{"id":571,"date":"2024-07-15T12:02:53","date_gmt":"2024-07-15T12:02:53","guid":{"rendered":"https:\/\/zourya.com\/how-nurse-led-triage-connects-dc-911-callers-to-the-right-care-mccourt-school-of-public-policy\/"},"modified":"2024-07-15T12:02:53","modified_gmt":"2024-07-15T12:02:53","slug":"how-nurse-led-triage-connects-dc-911-callers-to-the-right-care-mccourt-school-of-public-policy","status":"publish","type":"post","link":"https:\/\/zourya.com\/?p=571","title":{"rendered":"How nurse-led triage connects DC 911 callers to the right care &#8211; McCourt School of Public Policy"},"content":{"rendered":"<p><\/p>\n<div id=\"\">\n<div class=\"gu-block gu-container  gu-block-intro gu-block-full      \">\n<div class=\"gu-block gu-container gu-container-inner gu-block-intro-inner gu-block-wide \">\n<p class=\"gu-block gu-paragraph body-text gu-block-intro-text is-style-text-xlarge\">Researchers from Georgetown University, American University and The Lab @ DC found that placing a nurse in a 911 call center reduced stress on the County&#8217;s emergency services.<\/p>\n<\/div>\n<\/div>\n<p class=\"wp-block-paragraph body-text\">According to DC&#8217;s Office of Unified Communications (OUC), the District&#8217;s 911 call center is one of the busiest in the country, historically ranking behind New York City, Chicago and Los Angeles.  In 2023, OUC received more than 1.7 million 911 calls for service, including more than 3,000 calls requiring CPR instructions. <\/p>\n<p class=\" is-style-with-no-margin-bottom wp-block-paragraph body-text\">Dr.  Rebecca Johnson, assistant professor at Georgetown University&#8217;s McCourt School of Public Policy, and Dr.  Ryan T. Moore, assistant professor at American University&#8217;s School of Public Affairs (AU SPA), collaborates with District Government researchers at The Lab @ DC.  , where they were both selected, to evaluate the effectiveness of a unique project that connects 911 people with non-life-threatening symptoms to appropriate care.<\/p>\n<div class=\"gu-block gu-block-image\">\n<figure class=\"wp-block-image alignleft size-large\"><img decoding=\"async\" src=\"https:\/\/zourya.com\/wp-content\/uploads\/2024\/07\/How-nurse-led-triage-connects-DC-911-callers-to-the-right.png\" alt=\"\"\/><figcaption class=\"wp-element-caption\">\n<p>    Proper Care, Currently a nurse on duty.  (Credit: DC Office of Communications)<\/p>\n<\/figcaption><\/figure>\n<\/div>\n<p class=\"wp-block-paragraph body-text\">Under <i>Proper care, Now<\/i> program, a dispatcher at a District 911 call center or a Department of Fire and Emergency Medical Services (FEMS) first responder transfers non-emergency calls to paramedics over the phone, advising callers of Where can I find care nearby or arrange for non-emergencies?  transport.  Eligibility for a nurse triage call is determined by an approved list of chief complaints, including indigestion, sunburn and flu-like symptoms. <\/p>\n<p class=\"wp-block-paragraph body-text\">The DC government aims to help conserve resources for serious emergencies and reduce pressure on an already overstretched system by effectively triaging emergency and non-emergency callers.<\/p>\n<p class=\"wp-block-paragraph body-text\">Johnson, who joined the investigative team <i>Proper care, Now<\/i> In the fall 2019 program, he was asked to participate in this project based on his experience in administrative data analysis and research experience in the complex American health care system.  As a data scientist at The Lab @ DC, Johnson obtained and analyzed administrative data from agencies across DC Government to evaluate program effectiveness.  He and his colleagues later produced a report to help local leaders and policy makers understand the impact of the program and the benefits provided to the residents of the District.<\/p>\n<p class=\"wp-block-paragraph body-text\">&#8220;I bring the lessons I learned from my work at The Lab @ DC to my McCourt course, such as using the challenges I&#8217;ve faced and management information as inspiration for problem groups to evaluate the learning of my students,&#8221; said Johnson, who teaches data science.  in the McCourt School&#8217;s Master of Science in Data Science for Public Policy program and is a member of the McCourt School&#8217;s Massive Data Center.<\/p>\n<div class=\"gu-block gu-block-image\">\n<figure class=\"wp-block-image alignright size-large\"><img decoding=\"async\" src=\"https:\/\/zourya.com\/wp-content\/uploads\/2024\/07\/1721224477_143_How-nurse-led-triage-connects-DC-911-callers-to-the-right.png\" alt=\"Dr.  Rebecca Johnson won the title\"\/><figcaption class=\"wp-element-caption\">\n<p>    Dr.  Rebecca Johnson is an assistant professor at Georgetown University&#8217;s McCourt School of Public Policy and a data scientist at The Lab @ DC.<\/p>\n<\/figcaption><\/figure>\n<\/div>\n<p class=\"wp-block-paragraph body-text\">Moore, a senior social scientist at The Lab @ DC since 2016, helped design and develop the nursing intervention study from the beginning.