Indiana — Targeted Issue

Treat the Street: Prehospital Pediatric Asthma Intervention Model to Improve Child Health Outcomes

Sept. 1, 2013 - Aug. 31, 2016

Grant Number
Project Overview
Significant gaps in care following an ED visit or hospital discharge are illustrated by repetitive ED visits among children with asthma. In addition, in-home asthma assessments have been successful in reducing repetitive ED visits or ED recidivism rates. Typically, in-home assessments are conducted by a public health nurse. However, the capacity for the public health system to absorb a large number of referrals is limited. Specialty trained community paramedics are EMS professionals that help improve health outcomes by providing clinical preventive services, acute care, and post-acute care. Therefore, community paramedics are ideal candidates to conduct the in-home assessments. The goal of this project is to utilize a novel pediatric community paramedicine program to: (1) address identified gaps in pediatric asthma care, (2) reduce ED recidivism rates for children, (3) improve pediatric health outcomes, and (4) enhance paramedic provider roles in the delivery of patient care. Objectives include to: (1) utilize EMS services to rapidly incorporate evidence-based public health prevention strategies within the existing network of care, (2) utilize a community paramedicine model to ensure that the right care is available to patients at the right time and at the right venue, (3) develop and deploy a workforce of specialty trained out-of-hospital care providers to implement various prevention and intervention strategies, (4) conduct research, analyze data, and disseminate results regarding impact of the pediatric community paramedicine model on ED recidivism rates and enhanced paramedic scope of practice, and (5) recommend reimbursement strategies for bundled community paramedicine services provided by EMS.
Indiana University
Main Contact
Award Amount


Name Role(s) Phone Email
Andrew Stevens, MD
  • Principal Investigator


Title Format Description Published/Revised Availability
Mobile Integrated Health Pediatric Asthma Protocol Protocol/Guidelines 2013 Available Online


Title Type Publication/Event Published/Presented Identifier Details
Pharmacist Involvement in a Community Paramedicine Team Research Paper/Publication Journal of Pharmacy Practice 2017
Treat the Streets Presentation Pennsylvania Emergency Health Services Council (webinar) 2017
Multifaceted Quality Improvement Initiative to Decrease Pediatric Asthma Recidivism Research Paper/Publication Journal of Asthma 2017
Treat the Streets Presentation National Association of EMS Officials Spring Meeting; MDWise (Indiana Medicaid); Anthem Insurance 2016
Treat the Streets Presentation CARE/SERC Regional EMS for Children Symposium; American Lung Association Lung Expo 2015
Treat the Streets: A novel community medicine program designed to reduce pediatric asthma recidivism Presentation NAEMSP Annual Meeting 2015
Treat the Streets Presentation CDC State Asthma Program Managers (2014); IRCP Annual Meeting (2014); CARE/SERC EMSC Symposium (2015); American Lung Association Expo (2015); NASEMSO Spring Mtg (2015); MDWise & Anthem Insurance (2016); PEHSC (2017) 2014-2017
Indiana program targets asthma readmissions with community paramedicine Article EMS World Online 2013
New program set to intervene to prevent readmissions, repeat ED visits due to acute exacerbations of asthma Article ED Management 2013
IU School of Medicine and Indianapolis EMS target childhood asthma with paramedic housecalls Article INScope 2013