What % of your patients don’t need to go to the hospital?
What is ET3?
Emergency Triage, Treat and Transport (ET3) is a CMS payment model that will provide greater flexibility to EMS ambulance care teams, enabling transport to an alternative destination, or provide treatment on-scene using mobile telemedicine with a care practitioner. The model will allow appropriate emergency services at the right time and place. ET3 aims to improve quality and lower costs by reducing avoidable transports to the ED and unnecessary hospitalizations. The key component is payment aligned with healthcare aims.
16% of emergency ambulance transports to a hospital ED could've been resolved by transporting the patient to an alternative treatment site. According to CMS, this equates to a $560 million annual savings. Not every 911 call is an emergency.
The ET3 model aims to reduce expenditures and preserve or enhance quality of care by:
- Providing person-centered care, such that beneficiaries receive the appropriate level of care delivered safely at the right time and place.
- Increase efficiency in the EMS system to allow ambulances to more readily respond to and focus on high-acuity cases, such as heart attacks and strokes.
- Encourage appropriate utilization of emergency medical services to meet healthcare needs effectively.
WHO CAN PARTICIPATE IN ET3?
Medicare-enrolled ambulance service suppliers and hospital-owned ambulance providers are the key participants.
THE ET3 MODEL
Under the ET3 model, CMMS will pay participating ambulance suppliers and providers to:
- Transport an individual to a hospital emergency department or other destination covered under the regulations,
- Transport to an alternative destination (such as a primary care doctor’s office or an urgent care clinic), or
- Provide treatment in place with a qualified health care practitioner, either on the scene or connected using telehealth.
According to CMS, “You must use an interactive audio and video telecommunications system that permits 2-way real-time interactive communication between the distant site and the originating site.”
GD e-Bridge meets & exceeds this requirement.
RIGHT CARE l RIGHT TIME l RIGHT PLACE
with aligned payment
ET3 & MOBILE TELEMEDICINE
ET3 will make it possible for participating ambulance suppliers and providers to partner with qualified healthcare practitioners to deliver treatment in place through a telemedicine solution and with alternative destination sites (such as primary care doctors' offices or urgent-care clinics).
While ET3 doesn't require telemedicine for alternative ambulance transports, telemedicine consults will likely be desirable. The model requires a telemedicine solution to facilitate real-time audio and video communications from the scene of the ambulance response. However, ambulance suppliers and providers must consider the cases that involve gray areas, how they are documenting and recording patient information, and QA or training to ensure efficient and effective protocols for improving patient quality of care.
Learn how over tens-of-thousands of patients are benefiting from GD e-Bridge™ Mobile Telemedicine solution.
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For more information on ET3, visit these websites below: