Rural Health
Resources by Topic: Community paramedicine
Emergency Triage, Treat, and Transport (ET3) Model: Final Evaluation Report
Presents quantitative and qualitative results from the evaluation of the Emergency Triage, Treat, and Transport (ET3) Model, a voluntary model that allowed ambulance care teams to use alternate models of emergency healthcare to improve quality and lower care costs. Describes the characteristics of ET3 participants, the extent to which ET3 interventions successfully prevented emergency department (ED) visits, and how average Medicare Parts A and B spending for patients that received ET3 interventions compared to patients who had low acuity ED visits. Discusses challenges and barriers to delivering ET3 interventions. Includes rural references throughout.
Additional links: Findings at a Glance, Technical Appendix
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presents quantitative and qualitative results from the evaluation of the Emergency Triage, Treat, and Transport (ET3) Model, a voluntary model that allowed ambulance care teams to use alternate models of emergency healthcare to improve quality and lower care costs. Describes the characteristics of ET3 participants, the extent to which ET3 interventions successfully prevented emergency department (ED) visits, and how average Medicare Parts A and B spending for patients that received ET3 interventions compared to patients who had low acuity ED visits. Discusses challenges and barriers to delivering ET3 interventions. Includes rural references throughout.
Additional links: Findings at a Glance, Technical Appendix
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Stories of Impact: Great Mines Health Center
Provides an overview of the Great Mines Health Center successes through 2024, a Federally Qualified Health Center (FQHC) that serves 6 rural Missouri counties. Discusses the impact of integrating the Washington County Mobile Integrated Healthcare Network model that created a partnership among an FQHC, an emergency medical services agency, and a nonprofit consulting firm and initiates primary care services in the home.
Date: 09/2024
Sponsoring organization: Georgia Health Policy Center
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Provides an overview of the Great Mines Health Center successes through 2024, a Federally Qualified Health Center (FQHC) that serves 6 rural Missouri counties. Discusses the impact of integrating the Washington County Mobile Integrated Healthcare Network model that created a partnership among an FQHC, an emergency medical services agency, and a nonprofit consulting firm and initiates primary care services in the home.
Date: 09/2024
Sponsoring organization: Georgia Health Policy Center
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Community Paramedicine in Kansas: Policy Considerations for an Emerging Model of Care
Provides an overview of community paramedicine in Kansas, focusing on policies and practices that influence their sustainability. Includes examples of community paramedicine programs in other states and their impact on healthcare access in rural communities.
Author(s): Wyatt J. Beckman, Valentina Blanchard, Linda J. Sheppard
Date: 07/2024
Sponsoring organization: Kansas Health Institute
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Provides an overview of community paramedicine in Kansas, focusing on policies and practices that influence their sustainability. Includes examples of community paramedicine programs in other states and their impact on healthcare access in rural communities.
Author(s): Wyatt J. Beckman, Valentina Blanchard, Linda J. Sheppard
Date: 07/2024
Sponsoring organization: Kansas Health Institute
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Stroke Prevention and Management in Rural Georgia: Evaluating the Effectiveness of a Community Paramedicine Program
Evaluates the effectiveness of a community paramedicine service delivery model for improving stroke outcomes for high risk residents of 2 rural Georgia counties. Assesses hospital readmissions and mortality for 22 study participants compared to 621 nonparticipants. Discusses risk factors, telehealth, and pandemic related challenges.
Author(s): Brandon Calvert, Rana Bayakly, Teri Newsome
Citation: Journal of Public Health Management and Practice, 30, S32-S38
Date: 07/2024
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Evaluates the effectiveness of a community paramedicine service delivery model for improving stroke outcomes for high risk residents of 2 rural Georgia counties. Assesses hospital readmissions and mortality for 22 study participants compared to 621 nonparticipants. Discusses risk factors, telehealth, and pandemic related challenges.
Author(s): Brandon Calvert, Rana Bayakly, Teri Newsome
Citation: Journal of Public Health Management and Practice, 30, S32-S38
Date: 07/2024
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CommHIT Shoots for the Moon
Features a Rural Public Health Workforce Training Network grantee, CommHIT, that is assisting Florida partners with workforce development initiatives. Describes its workforce development efforts focused on community health workers (CHWs) and community paramedics, as well as cybersecurity and other technology-related trainings.
