Using Community Health Assessment to Determine Needs
Community paramedicine programs can be most effective after dedicating time to understand the unique
needs of the patient population, the gaps that exist in the local health system, and the ways a
program can address these concerns.
Programs often target specific patient populations, such as patients with chronic conditions,
and can benefit from performing or referencing a community health assessment, also known as a gap assessment.
Not-for-profit hospitals must perform a community health needs assessment (CHNA) every three years and
accredited local health departments must
perform a community
health assessment and develop a Community Health Improvement Plan (CHIP) every five years.
Programs can reference these resources to determine the conditions that disproportionately impact
people in their community. Once a program understands the characteristics of the intended patient
population, they can develop care plans and protocols tailored to meet those needs.
Local organizations or agencies that serve vulnerable populations may also be able to provide insight
into gaps in the care continuum that the program may be suited to address. These local organizations
can inform the program about the services already being offered to the target population, which can
reduce duplication of efforts.
Community needs may change and require different services as the program progresses. Program leaders
should keep this in mind, periodically assess the gaps in care for their patient population, and
adjust their services to meet new or changing needs.
Resources to Learn More
Paramedic Toolkit: Step 3 - Assess Community Needs
Describes the importance of performing or referencing a community needs assessment when developing a
community paramedicine program. Outlines how to conduct a community health assessment specifically
for community paramedicine program purposes.
Author(s): Montera, A., Montera, C., Songer, P., & Greene, M.
Organization(s): Idaho Bureau of EMS and Preparedness