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Rural Health
Resources by Topic: Emergency medical technicians and paramedics

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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Kansas Ambulance Service Assessment
Reports the results of a statewide emergency medical services (EMS) assessment conducted in 2017, to determine operational capacity and resource allocation strategies. Covers EMS agency, respondent, and geographic characteristics by population density peer group, such as frontier, rural, and densely-populated rural.
Date: 2017
Type: Document
Sponsoring organization: Kansas Office of Primary Care & Rural Health
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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 F. Coburn
Date: 11/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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EMS Leaders Speak
Five experts discuss emergency medical services in a changing rural healthcare delivery system. Topics addressed include EMS challenges and potential opportunities, such as community paramedicine and telehealth.
Author(s): Kevin McGinnis, Diane Calmus, Don Wood, Tom Nehring, Gary Wingrove
Citation: Rural Monitor
Date: 09/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Community Health EMS (CHEMS): A Perspective for Partners & the Community
Presentation slides describing community health emergency medical services (CHEMS) and general EMS. Discusses benefits of CHEMS, including increased access to primary care and preventive services.
Date: 05/2016
Type: Presentation Slides
Sponsoring organization: Idaho Department of Health and Welfare
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Fired Up: Community Paramedicine Models Blaze a Trail for Healthcare Delivery Reform
Discusses how fire departments can target frequent 911 users to reduce emergency room visits. Highlights community paramedicine program models in Arizona, including examples from rural communities.
Date: 02/2016
Type: Document
Sponsoring organization: Vitalyst Health Foundation
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National Characteristics of Emergency Medical Services in Frontier and Remote Areas
Outlines national characteristics for emergency medical services in frontier and remote (FAR) areas. Includes patient demographics, provider clinical impression and injuries, and procedures performed in FAR and non-FAR patients.
Author(s): Landon R. Mueller, John P. Donnelly, Karen E. Jacobson, et al.
Citation: Prehospital Emergency Care, 20(2), 191-199
Date: 2016
Type: Document
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Pinch Hitting
Provides an overview of the role community paramedicine can play in meeting rural healthcare needs, with examples from several states. Highlights the pros and cons of this approach, describes how it is funded, and identifies states that have taken legislative action on the issue. Article begins on page number 22.
Author(s): Michelle Ancell
Citation: State Legislatures, 22-25
Date: 09/2015
Type: Document
Sponsoring organization: National Conference of State Legislatures
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EMS Office Assessment of the Status of Community Paramedicine/Mobile Integrated Healthcare in the States and Territories
Results of a survey of 49 National Association of State EMS Officials (NASEMSO) member states and territories, documenting existing or planned programs. Features statistics on reimbursement strategies, involvement of hospitals/health systems, state legislation, certification, medical direction, community health assessments, and use of quality improvement measures.
Date: 05/2015
Type: Document
Sponsoring organization: National Association of State EMS Officials
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