Rural Emergency Medical Services (EMS) and Trauma – 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.
Need: Since the late 1800's, trauma caused by historic events have greatly affected the way of life for Menominee Indians living on the Menominee Reservation. Economic, socioeconomic, behavioral health, and physical health issues have risen and are causing direct implications for Menominee youth.
Intervention: Through Fostering Futures, clinic, school, and Head Start/Early Head Start staff are trained in administering trauma-informed care and building resilience among children.
Results: Behavioral health visits at the Menominee Tribal Clinic have increased, school suspension rates have decreased, and graduation rates have improved from 60% to 94% since 2008.
Need: Due to its reduced Medicare ambulance service reimbursement, the 1997 Balanced Budget Act threatened to put many rural volunteer emergency medical services (EMS) providers out of business across the country.
Intervention: Savvik (formerly North Central EMS Cooperative, or NCEMSC) created a mechanism for EMS providers to achieve cost reduction through group purchasing.
Results: The program brings discounts on EMS supplies to over 6,300 members across the United States, Canada, and Mexico.
Need: Distance, time, and cost make it difficult for EMS volunteers to attend continuing education and maintain certification.
Intervention: Inland Northwest Health Services delivers free online training to rural EMS providers via video teleconferencing.
Results: The EMS Live@Nite program provides free, monthly training to rural EMS providers in the northwestern part of the United States. The program is available through live video conferencing from certified locations in rural communities.