Philip M. Fennema is the Chief Operating Officer for TANDEM365.  TANDEM365 is an innovative organization designed to provide better care, better health, at lower cost.  TANDEM365’s primary purpose is to allow older adults to age in place and safely remain in their homes while avoiding unnecessary hospitalizations.  TANDEM365 operates in the space where a medical case management program intersects with a community paramedic program.  Philip’s 20 years’ experience in emergency medicine provides a unique insight into the challenges an organization like TANDEM365 faces.  Philip recognizes the challenges older adults with complex medical conditions face and firmly believes TANDEM365 can provide innovative solutions.  Through engagement with local, regional, and state level emergency medical service agencies, Philip serves this integrated care model by ensuring non-traditional utilization of EMS services is effective.