In this episode of Short Takes we talk with Joseph Casciotti from Harris County, Texas, about the program he’ll be presenting on at The Vision 20/20 Model Performance in CRR Symposium. You can learn more and register at www.StrategicFire.org/symposium6 The Harris County program utilizes the Mobile Integrated Health/Community Paramedicine program to conduct patient follow up to reduce re-admission rates in patients discharged from acute care hospitals with a diagnosis of STEMI/NSTEMI. Patients were managed on a voluntary outpatient basis to ensure medications were taken as prescribed, discharge instructions were followed, and followup with physicians and cardiac rehab were conducted as ordered by the physician. Patients approached but refusing participation had a 12% readmission rate to the hospital within 30 days of discharge while those agreeing to participate in the program had a 4% readmission rate. The participants not readmitted continued to remain out of the hospital months later.
Office of the Maryland State Fire Marshall (OSFM)
Joe Walters is the Executive Officer for the State Fire Marshal, with the Office of the Maryland State Fire Marshal (OSFM). As the first “Executive Officer ” Joe has been integral in moving the OSFM into the 21st century, from technology advancements, fleet refreshments, equipment needs to health and wellness awareness. Since 2016, he has also led a part in the agencies community risk reduction programs. He has been proactive in fire prevention programs throughout the State and has assisted with the dissemination of important fire & life saving information via social media and other platforms. He currently sits on the Mid Atlantic Life Safety Conference Committee as the operations command, trying to enhance the program. By trade he is a fire investigator and worked in the field for several years prior to the appointment of Executive Officer. He worked several high profile cases and made many arson and explosive related arrests. He has had the opportunity to sit in forums such as the Truman Symposiums and the FEMA AFG content development group. On his off time, he is a 20-year veteran of the volunteer fire service where he currently serves in the role of Captain. He has held many roles including Assistant Treasurer and Vice President. He is also an instructor for the National Safe Boating Council and specialize in the maritime rescue discipline. He and his wife own a small custom t-shirt business, which was started just before the birth of their child, in 2015. When not working, he loves sitting on the Chesapeake Bay on his boat or tearing up the mud four wheeling in the woods.