Responder Care™ delivers private Emergency Medical Services & Mobile Integrated Healthcare - Community Paramedicine (MIH-CP) for Responders and their family members throughout Northern Virginia.
Not all Emergency Medical Services (EMS) capabilities or agencies are 9-1-1 based. Many are private. But had you ever heard of an EMS program exclusively for Responders? We hadn’t. So we created one!
Responder Care™ provides private EMS & MIH-CP services utilizing physicians, physician extenders (advanced practitioners, nurses, and EMS providers), mixed medical professionals, and non-medical personnel. The level and type of provider present at the time of service is based on client need and resource availability.
EMS provider affiliation, training, and authorization is required for responders to provide medical care under the EMERGILITY™ EMS Agency (VA50537), as permitted by licensure and law.
The Northern Virginia (NoVA) EMS Council is one of the eleven regional EMS councils serving the Commonwealth of Virginia
Emergency Medical Services (EMS) is a system that responds to emergencies in need of highly skilled pre-hospital clinicians. EMS also plays a role in non-emergent medical care. Community Paramedicine (CP), also known as Mobile Integrated Healthcare (MIH), is a patient-centered healthcare model in which EMS clinicians provide care outside the emergency response system. -source: ems.gov
Mobile Integrated Healthcare (MIH) is a coordinated, patient-centered, evidence-based, holistic model of care using collaborative, interdisciplinary teams to serve patient needs at the most appropriate level of care at a safe location of their convenience.
Community Paramedicine (CP) is a segment of Mobile Integrated Healthcare (MIH) that is a provider-led, patient-centered delivery care model using appropriately trained Emergency Medical Services (EMS) clinicians in an expanded role to render care, facilitate a more efficient delivery of care, and enhance access to community resources that address the social determinants of health.
Physician extension occurs when a licensed physician authorizes a non-physician to act as a “physician extender” to provide medical care to patients directly under the physician's medical license. In traditional practices the physician extender is a nurse practitioner (NP) or physician assistant (PA) operating under a collaborative practice agreement with the physician.
In emergency medical services (EMS), certified and registered EMS providers, as defined by the National Registry of Emergency Medical Technicians (NREMT), deliver medical care as a physician extender while operating under the direction of a physician, standing orders/protocols, or operational medical direction (OMD).
In emerging private practices, hospitals, or concierge-like mobile medical care services, the physician extender can include registered nurses and EMS providers with expanded training and authorization to provide a variety of medical services within their scope of practice and as a medical assistant to a physician or advanced practitioner under the same medical direction as EMS agencies and practices.
I was devastated the day Brian told me about his terminal diagnosis of metastatic pancreatic cancer. His friends, family, and colleagues rallied to help in any way possible from cleaning up the yard, getting new tires for Cindy’s Jeep, and making sure there was yummy food available. I don’t know how to operate a chainsaw without ending up with less piggies, work on cars unless you want things to stay broken, or cook anything edible that wouldn’t be considered cruel and unusual punishment, but I do know a little about medicine and I have a crazy business partner who is chocked full of crazy-smart ideas. The exchange went kind of like this:
“What if we could help Brian avoid just one single Emergency Room (ER) visit?” We figured at some point, despite access to the leading medical specialists, Brian would feel bad enough that he might need to go to the ER. We agreed to offer EMERGILITY™ EMS services at no charge to the family with the aim of addressing acute emergency medical needs and to avoid unnecessary ER visits.
Ancient Epictetus warned “if you want to improve, be content to be thought of as foolish and stupid.” Working with his hospital-based medical team, an all-volunteer EMS medical staff, and donated supplies and infrastructure from EMERGILITY™, we were able to help Brian avoid going to the ER more than nine (9) times in just a few short months. That was nine (9) times Brian and family didn’t have to visit an overcrowded ER, wait hours for care, or spend time apart from friends and loved ones.
Steve Jobs believed “You have to have a lot of passion for what you are doing because it is so hard any rational person would give up” but extolled “those people crazy enough to think that they can change the world are the ones who actually do.”
In our sorrow and search for meaning, a new question emerged “What if we could help other first responders in times of need avoid one (1) single ER visit?” With Brian and Cindy’s blessing, the Responder Care™ program began taking form and the idea of “responders, Bringing Responders Help” took shape in Brian R. Hricik’s honor.
Although I cherished the thought of keeping Brian comfortable and avoiding the ER, the inexorable march of time and disease still led him down a path to home hospice care and finally, eternal peace.
With the support of donors, volunteers, corporate wisdom from KPMG and Global Impact, the Responder Care™ program strives to translate Brian’s experience into a sustainable program where we can provide a compliant mechanism for responders to provide clinical care for each other in times of need, at no cost to the responder. A single unnecessary ER visit or emergency 9-1-1 call otherwise avoided for any one patient would be considered a success.
The Responder Care™ program does not replace any existing service including the ER, hospital, primary medical team, public 9-1-1, or hospice program, but rather provides enhanced and alternative access care and improved patient comfort. In Brian’s honor and loving memory, the Responder Care™ program seeks to take care of other emergency services providers and responders who sacrifice tremendously by taking care of us.
A burning desire to turn tragedy into purpose propels us. Help us help those who give so much. Join our team, donate, or refer us deserving patients who you think would benefit. Help us honor Brian by carrying on his legacy of reducing health care disparities and take care of those who never ask for recognition but always stand the wall with dedication that speaks softly: “Sleep well. We got this. No one will suffer alone in the darkness.”
Respectfully submitted,
J. Benji Marfori, M.D. FACEP, FAEMS
Medical Director | Responder Care™