an “expanded role” that goes beyond the Emergency Department and includes specialty care, patient rehabilitation, prevention awareness and public education. The National Highway Traffic Safety Administration and the Health Resources and Services Administration pictured the future EMS as the public’s medical safety net as well as a community-based health management system.

 In response to the expanded role of EMS, Iowa has been building and promoting the community paramedicine (CP) and mobile integrated healthcare since 2015. Meanwhile, special protocols have been developed to address current epidemics. For instance, the fact sheet and protocol for opioid overdose for emergency medical care providers was developed and published in May 2018 by Iowa Department of Public Health (PDF), and protocols for treating septic shocks can be founded in 2017 Adult and Pediatric Statewide EMS Treatment Protocols (PDF) . EMS fund and education resources can be found from Rural Health Information Hub (link), National Associations of State EMS officials (link) and EMS1 (link). Free webinars that focus on federal EMS efforts and programs can be found at EMS Focus (link).
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Pharmacy Corner

There are many strategies occurring across the country and across the state of Iowa to address the opioid epidemic. One strategy that has been employed in Iowa is increased access to the life-saving opioid reversal agent, naloxone. In the 2016 legislative session, a bill passed to allow pharmacists to dispense naloxone under a statewide standing order. In November of 2016, the Board of Pharmacy and Department of Public Health adopted rules on how pharmacists can dispense naloxone using a statewide standing order. Pharmacists participating in this statewide standing order can dispense naloxone to patients and care givers and to first responders such as EMS. First responders can receive up to five naloxone kits. Additional information can be found on the Iowa Board of Pharmacy (link) and  Iowa Pharmacy Association (link) websites. Here is a list of participating pharmacies (PDF). This list is not all inclusive of participating pharmacies, ask your local pharmacist if they are participating in the statewide standing order.
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Information Sharing

2019 Iowa EMS Memorial Celebration – May 18, 2019

The names of individuals submitted will be engraved and celebrated at the 2019 EMS Memorial Ceremony at the EMS Memorial, West Des Moines Station #19, 8055 Mills Civic Parkway, West Des Moines, IA. This event recognizes EMS providers and organizations with a significant impact on their community and the lives of others. The celebration is hosted by Iowa Emergency Medical Services Association in cooperation with supporting sponsors. Nominations for awardees (link) are being accepted.

National Rural Health Day – November 15

The National Organization of State Offices of Rural Health and its partners annually set aside the third Thursday of November to celebrate National Rural Health Day. It’s not just a day – it’s a movement! Visit the Power of Rural website (link) for a complete listing of news and events. To recognize National Rural Health Day in Iowa, the Iowa Rural Health Association (link) will convene their Healthy Rural Iowa Summit on November 15. 


Sites Are Invited to Join the Network of 5-2-1-0 Healthy Choices Count!

The Healthiest State Initiative, in partnership with the Iowa Department of Public Health, United Way of Central Iowa and the Iowa Department of Education, has announced a new way for sectors across the state to affirm their commitment to 5-2-1-0 Healthy Choices Count! Schools, child care, out-of-school and heath care sites are invited to register online for recognition at either the bronze, silver or gold level based on implementation of 5-2-1-0 strategies at their location. Learn more (link).


USDA Partners with Communities to Support Opioid Prevention, Treatment and Recovery Opportunities 

United States Department of Agriculture (USDA) partnered with rural communities in 22 states (PDF) to support opportunities for opioid prevention, treatment and recovery. Seven Iowa organizations and communities were funded.
100 East Grand Avenue, Suite 360  |  Des Moines, IA 50309  |  (515) 283-9330

The Iowa State Innovation Model (SIM-IA) is supported by grant # 1G1CMS331400-01-00 from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the views of the U.S. Department of Health and Human Services or any of its agencies.

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