{"id":6914,"date":"2019-02-14T20:16:40","date_gmt":"2019-02-15T01:16:40","guid":{"rendered":"http:\/\/tele.healthcare\/?p=6914"},"modified":"2019-02-14T20:16:40","modified_gmt":"2019-02-15T01:16:40","slug":"emergency-triage-treat-and-transport-et3-model","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/emergency-triage-treat-and-transport-et3-model\/","title":{"rendered":"Emergency Triage, Treat, and Transport (ET3) Model"},"content":{"rendered":"\n
Triage, Treat, and Transport (ET3) Model – 2019-02-14 – Fact Sheet<\/a>Download<\/a><\/div>\n\n\n\n

Emergency Triage, Treat, and Transport (ET3) is a voluntary, five-year payment model that will provide greater flexibility to ambulance care teams to address emergency health care needs of Medicare beneficiaries following a 911 call. Under the ET3 model, the Centers for Medicare & Medicaid Services (CMS) will pay participating ambulance suppliers and providers to 1) transport an individual to a hospital emergency department (ED) or other destination covered under the regulations, 2) transport to an alternative destination (such as a primary care doctor\u2019s office or an urgent care clinic), or 3) provide treatment in place with a qualified health care practitioner, either on the scene or connected using telehealth. The model will allow beneficiaries to access the most appropriate emergency services at the right time and place. The model will also encourage local governments, their designees, or other entities that operate or have authority over one or more 911 dispatches to promote successful model implementation by establishing a medical triage line for low-acuity 911 calls. As a result, the ET3 model aims to improve quality and lower costs by reducing avoidable transports to the ED and unnecessary hospitalizations following those transports.<\/p>\n\n\n\n

Stay up to date on the latest ET3 Model news and updates by subscribing to the ET3 Model listserv<\/a>.<\/p>\n\n\n\n

Background<\/h2>\n\n\n\n

Currently, Medicare regulations only allow payment for emergency ground ambulance services when individuals are transported to hospitals, critical access hospitals, skilled nursing facilities, and dialysis centers. Most beneficiaries who call 911 with a medical emergency are therefore transported to one of these facilities, and most often to a hospital ED, even when a lower-acuity destination may more appropriately meet an individual\u2019s needs.<\/p>\n\n\n\n

Model Details<\/h2>\n\n\n\n

With the support of local governments, their designees, or other entities that operate or have authority over one or more 911 dispatches, ambulance suppliers and providers will triage people seeking emergency care based on their presenting needs. The model aims to ensure Medicare Fee-For-Service beneficiaries receive the most appropriate care, at the right time, and in the right place. The model may help make EMS systems more efficient and will provide beneficiaries broader access to the care they need. Beneficiaries who receive treatment from alternative destinations may also save on out-of-pocket costs. An individual can always choose to be brought to an ED if he\/she prefers.<\/p>\n\n\n\n

The ET3 Model aims to reduce expenditures and preserve or enhance quality of care by:<\/p>\n\n\n\n