Citation: Rural Monitor
Date: 02/2024
Sponsoring organization: Rural Health Information Hub
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Features a Rural Public Health Workforce Training Network grantee, CommHIT, that is assisting Florida partners with workforce development initiatives. Describes its workforce development efforts focused on community health workers (CHWs) and community paramedics, as well as cybersecurity and other technology-related trainings.
Citation: Rural Monitor
Date: 02/2024
Sponsoring organization: Rural Health Information Hub
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Helping Older Adults Age Well in Rural America
Provides an overview of strategies that mitigate challenges related to aging in rural communities. Provides data on healthcare access in rural areas and presents successful models that focus on transportation, social services, and alternative care models, such as paramedicine and hybrid care.
Author(s): Martha Hostetter, Sarah Klein
Date: 11/2023
Sponsoring organization: Commonwealth Fund
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Provides an overview of strategies that mitigate challenges related to aging in rural communities. Provides data on healthcare access in rural areas and presents successful models that focus on transportation, social services, and alternative care models, such as paramedicine and hybrid care.
Author(s): Martha Hostetter, Sarah Klein
Date: 11/2023
Sponsoring organization: Commonwealth Fund
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RPHWTN Grantees Help Rural Healthcare Facilities Keep Local Talent
Highlights the Federal Office of Rural Health Policy's Rural Public Health Workforce Training Network and its focus on expanding workforce capacity in rural and tribal areas. Features a career ladder program in Missouri, a respiratory therapy training program in Texas, and a health IT training program in Virginia.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 08/2023
Sponsoring organization: Rural Health Information Hub
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Highlights the Federal Office of Rural Health Policy's Rural Public Health Workforce Training Network and its focus on expanding workforce capacity in rural and tribal areas. Features a career ladder program in Missouri, a respiratory therapy training program in Texas, and a health IT training program in Virginia.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 08/2023
Sponsoring organization: Rural Health Information Hub
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In a Maternity Desert, a New Kind of Home Visitation Program Brings Care to At-Risk Mothers
Features Project Swaddle, a community paramedic program that provides education, support, and medical care to pregnant and postpartum patients in rural Indiana.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 08/2023
Sponsoring organization: Rural Health Information Hub
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Features Project Swaddle, a community paramedic program that provides education, support, and medical care to pregnant and postpartum patients in rural Indiana.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 08/2023
Sponsoring organization: Rural Health Information Hub
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The EMS and Community Paramedic Workforces Respond to COVID-19
Results of a study in which 17 key informant experts shared their perspectives on how the emergency medical services (EMS) and community paramedicine (CP) workforces responded to COVID-19 during the first year of the pandemic. Also describes how the pandemic has affected EMS and CP. Features statistics on participant characteristics, with breakdowns by rural and urban locations.
Author(s): Davis G. Patterson, Marieke S. van Eijk, Samantha W. Pollack, Benjamin A. Stubbs, Christopher Hanson
Date: 06/2023
Sponsoring organization: Center for Health Workforce Studies
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Results of a study in which 17 key informant experts shared their perspectives on how the emergency medical services (EMS) and community paramedicine (CP) workforces responded to COVID-19 during the first year of the pandemic. Also describes how the pandemic has affected EMS and CP. Features statistics on participant characteristics, with breakdowns by rural and urban locations.
Author(s): Davis G. Patterson, Marieke S. van Eijk, Samantha W. Pollack, Benjamin A. Stubbs, Christopher Hanson
Date: 06/2023
Sponsoring organization: Center for Health Workforce Studies
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2023 National Survey on MIH-CP Programs
Results of a February 2023 survey of approximately 400 emergency medical services (EMS) agencies nationwide that have launched mobile integrated healthcare and community paramedicine (MIH-CP) programs. Features statistics on nontraditional services offered, and programs by demographic region served, with breakdowns by 3 levels of population density.
Date: 05/2023
Sponsoring organization: National Association of Emergency Medical Technicians
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Results of a February 2023 survey of approximately 400 emergency medical services (EMS) agencies nationwide that have launched mobile integrated healthcare and community paramedicine (MIH-CP) programs. Features statistics on nontraditional services offered, and programs by demographic region served, with breakdowns by 3 levels of population density.
Date: 05/2023
Sponsoring organization: National Association of Emergency Medical Technicians
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