Directing Others to Services involves direct interaction by the Fire Department with members of our community that have been identified as high emergency system users. DOTS Providers assist the client in obtaining the right care at the right place and the right time. Participation by the client is voluntary.
The Program Process
- Members of the coalition will request contact of a “super user” through a referral form; which is faxed to the Pueblo Fire Department.
- DOTS team will contact the referred patient. Based on the results of the contact, the challenges of the individual will be identified (i.e., health care, transportation, food, etc.) possibly connecting them to necessary resources; provide education and while in the home, check safety issues such as smoke detectors and trip hazards.
- Depending on the category of need, follow-up with the individual will be scheduled.
- The status and progress of each client will be shared with members of the coalition to track success/ failures.
- Individuals will be graduated from the program.
The DOTS team consists of several key personnel, some will be building community relationships and resource lists (navigators), database managers, and providers; they make face to face contact with the referrals. Navigators will also be tracking referral needs as the patient progresses. Periodic meetings to review the process with the coalition will occur as needed to keep everyone informed and identify areas of improvement.
What's home health care?
City of Pueblo
Pueblo City-County Health Department
Parkview Medical Center
St. Mary Corwin Hospital
Pueblo Community Health Center
Integrated Community Health Partners
Kaiser Permanente - Pueblo
VA Outpatient Clinic Pueblo
SRDA/ 2-1-1 Assistance / Helping Elders Live Program
Home Health Care of Pueblo
Non Emergent Medical Transportation
Golden Gate Manor
AMR Medical transportation
MedRide Medicaid Transportation