TY - JOUR
AU - A. J. Ulintz
AU - L. C. O'Connor
AU - T. M. Heffern
AU - J. Rowe
AU - J. E. Rollman
AU - G. Wingrove
AU - M. Zavadsky
AU - M. R. Wilcox
AU - S. A. Goldberg
A1 - 
AB - Emergency medical services (EMS) are integral to public health and safety and provide health care to both individuals and communities. Community paramedicine (CP) and mobile integrated health care (MIH) programs are expanded models of EMS that provide needs-based, patient-centered care in the community. Successful implementation requires a community health needs assessment, engaged EMS medical directors, multidisciplinary collaboration, and sustainable reimbursement that recognizes prehospital care delivery beyond traditional payment for transport.; Engaged and knowledgeable EMS physician medical directors, preferably with EMS board certification, must guide CP and MIH programs.CP and MIH programs should be tailored to meet local community needs based on a community health needs assessment and designed to bridge local gaps in access or care without duplication of services. The role of EMS clinicians should be clearly defined by the physician medical director and reflect the boundaries of collaborative practice.Physician medical directors may seek additional guidance on CP and MIH practice from state regulatory bodies, though practice regulations and standards should not stifle innovation and be established upon available data and outcome measures. Any state training or certification regulations should be dependent upon the expanded services provided and made with input from physician EMS medical directors.Clinician training programs intending to be comprehensive in approach should use standardized curricula. In programs with a limited expanded scope of practice, modularized training specific to the targeted disease processes may be appropriate. In both cases, CP and MIH clinicians should undergo regular competency evaluation supported by the physician medical director.State and federal agencies should establish reimbursement systems under Medicare and Medicaid, and EMS agencies should work with private payors to ensure reimbursement for the provision of community paramedicine and mobile integrated health care, decoupled from reimbursement for transportation.Data collection and analysis using standardized tools, methods, and reporting structures are essential for the evaluation and growth of CP and MIH programs. CP and MIH research should develop a standard taxonomy for describing programs, identify common data definitions and outcomes measures, collaboratively aggregate data, and advocate for development of data reporting standards.; eng
AD - Department of Emergency Medicine, The Ohio State University College of Medicine, Columbus, Ohio.; Department of Emergency Medicine, University of Massachusetts Chan Medical School, Worcester, Massachusetts.; Department of Emergency Medicine, The University of Tennessee Medical Center, Knoxville, Tennessee.; Department of Emergency Medicine, University of Florida, Gainesville, Florida.; Department of Emergency Health Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.; The Paramedic Foundation, Duluth, Minnesota.; PWW Advisory Group, Mechanicsburg, Pennsylvania.; The Paramedic Network, Cincinnati, Ohio.; Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
AN - 40748333
BT - Prehosp Emerg Care
C5 - HIT & Telehealth; Education & Workforce
DA - Aug 21
DO - 10.1080/10903127.2025.2541899
DP - NLM
ET - 20250821
JF - Prehosp Emerg Care
LA - eng
N2 - Emergency medical services (EMS) are integral to public health and safety and provide health care to both individuals and communities. Community paramedicine (CP) and mobile integrated health care (MIH) programs are expanded models of EMS that provide needs-based, patient-centered care in the community. Successful implementation requires a community health needs assessment, engaged EMS medical directors, multidisciplinary collaboration, and sustainable reimbursement that recognizes prehospital care delivery beyond traditional payment for transport.; Engaged and knowledgeable EMS physician medical directors, preferably with EMS board certification, must guide CP and MIH programs.CP and MIH programs should be tailored to meet local community needs based on a community health needs assessment and designed to bridge local gaps in access or care without duplication of services. The role of EMS clinicians should be clearly defined by the physician medical director and reflect the boundaries of collaborative practice.Physician medical directors may seek additional guidance on CP and MIH practice from state regulatory bodies, though practice regulations and standards should not stifle innovation and be established upon available data and outcome measures. Any state training or certification regulations should be dependent upon the expanded services provided and made with input from physician EMS medical directors.Clinician training programs intending to be comprehensive in approach should use standardized curricula. In programs with a limited expanded scope of practice, modularized training specific to the targeted disease processes may be appropriate. In both cases, CP and MIH clinicians should undergo regular competency evaluation supported by the physician medical director.State and federal agencies should establish reimbursement systems under Medicare and Medicaid, and EMS agencies should work with private payors to ensure reimbursement for the provision of community paramedicine and mobile integrated health care, decoupled from reimbursement for transportation.Data collection and analysis using standardized tools, methods, and reporting structures are essential for the evaluation and growth of CP and MIH programs. CP and MIH research should develop a standard taxonomy for describing programs, identify common data definitions and outcomes measures, collaboratively aggregate data, and advocate for development of data reporting standards.; eng
PY - 2025
SN - 1090-3127
SP - 1
EP - 13+
ST - Mobile Integrated Health Care and Community Paramedicine: A Position Statement and Resource Document of NAEMSP
T1 - Mobile Integrated Health Care and Community Paramedicine: A Position Statement and Resource Document of NAEMSP
T2 - Prehosp Emerg Care
TI - Mobile Integrated Health Care and Community Paramedicine: A Position Statement and Resource Document of NAEMSP
U1 - HIT & Telehealth; Education & Workforce
U3 - 10.1080/10903127.2025.2541899
VO - 1090-3127
Y1 - 2025
ER -