Community Paramedicine Models and Innovations
These stories feature model programs and successful rural projects that can serve as a source of ideas and provide lessons others have learned. Some of the projects or programs may no longer be active. Read about the criteria and evidence-base for programs included.
Updated/reviewed January 2018
- Need: Meeting the health needs of geriatric patients in rural Livingston County, New York.
- Intervention: The Help for Seniors program was developed and using its “vodcasts,’ local EMTs were trained in geriatric screening methods and health needs treatment.
- Results: In addition to developing a successful model for educating EMS personnel, the program screened over 1200 individuals and identified various risks among the geriatric population.
Added December 2015
- Need: To reduce non-emergent visits to the emergency department as well as inpatient stays in rural South Carolina.
- Intervention: A community paramedic program was started in Abbeville County, providing in-home preventive care to patients.
- Results: Emergency room visits have decreased by 58.7% and inpatient stays by 60%. Many patients previously needing consistent services now only need occasional check-ups.
Other Project Examples
Added November 2017
- Need: Low patient volumes, a shortage of EMS volunteers, and an aging population in a 5-county North Dakota region required a change in the way the Rugby EMS team delivered care.
- Intervention: Through the Rugby Community Paramedic Program, EMS staff bring medical care to patients transitioning back into their homes, including those with chronic conditions and hospice patients.
- Results: The program's early intervention methods helped reduce the number of emergency room admissions and the escalation of medical conditions. Patient satisfaction has improved and the program has gained the trust of patients and medical staff in Rugby and surrounding areas.
Updated/reviewed February 2017
- Need: Rural areas nationwide have shortages of primary care providers and home health programs.
- Intervention: Eagle County Paramedic Services is utilizing community paramedics in the provision of non-acute home care and assistance with immunizations and screenings in rural areas where it is difficult for these services to be accessed.
- Results: The pilot program was featured at the 2010 International Roundtable on Community Paramedicine. After 18 months of implementing the program, a net total of $288,028 in healthcare costs was saved.
Last Updated: 1/12/2018