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 May 2020
- 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.
Updated/reviewed May 2018
- 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 February 2021
- Need: To connect patients to resources in order to reduce use of emergency services, emergency department visits, and hospital readmissions.
- Intervention: Patients receive support (by in-person visit, phone call, or telehealth visit) from a paramedic, community health nurse, peer recovery specialist, and pharmacist.
- Results: Between July 2016 and June 2019, the MICH program enrolled 233 patients and demonstrated a total savings of $3,393,908 in healthcare costs.
Updated/reviewed January 2020
- Need: To reduce 911 use and improve older adults' health in rural Santa Cruz County, Arizona.
- Intervention: Community paramedics make scheduled visits to patients and connect them to other community resources.
- Results: CHIPP has assisted over 150 people so far, and 911 calls have decreased.
Updated/reviewed December 2018
- 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 brought medical care to patients transitioning back into their homes, including hospice patients and those with chronic conditions.
- Results: The program's early intervention methods helped reduce the number of emergency room admissions and the escalation of medical conditions. Patient satisfaction improved, and the program gained the trust of patients and medical staff in Rugby and surrounding areas.
Last Updated: 2/24/2021