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Rural Health
Resources by Topic: Emergency medical technicians and paramedics

Community Paramedicine Rural Health Chat
Summary of a July 2018 Twitter chat focused on community paramedicine. Documents a conversation among rural health experts discussing how the community paramedicine model can benefit rural areas, challenges and barriers to starting a community paramedicine program, and examples of successful programs.
Date: 07/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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ThedaCare: Leveraging Community Paramedics To Bridge Persistent Gaps in Care
Describes ThedaCare, a 2016 participant in the Transforming Complex Care initiative from the Robert Wood Johnson Foundation and Center for Health Care Strategies (CHCS), a community paramedic (CP) program that works to extend the reach of clinic serves to medically and socially complex patients in Northeastern Wisconsin. Discusses program goals, steps to establishing the CP program, and sustainability.
Author(s): Naomi Freundlich
Date: 05/2018
Type: Document
Sponsoring organization: Center for Health Care Strategies
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EMS Services in Rural America: Challenges and Opportunities
Policy brief describing challenges for rural EMS providers, including workforce shortages and inconsistent funding. Features statistics including percentage of potentially excess deaths for 5 leading causes of death, with breakdowns by metropolitan and nonmetropolitan areas, and average EMS call time response and distribution of all-volunteer and all-paid staff EMS agencies, with breakdowns by 4 levels of population density. Discusses effects of the opioid crisis and Critical Access Hospital closures on provision of EMS services.
Author(s): Nikki King, Marcus Pigman, Sarah Huling, Brian Hanson
Date: 05/2018
Type: Document
Sponsoring organization: National Rural Health Association
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The Status of the Healthcare Workforce in the State of Nebraska
Provides an overview of the healthcare workforce in Nebraska and reports county-level data. Includes statistics and information on physicians, physician assistants, nursing professionals, dental professionals, pharmacy professionals, emergency medical technicians, other allied health professionals, and other non-physician clinicians. Covers the demographic profile of the state and the designated Health Professions Shortage Areas (HPSAs) in Nebraska.
Author(s): Fernando A. Wilson, Nizar K. Wehbi, Jamie Larson, et al.
Date: 02/2018
Type: Document
Sponsoring organizations: Nebraska Area Health Education Centers, University of Nebraska Medical Center: Center for Health Policy
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Recruitment and Retention: Overcoming the Rural EMS Dilemma
Reports on rural emergency medical services (EMS) workforce challenges and identifies innovative approaches to meet these challenges, highlighting programs in several states. Includes a list of 4 EMS recruitment and retention tactics for rural communities.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 02/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Emergency Medical Services Professionals’ Attitudes about Community Paramedic Programs
Evaluates perceptions and attitudes of emergency medical services (EMS) professionals' understanding and willingness to participate in community paramedic programs. Includes demographic data for EMS professionals participating in the study by level of certification or licensure and total years of EMS experience. Provides information on EMS participants' work experiences, including the type of community and population served.
Author(s): Robert J. Steeps, Denise A. Wilfong, Michael W. Hubble, Daniel L. Bercher
Citation: Western Journal of Emergency Medicine, 18(4), 630-639
Date: 06/2017
Type: Document
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Prevention and Treatment of Substance Abuse in Rural Communities
Webinar recording discusses the challenges and strategies in stemming the rate of substance abuse in rural communities. Introduces the Rural Prevention and Treatment of Substance Abuse Toolkit, designed to help communities implement substance abuse programs. Presents several examples of state level programs focused on increasing access to naloxone and training for first responders to recognize and prevent overdoses.
Additional links: Audio Recording, PowerPoint Handout, Transcript
Date: 05/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Community Paramedics Team Up with Hospitals to Reduce Readmissions
Describes community paramedicine pilot projects in California, one of which is rural, that are providing follow-up calls and visits to patients between 24-72 hours after hospital discharge. Features statistics including number of patients and number of readmissions within 30 days, with breakdowns by 6 diagnoses and site.
Author(s): Karen Shore
Date: 01/2017
Type: Document
Sponsoring organization: California Health Care Foundation
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Community Paramedic Toolkit
Toolkit for ambulance services, hospitals, and others considering the development or expansion of a community paramedicine program in Minnesota. Includes program planning, education and training, financing, and models of care, among other discussions.
Date: 12/2016
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Innovations in Rural Health System Development: Recruiting and Retaining Maine’s Health Care Workforce
Illustrates examples of rural-focused medical education programs to support an adequate supply of physicians in rural Maine. Also, discusses behavioral and oral health workforce development, and promising programs utilizing other types of healthcare workers such as community paramedics and community health workers (CHWs) to increase the availability and accessibility of healthcare in rural Maine and in other rural regions of the U.S.
Author(s): Amanda Burgess, Andrew Coburn
Date: 11/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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