Maple Springs Conference

Who is Tyler Pace?

Bio
  • Married to Jordann, 3 kids (8/6/4)
  • Triton Supply - Century Care - Atlas Medical - Aegis Healthcare - AZ State Senate
  • What do I do best? Why am I qualified to hang with these guys?
    • Feasibility and Profitability of Mobile Provider Services
    • Healthcare Policy and Reform at the State and Federal Level


2 Truths and a Lie
  • The only fish I have ever caught was a piranha 
  • My children have never seen me with a clean shaven face.
  • I have hitchhiked across Malaysia

Continuum

Flow

When Does the Red Transition to Green or Orange or Blue?
When does the color Red transition to Purple?

Real World Continuum: River Classifications

  • Class A - Lake water. Still. No perceptible movement. 
  • Class I - Easy. Smooth water; light riffles; clear passages, occasional sand banks and gentle curves. The most difficult problems might arise when paddling around bridges and other obvious obstructions. classification
  • Class II - Moderate. Medium-quick water; rapids with regular waves; clear and open passages between rocks and ledges. Maneuvering required. Best handled by intermediates who can maneuver canoes and read water.
  • Class III - Moderately difficult. Numerous high and irregular waves; rocks and eddies with passages clear but narrow and requiring experience to run. Visual inspection required if rapids are unknown. Open canoes without flotation bags will have difficulty. These rapids are best left to canoeists with expert skills.
  • Class IV - Difficult. Long and powerful rapids and standing waves; souse holes and boiling eddies. Powerful and precise maneuvering required. Visual inspection mandatory. Cannot be run in canoes unless the craft is decked or properly equipped with flotation bags. Advance preparations for possible rescue work important.
  • Class V - Extremely difficult. Long and violent rapids that follow each other almost without interruption. River filled with obstructions. Big drops and violent currents. Extremely steep gradient. Even reconnoitering may be difficult. Rescue preparations mandatory. Can be run only by top experts in specially equipped whitewater canoes, decked craft, and kayaks.
  • Class VI - Extraordinarily difficult. Paddlers face constant threat of death because of extreme danger. Navigable only when water levels and conditions are favorable. This violent whitewater should be left to paddlers of Olympic ability. Every safety precaution must be taken.

Which is Which Class?

​Which is the most Dangerous?

Where is the Still Water in your Patients and their care?

Patient/Resident Condition Classification Transitions?

  • Class A - Can Happen Anywhere
  • Class I - Assisted Living
  • Class II - Directed Care
  • Class III - Long-Term Care
  • Class IV - Skilled Nursing
  • Class V - Hospital
  • Class VI - ICU
  • Class A - ????
  • Class I - ????
  • Class II - ????
  • Class III - ????
  • Class IV - ????
  • Class V - Hospice
  • Class VI - Last Moments

What can cause Patients/Residents to jump class levels?

  • Exacerbation of Chronic Condition
  • Trama
  • Cancer
  • Immobility
  • Falling
  • Abuse
  • Neglect
  • Social Determinants of Health
  • Lack of Care
  • Infrequent Access to Care
  • ????

Current Solutions

  • Home Health (AZ/AK/UT)
  • Hospice (AZ/AK/UT)
  • Mobile Providers
    • Skilled Nursing Providers (AK/UT)
    • Home Bound Primary Care (AZ/AK/UT)
    • Psychology (AZ/Telehealth)
    • Psychiatry (AZ)
    • Podiatry (AZ)
    • Dermatology (AZ)
    • Physical Therapy (AZ/AK/UT)
  • HME (AZ/AK/UT)
  • DME (Rental/Sale) (AZ)
  • Pharmacy (AK)
  • Bridge Support (AZ/AK/UT)
  • Medical Billing (AZ/AK/UT)
  • Medical Coding (AZ/AK/UT)

Coming Down the Pipeline
  • Private Duty Caregiving
  • Mobile Phlebotomy
  • Mobile Radiology
  • Non Emergency Transportation
  • Expansion of Mobile Provider Specialist
  • Rual and Telehealth
  • Anything that connects the care dots or closes transition care gaps