Module 2: Promising Practices for Establishing Community Paramedicine Programs
Rural organizations implement a variety of programs to improve their communities' health and well-being.
Community paramedicine and mobile integrated health programs can help rural organizations achieve their goals of
expanding access to primary care health services and reducing utilization of emergency resources.
This module describes models identified by rural organizations that have established community paramedicine
programs. Some EMS providers have conducted evaluations or return on investment studies that indicate
significant improvements in health status for patients and cost savings for the health system. However, there
are few national guidelines or recommendations that cite broader evidence of their efficacy. As a result, these
models are considered emerging and promising practices unless otherwise noted.
This toolkit identifies five types of models that characterize the activities of rural community paramedicine
programs. No single practice is appropriate for every rural program. Rural organizations may combine different
practices or implement more than one practice to meet their needs and the needs of their community.
A needs assessment or gap analysis can be a valuable tool to determine which community paramedicine model(s) are
a good fit for the needs of a community. For more information on conducting needs assessments, please visit Module 4: Implementation Considerations.
To learn how to identify and adapt interventions for a rural community health program, please visit Developing a Rural Community Health Program in the
Rural Community Health Toolkit.
In this module, promising and emerging models for implementing a community paramedicine program have been
grouped into five categories: