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Rural Health Information Hub

Rural Project Examples: Emergency medical technicians and paramedics

Effective Examples

Livingston County Help For Seniors

funded by the Federal Office of Rural Health Policy

Updated/reviewed May 2020

  • Need: Meeting the health needs of geriatric patients in rural Livingston County, New York.
  • Intervention: The Help for Seniors program was developed and using its 'vodcasts,' local EMTs were trained in geriatric screening methods and health needs treatment.
  • Results: In addition to developing a successful model for educating EMS personnel, the program screened over 1200 individuals and identified various risks among the geriatric population.

Other Project Examples

AGRIMEDIC

Updated/reviewed February 2024

  • Need: To reduce farm injuries and improve EMS and fire/rescue's response to these injuries in rural Louisiana and Mississippi.
  • Intervention: AGRIMEDIC is a two-day training for first responders.
  • Results: 810 first responders have received training.

Rural Nevada EMS Conference

Updated/reviewed January 2024

  • Need: To provide rural Nevada EMS personnel an opportunity to receive quality training and current EMS information from national EMS educators.
  • Intervention: The Rural Nevada EMS Conference offers continuing education units and engaging sessions for EMS personnel.
  • Results: In 2023, 185 individuals attended the conference in-person.

Rural Firefighters Delivering Agricultural Safety and Health (RF-DASH)

Added October 2023

  • Need: To reduce injuries in agricultural communities and improve emergency responders' preparedness when called to farms and ranches.
  • Intervention: RF-DASH equips rural fire/EMS personnel and others with agricultural health and safety knowledge and tools to pre-plan for agricultural emergencies as well as assess and then mitigate agricultural hazards.
  • Results: Over 80 firefighters and EMTs have received training to become RF-DASH trainers.

EMS Live@Nite

funded by the Federal Office of Rural Health Policy

Updated/reviewed September 2023

  • Need: Distance, time, and cost make it difficult for EMS volunteers to attend continuing education and maintain certification.
  • Intervention: Providence Health Training delivers free online training to rural EMS providers via video teleconferencing.
  • Results: The EMS Live@Nite program provides free, monthly training to rural EMS providers in the northwestern part of the United States. The program is available through live video conferencing from certified locations in rural communities.

Mobile Integrated Healthcare Network (MIHN)

funded by the Federal Office of Rural Health Policy

Added September 2023

  • Need: To bring preventive care and other services to rural Missouri patients with chronic illnesses and difficulties accessing primary care.
  • Intervention: Community paramedics and community health workers make home visits and provide basic care, home assessments, and medication reconciliation and facilitate telehealth visits.
  • Results: Patients experienced improved access to care, health status, and compliance with medication regimens along with increased patient engagement, satisfaction, and access to community resources.

Project Swaddle

Added August 2023

  • Need: To reduce poor maternal and infant health outcomes and improve access to prenatal and postpartum care for at-risk pregnant women and recent mothers in Crawfordsville, Indiana.
  • Intervention: A home visitation program that uses community paramedics to deliver wrap-around care to women experiencing high-risk pregnancies and/or social and environmental challenges.
  • Results: Since 2018, more than 200 women have been served by the program.

Queen Anne's County Mobile Integrated Community Health (MICH) Program

Updated/reviewed April 2023

  • Need: To connect patients to resources in order to reduce use of emergency services, emergency department visits, and hospital readmissions.
  • Intervention: Patients receive support (by in-person visit, phone call, or telehealth visit) from a paramedic, community health nurse, peer recovery specialist, and pharmacist.
  • Results: Between July 2016 and June 2019, the MICH program enrolled 233 patients and demonstrated a total savings of $3,393,908 in healthcare costs.

Simulation in Motion-South Dakota (SIM-SD) EMS Educational Outreach Program

Updated/reviewed February 2023

  • Need: To provide increased educational opportunities for emergency care personnel in rural and frontier South Dakota.
  • Intervention: A technologically advanced training was created to enhance the delivery of emergency patient care.
  • Results: Hundreds of emergency medical services (EMS) staff and volunteers received training that in turn helped them in the field of emergency patient care.

Maine Critical Access Integrated Paramedics

funded by the Health Resources Services Administration

Added August 2022

  • Need: With the nearest hospital more than an hour away, the local community health center in rural Jackman, Maine struggled to maintain its ability to offer 24/7 care to due to staffing and budgetary challenges.
  • Intervention: Critical Access Integrated Paramedics provide urgent care to patients after hours and on weekends.
  • Results: The Jackman Community Health Center has been able to offer round-the-clock care to clinic patients, while also increasing the level of EMS service available to the community.