Evaluation Measures for Community Paramedicine Programs
Once key evaluation questions have been established, program planners should determine the measures
or indicators they will use to answer those questions. For example, if a project goal is to reduce
the frequency of 911 calls, the evaluator would need to look at the number of 911 calls overall in
the emergency medical service (EMS) agency's service area, the number of 911 calls from program
patients, and the number of completed referrals to social services.
A group of researchers and programs have developed the Mobile Integrated Healthcare –
Community Paramedicine (MIH-CP) Outcome Measures Project to develop
standardized measures that can be used across mobile integrated health and community paramedicine
programs. The goal of these efforts is to build the evidence base for community paramedicine and
better identify programs that can be successfully replicated. Rural organizations do not need to
adopt their measurement approach in full, but they can select the measures that are most applicable
to their community paramedicine program and can be answered with the available data. Another resource
for identifying potential measures is the Community
Paramedicine Evaluation Tool, developed by the Federal Office of Rural Health Policy.
Additional information on identifying strategies and measures for gathering appropriate data and evidence can be
found in the Rural Community Health Toolkit.
Process measures focus on how community paramedicine services are provided. Examples
of process measures related to community paramedicine programs include:
Number of patients enrolled in the program
Number of patients graduated from the program
Number of referrals to the program from the hospital/primary care
Number of patients receiving referrals to primary care/social services
Number/percent of patients contacted within 48 hours of hospital discharge
Number of medication reconciliation encounters completed
Number of stakeholder meetings held
Outcome measures focus on health outcomes and the overall results of the program.
Measures recommended by the
MIH-CP Outcome Measures Project include:
Number/percent of 911 calls diverted from the emergency department
Percent of patients reporting improved quality of life
Number/percent of patients who establish a relationship with behavioral health services/case
Number/percent of patients with a documented care plan
Number/percent of patients readmitted to the hospital within 30 days of discharge
Number/percent of medication issues documented and patients referred to a primary care provider
Resources to Learn More
Paramedicine Evaluation Tool
Provides a self-assessment tool specially designed for rural community paramedicine programs when
developing an evaluation methodology. Presents benchmarks matched with scoring indicators and scoring
criteria for assessing the key functions of a community paramedicine program.
Organization: U.S. Department of Health and Human Services, Health Resources & Services
Administration, Federal Office of Rural Health Policy
Integrated Healthcare Program: Measurement Strategy Overview
Offers a variety of measures that can be used by community paramedicine programs developing a
tailored evaluation strategy, including process and outcomes measures for quality of care, cost, and
utilization. Developed by a consortium of agencies interested in standardizing mobile integrated
health measures across programs.
Organization(s): Mobile Integrated Healthcare – Community Paramedicine (MIH-CP) Outcome Measures