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AMR “PRIME Medic”CHF Re-Admission Reduction Program

Date of latest update

September 2014


Arlington, Texas

For More Information Contact

Shane Smith, general manager, AMR Arlington (

Population Served

Select patients discharged following treatment for CHF

The Need

Patients hospitalized for treatment of CHF have disappointingly frequent readmission rates. Improving pa- tients’ connection to their post-discharge care plan can substantially reduce avoidable readmission arising from medication non-adherence, poor access to prescription drugs and failure to re-connect effectively with their primary care physician.

The Goal

AMR’s PRIME Medics visit post-discharge CHF patients assigned by Arlington Memorial Hospital to fa- cilitate reintegration into the home, confirm access to medications, review discharge instructions, ensure reconnection with their PCP, monitor weight and blood pressure, and confer with the hospital sponsor about changes in patient condition.

Medical Oversight

AMR local medical director

Key Partners

AMR and Arlington Memorial Hospital


AMR critical care paramedics


Not disclosed

Plans for Sustainability

Long-term plans include linking sustainable program funding to savings accruing to system payers from reduced re-admission rates.

Technology Used


Program Results

Of the more than 200 patients seen in this program, only 27 were readmitted following their involvement with the PRIME program, compared with 173 readmissions among the same patients prior to care by the PRIME program.

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Funded in part by Medtronic Philanthropy.

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