NCTRC Webinar – ETHAN: Emergency Telehealth and Navigation

Hosted by: TexLa Telehealth Resource Center

Presented by: Michael G. Gonzalez, MD, FACEP, FAAEM

Description: ETHAN Overview In December of 2014 Houston Fire Department – Emergency Medical Services (HFD-EMS) launched an innovative program called the Emergency Telehealth and Navigation (ETHAN) Program that utilizes advanced video/audio conferencing technologies. The video conferencing application connects the patient with an emergency physician for patient assessment and evaluation analogous within a hospital emergency room. While the encounter is taking place, the field crew remains on-scene to assist the physician with any additional patient information. This community-based mobile integrated healthcare system provides individuals who call 911 with low-acuity complaints to be triaged by telehealth emergency physicians for non-ambulance (taxi-cab, self-transport) and/or non-ED destinations (primary care clinic, home care) based on individual depositions. ETHAN has successfully increased efficiency and reduced the cost of emergency care by minimizing the use of EMS and ED’s. Here are highlights of ETHAN:

• Surpassed 20,000 patients within the City of Houston

• Diverts 9 out of 10 patients off of Houston Fire Department ambulances

• Reduces each EMS run by 44 minutes

• Generally, 15% of patients avoid the Emergency Room

• Physician/Patient/Medic talk approximately 5 minutes

• Youtube Video: https://www.youtube.com/watch?v=5uXX8sQX214