Community Paramedicine - Mobile Integrated Health
Documents & Resources
Community Paramedicine Articles/Papers
EMS 3.0 Infographics for Audiences:
NASEMSO Sends Letter SSL/CSG on Suggested State Legislation Item 07-37A-07 on Mobile Integrated Health Care (Dec. 3, 2015) NASEMSO sent recommendation to the Suggested State Legislation (SSL) Committee of the Council of State Governments (CSG) urging them to initiate its process for developing and inserting a note for community paramedicine-mobile integrated healthcare (CP-MIH) in the SSL publication being considered, rather than accepting item 07-37A-07 on Mobile Integrated Health Care, at its meeting in Nashville this month. The letter noted that developing a well-considered note concerning this state issue of national significance in place of accepting item 07-37A-07 is a prudent course of action. For details, download the letter here.
- Email response from Dan Felton regarding the Dec. 3 NASEMSO letter to SSL/CSG (12/15/15) "The Council of State Governments (CSG) Committee on Suggested State Legislation (SSL) met in Nashville twice this past week and took up our MIH/CP issue at their second meeting on Saturday afternoon. At that time, I was successful in getting the committee to not include the Massachusetts law as a stand-alone item in the SSL Volume to be published next year, but rather include a note on MIH/CP that will give legislators and their staffs an overview of several states that have enacted laws related to MIH/CP. I spent a good amount of time with many of the committee members Wednesday to Saturday to socialize them further with the note approach after contacting them via email the weekend before. There was some good Q&A during the meeting about Massachusetts and other states that have enacted legislation related to MIH/CP, and it helped that there were committee members present from Arkansas and Idaho, where related laws were enacted this year. And I did have the opportunity to mention by name all the stakeholders, including NASEMSO, that came together over the past several weeks to agree upon the note approach. I offered to work with CSG staff next year to help draft that note, and my offer was accepted. Thank you all for your assistance with this important opportunity."
Revised Joint Vision Statement on MIH-CP (draft proposed, posted 10/11/15)
EMS Office Assessment of the Status of Community Paramedicine/Mobile Integrated Healthcare in the States and Territories, published by the NASEMSO CP-MIH Committee with support from the Office of Emergency Medical Services, National Highway Traffic Safety, May 2015.
Solving the Paramedic Paradox, by Thomas D. Rowley. This is the first known published reference to the term “community paramedic”. The article followed a subsequently unsuccessful Robert Wood Johnson grant application to initiate community paramedicine programs, beginning in Western Maine in 2000.
NASEMSO Comments to the National Fire Protection Association, on the proposed project “Fire Based Community Healthcare Provider Program."
JNEMSLF MIH-CP Survey Results and Presentation (Sept. 2013)
Innovative Opportunities for EMS, a draft white paper from the National Highway Traffic Safety Administration (DOT); Office of the Assistant Secretary for Preparedness and Response (HHS); and Health Resources & Services Administration (HHS) (published for comment on July 15, 2013).
Community Evaluation Paramedicine Tool, U.S. Department of Health and Human Services, Health Resources and Services Administration, Office of Rural Health Policy (Mar. 2012).
A National Agenda for Community Paramedicine Research, prepared by Davis G. Patterson, Ph.D., and Susan M. Skillman, MS, University of Washington, School of Medicine, Department of Family Medicine (2012).
State Community Paramedicine Legislative Status in October 2013. This report documents the status of statutory provisions in each state which either allow or prohibit community paramedicine (CP) practices. Thirty-seven states responded. Seventy percent of the respondents interpreted their law as either allowing or not prohibiting CP, while 5% interpreted their law as prohibiting CP, and the remainder had not made interpretations.
Community Paramedicine: A Promising Model for Integrating Emergency and Primary Care (July 2013). Report prepared for the California HealthCare Foundation and California Emergency Medical Services Authority in partial fulfillment of the Leveraging EMS Assets and Community Paramedicine Project funded by the California HealthCare Foundation (Grant Number 17119, Regents of the University of California).
AHRQ's 2012 National Consensus Conference on Community Paramedicine (03/30/13): Sponsored by the Agency for Healthcare Research and Quality (AHRQ), the National Consensus Conference on Community Paramedicine was held Oct. 1-2, 2012, in Atlanta, Georgia. The purpose was to identify areas of consensus on important policy and practice issues and to clarify the role of research in advancing Community Paramedicine (CP). Meeting goals included: encouraging wider adoption of CP; networking among interested stakeholders; sharing best practices; and setting an agenda to further the field nationally. Two reports resulting from the sessions National Consensus Conference on Community Paramedicine are available here:
- National Consensus Conference on Community Paramedicine: Summary of an Expert Meeting
- A National Agenda for Community Paramedicine Research
Health Care of the Future (02/13/13) Community Paramedic program addesses national health care reform while caring for Eagle County, CO citizens.
Community Paramedics Aim to Lower Health Costs via Home Care (02/13/13) This article is about Minnesota becoming a national leader in a movement to create and use certified "community paramedics" to monitor and provide non-emergent care for patients in their homes.
Community Paramedicine in Canada (07/31/12)This white paper is from the Emergency Medical Services Chiefs of Canada.
Community Paramedicine: Evaluation Tool (HRSA, March 2012) In the absence of validated national benchmarks, or norms, this document stresses the need for each community paramedicine program to define its system-specific health status benchmarks and performance indicators and to use a variety of community health and public health interventions to improve the community’s health status. The document also addresses reducing the burden of illness, chronic disease, and injury as a community-wide public health problem, not strictly as a patient care issue.
Bridging the Historic Divide Between Nurses and Paramedics (12/30/11) Anne Robinson, RN, who has been the public health nursing and nursing leadership and liaison for the Eagle County EMS Community Paramedic program, was interviewed by the American Journal of Nursing about community paramedicine. Read the article here, and see what a great job she has done to bridge the historic divide between nursing and paramedics and to lead nurses to begin to accept the concept of Community Paramedic as an opportunity to be more effective and not a place to compete for territory.
State Perspectives Discussion Paper on Development of Community Paramedic Programs (01/10/11) This discussion paper offers insight into the historical perspective and future considerations for Community Paramedicine programs. As well, it advocates for the development of an implementation guide for states.
Community Paramedicine Links
Community Paramedicine Insights Forum:
International Roundtable on Community Paramedicine: