For years, the number of calls to the Tulsa Fire Department was increasing, putting stress on their resources and capacity. By analyzing the data, the fire department discovered the source of the increased calls was not an increase in fires, but instead an increasing aging population who needed lift assists. Lift assists are calls to the 911 system for a non-emergency fall — the help the resident is requesting is to literally be picked up off of the ground. The city discovered a repeat lift assist pattern, with some residents requesting a lift assist as many as nine times a day.
Under the direction of Chief Michael Baker, the Fire Department developed and launched the Tulsa Community Assistance Referral and Educational Services (CARES) program, which was designed to connect high-utilizers of the emergency system to healthcare and social service providers. Visits to the highest utilizers became proactive, with the CARES team working on simple fixes such as installing low-cost solutions like handrails and opening up a dialogue with the resident’s primary care doctor. Within the first three months of the pilot, the fire department saw a 70 percent reduction in calls from its top 911 utilizers.
With preliminary results in hand, Baker presented his findings through the TulStat forum.
“TulStat,” based on the successful “LouieStat” program out of Louisville, Kentucky, has created a forum for change in Tulsa. City leaders gather to discuss priority problems, define success, innovate solutions, and develop methods for measuring progress. They identify specific, quantifiable goals, such as average time for reviewing building permit applications (previously 5 weeks, now 92 percent completed in 5 days) or responding to a 911 call, and troubleshoot obstacles to achieving them.
While CARES was developed before Bynum’s administration founded TulStat, having a space to build off of the pilot’s success was critical in connecting more residents to much-needed services. The program has served 204 clients; in 2020, four Tulsans have “graduated” the program and have the needed support services in place for them to live safely in their homes.
In the future, CARES hopes to work with OPSI to expand their data capacity to learn how to predict who is at risk for becoming a repeat caller to the 911 system and intervening early to distribute tools and services. Aligning community resources to provide innovative, proactive care will not only save the city’s Medicare and Medicaid partners money, it could save a resident’s life.