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.

Effective Examples

Livingston County Help For Seniors

Updated/reviewed January 2026

• Need: To meet the health needs of an expanding older adult population in rural Livingston County, New York.
• Intervention: In 2006, a federal grant was leveraged to create the Help For Seniors program that focused on EMT training for performing in-field health needs assessments for older adults and the support for a case management staff to address those screening results.
• Results: Based on over 1,200 older adult evaluations and the training of nearly 200 EMTs, the project's results and capacity building became a foundation for continued similar county activities that are now supported by state funding.

Other Project Examples

Queen Anne's County Mobile Integrated Community Health (MICH) Program

Updated/reviewed May 2026

• 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 March 2024, the program made 1,098 patient contacts and continued to see a reduction in emergency department and inpatient visits and costs.

Mobile Integrated Healthcare Network (MIHN)

Updated/reviewed November 2025

• Need: To bring preventive care and other services to rural Missouri patients with chronic illnesses and difficulties accessing primary care.
• Intervention: Community paramedics make home visits and provide basic care, home assessments, and medication reconciliation and facilitate telehealth visits.
• Results: Patients experienced improved access to care, health status, and compliance with medication regimens along with increased patient engagement, satisfaction, and access to community resources.

Project Swaddle

Added August 2023

• Need: To reduce poor maternal and infant health outcomes and improve access to prenatal and postpartum care for at-risk pregnant women and recent mothers in Crawfordsville, Indiana.
• Intervention: A home visitation program that uses community paramedics to deliver wrap-around care to women experiencing high-risk pregnancies and/or social and environmental challenges.
• Results: Since 2018, more than 200 women have been served by the program.