Goal 2: Enhance EMS Service Delivery in Order to Address the Entire Spectrum of 911 Patients’ Needs

Goal Description: 

Realign how we provide 911 out-of-hospital medical care in order to provide the most appropriate level of care for each patient by FY19.


Update / Why is this important?: 

Patients who call 911 for medical assistance have a wide variety of needs, from non-emergent medical issues that can be handled outside the hospital to critical medical emergencies that need rapid, high-quality treatment and transport. Our goal is to provide innovative, cutting-edge care that helps all patients in the most appropriate manner while making the best use of our skilled medical providers and resources. 

This goal is being transitioned to the Department of Emergency Services. Emergency Services is the newly formed public safety agency comprised of two former public safety deparmtnets - Louisville Metro Emergency Medical Services (owner of Metro Goal 2) and Emergency Management Agency/MetroSafe. As the goal transitions, certain initiatives will no longer be pursued. The initiatives below represent what Emergency Services will continue to prioritize as we work towards accomplishing this goal.



Health Legend




Goal or initiative is completed.
Goal or initiative is not started but is expected to start on time.
Goal or initiative is in progress, on schedule, and expected to be completed on time.
Goal or initiative is not started and is overdue or goal or initiative is in progress, but behind schedule and has an issue that will affect completion date.
Goal or initiative is in progress, but behind schedule and has an issue that may affect completion date.

Initiative Health: What are we doing to accomplish this?


The following are Key Performance Indicators for Goal 2.

Seven PPCNs have completed the training and have been operational since February 2015. There is a plan to train two more paramedics as PPCNs in the first quarter of next year.

This program has been suspended due to the increase in the number of requests for service in 2015. There has been a 12% increase overall, with low acuity calls for service increasing by 18% from the prior year. Due to this increase, the Paramedic Patient Care Navigators (PPCN) that were focused on diverting as many of the low-acuity calls coming into the system away from ambulance utilization have been moved back to daily operations in order to keep up with the calls for service increase. 

This program has been suspended due to the increase in the number of requests for service in 2015. There has been a 12% increase overall, with low acuity calls for service increasing by 18% from the prior year. Due to this increase, the Paramedic Patient Care Navigators (PPCN) that were focused on diverting as many of the low-acuity calls coming into the system away from ambulance utilization have been moved back to daily operations in order to keep up with the calls for service increase. 

Kentucky One is onboard with the KHIE. LMEMS is currently looking at a new electronic Patient Care Reporting software that would share information between systems.