<\/p>\n<p class=\"wp-block-paragraph body-text\">\u201cThis is an exciting project;  demonstrates the tremendous societal impact that deep, meaningful collaborations between policymakers and academics can have when we join forces for high-quality research,&#8221; said Moore, who teaches statistical methods and data science in the Department of Government at AU SPA in partnership with the AU Center for Information Science.<\/p>\n<div class=\"gu-block gu-block-image\">\n<figure class=\"wp-block-image alignleft size-large\"><img decoding=\"async\" src=\"https:\/\/zourya.com\/wp-content\/uploads\/2024\/07\/1721224477_117_How-nurse-led-triage-connects-DC-911-callers-to-the-right.png\" alt=\"Dr.  Ryan T. Moore headline\"\/><figcaption class=\"wp-element-caption\">\n<p>Dr.  Ryan T. Moore is an assistant professor at American University&#8217;s School of Public Policy and a senior social scientist at The Lab @ DC.<\/p>\n<\/figcaption><\/figure>\n<\/div>\n<h3 class=\"wp-block-heading body-text-heading\">Strong results after nurse-led assessment of 911 calls<\/h3>\n<p class=\"wp-block-paragraph body-text\">After analyzing the program&#8217;s impact on callers from April 2018 to January 2019, Johnson, Moore and co-researchers found that the number of calls that resulted in an ambulance dispatch dropped from 97% to 56%, and those resulting in ambulance transport decreased from 73% to 45. %. <\/p>\n<p class=\"wp-block-paragraph body-text\">Emergency department visits within 24 hours of calling 911 decreased among Medicaid beneficiaries from 29.5% to 25.1%, and the number of callers who visited a primary care physician the core rose from 2.5% to 8.2%. <\/p>\n<p class=\"wp-block-paragraph body-text\">Short-term results suggest that nurse-led screening of non-emergency calls can safely connect callers to appropriate, timely care.  The potential long-term impacts on emergency department and primary care visits or Medicaid costs remain unclear and will be the subject of future research. <\/p>\n<p class=\"wp-block-paragraph body-text\"><i>Nature Human Behavior<\/i>A leading peer-reviewed scientific journal, published the research team&#8217;s study in May 2024. Co-authors include Drs.  Kevin Wilson, Dr.  David Yokum and Dr.  Chrysanthi Hatzimasoura, former members of The Lab @ DC, and Dr.  Robert Holman, DC FEMS longest serving medical director, who was instrumental in launching the research study. <\/p>\n<p class=\"wp-block-paragraph body-text\">&#8220;Academic journal articles are never very motivating for us, but the publication of our findings in a prominent journal should give the District&#8217;s residents confidence that important decisions about their city are informed by the best available methods. science,&#8221; said Sam Quinney, director of The Lab.  @DC.<\/p>\n<p class=\"wp-block-paragraph body-text\">Since its launch in 2018, the <i>Proper care, Now<\/i> The program has evolved from a pilot effort into a successful program delivering impressive results in the District.  Six years ago, Dr.  Holman said dispatchers and DC FEMS first responders fielded about 75,000 non-emergency 911 calls and directed about 35,000 callers to appropriate care, such as emergency clinics. basic and urgent, self-care.  , telehealth or home visits by non-executive EMS personnel rather than emergency departments.<\/p>\n<p class=\"wp-block-paragraph body-text\">Learn more about how paramedics improve care at the County&#8217;s 911 call center here.<\/p>\n<\/div>\n<p>#nurseled #triage #connects #callers #care #McCourt #School #Public #Policy<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Researchers from Georgetown University, American University and The Lab @ DC found that placing a nurse in a 911 call<\/p>\n","protected":false},"author":1,"featured_media":572,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"colormag_page_layout":"default_layout","footnotes":""},"categories":[52],"tags":[617,156,616,618,614,620,336,619,615],"class_list":["post-571","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-care","tag-callers","tag-care","tag-connects","tag-mccourt","tag-nurseled","tag-policy","tag-public","tag-school","tag-triage"],"_links":{"self":[{"href":"https:\/\/zourya.com\/index.php?rest_route=\/wp\/v2\/posts\/571","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zourya.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zourya.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zourya.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/zourya.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=571"}],"version-history":[{"count":0,"href":"https:\/\/zourya.com\/index.php?rest_route=\/wp\/v2\/posts\/571\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zourya.com\/index.php?rest_route=\/wp\/v2\/media\/572"}],"wp:attachment":[{"href":"https:\/\/zourya.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=571"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zourya.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=571"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zourya.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=571"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}