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9 <br /> <br />reduced the time and confusion of accessing a patient’s DNR. Implementation for this project <br />will be fall 2018. <br /> <br />Dr. Grover, Emergency Services (ES) Medical Director and Kim Woodward made the <br />following PowerPoint presentation: <br /> <br />Orange County EMS Initiatives (PPT in abstract packet – not hand out) <br />Joseph Grover, MD <br />Medical Director <br />Orange County Emergency Services <br /> <br />Behavioral Health <br /> EMS has responded to over 135 behavioral emergencies since January 1, 2018. <br /> Currently the only option for these patients is transport to the Emergency Department <br /> There are often long waits at the ED for psychiatric consultation and even longer waits <br />for psychiatric admission <br /> EMS has been in communication with the Freedom House and Cardinal Innovations for <br />a solution <br /> We will closely monitor and evaluate the success of the diversion project <br /> <br />Alternative Destination Protocol to Freedom House <br /> If patient meets protocol and agrees, behavioral and substance abuse patients can be <br />transported DIRECTLY to Freedom House and bypass ER <br /> This project has taken over a year to implement <br /> Goal to start in August after the last of our supervisors receive necessary training <br /> <br />Freedom House Diversion Protocol <br /> Facility has 23 observational chairs that allow short term evaluation of mental health <br />crisis and stabilization <br /> Specific inclusion criteria are used to ensure appropriate patients are diverted from the <br />Emergency Department <br /> The EMS response will include evaluation by a paramedic and approval from the EMS <br />Supervisor <br /> <br />Mental Health and Substance Abuse Division (flow chart) <br /> <br />Opioid Abuse in Orange County <br />Naloxone Use in North Carolina <br /> Naloxone was administered 16,037 times by EMS agencies across the State in 2017 <br /> This is an 89 % increase since 2011 <br /> Naloxone is administered 44 times a day across North Carolina by EMS agencies <br /> <br />Unintended opioid-related overdose rates per 100,000 persons 2010-2016 (map) <br /> <br />Incidence in Orange County <br /> 2013 – EMS administered Naloxone 34 times <br /> 2017 – EMS administered Naloxone 80 times <br /> 2018 – 32 administrations as of 5/31/2018 <br /> Law Enforcement Naloxone Initiative in 2015 <br />o 33 reversals (and rising) <br />