Organizational Buy-In and Partnerships for Community Paramedicine Programs
Community readiness is an important factor for creating a successful program. When implementing a new
program, it is important to gain community buy-in from local leaders and organizations. Obtaining
buy-in early in the process of developing the program can be useful to gauge overall readiness and to
identify potential areas of concern so they can be addressed early.
Programs should research stakeholder organizations in their area that serve the intended patient population and
invite stakeholders to discuss the creation of a community paramedicine program.
Stakeholders may include:
Family medicine/primary care providers
Local public health agencies
Home health agencies
Community health workers
Local emergency medical service providers
Identifying and meeting with stakeholders can help the community understand the purpose of and need
for a community paramedicine program and gain support for establishing and maintaining it. This engagement
will also provide insight into how community stakeholders think the program can benefit patients and
start discussions about how programs can support one another. Such conversations can help
stakeholders feel engaged in creating a program that will benefit their organization as well —
instead of feeling surprised when the program launches. These positive working relationships can also
facilitate program participant enrollment once the program launches.
For example, a program may receive referrals from the local home health agency and vice versa,
depending on the patient's level of independence. In particular, home health agencies and other
organizations that offer home-visiting services may have concerns that a new program will duplicate
their efforts or take away current or eligible clients. It is key to engage with local home
healthcare agencies prior to launching a program to explain that the program intends to complement
their services, not replace them. For example, some programs may only serve patients who are
uninsured or underinsured and therefore without access to home healthcare. In that case, clients of
the community paramedicine program would not overlap with the home healthcare patient population.
Additionally, if it applies to the goals of the community paramedicine program, the team can
communicate that they intend to help community members access a wider array of services compared to
traditional home health models.