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educators are equitably compensated for
the professional services that they render.
4. Education and training of CP and MIH
practitioners and educators should ideally be
conducted by and/or in collaboration with
accredited post-secondary institutions and
incorporate cooperative agreements with local
healthcare entities. The education should be
conducted with oversight of physicians and
include full input and participation by local
stakeholders. The CP and MIH educational
programs and curricula should be based on
a community health needs assessment that
includes participation of MIH-CP educators.
5. MIH-CP provider agencies should be fully
integrated with state and local health departments, EMS systems, police, firefighting
services, military organizations and mental
health providers based on local need and governance structures.
6. It’s strongly recommended that clinical education of Community Paramedics include sobriety centers, locating and managing patients
with chronic addictions and acute overdoses,
and active participation in family and community immunizations programs as allowed
by state and local jurisdictions.
It’s the position of NAEMSE that CP and
MIH should be fully integrated with commu-
nity healthcare professionals and home health
agencies, and that support and oversight should
be provided by state and regional health depart-
ments and local EMS governance structures. JEMS
Bill Raynovich, RP, EdD, MPH, is an associate professor of
EMS and public health (retired) at Creighton University. He’s
been involved in community paramedicine since 1996, having
published several scholarly articles and presented papers on
the topic both nationally and internationally.
Chris Nollette, NRP, LP, EdD, is the president of NAEMSE.
He’s also a professor at Moreno Valley College and Riverside
Community College District in California.
Gary Wingrove, FACPE, is the government affairs specialist
of Mayo Clinic Medical Transport. He’s also president of The
Paramedic Foundation, chair of the International Roundtable on Community Paramedicine and chief commissioner
and fellow of the American College of Paramedic Executives.
Mike Wilcox, MD, FACEP, FAAFP, is a board-certified family practice physician who’s practiced in rural Minnesota
for 38 years. He’s a medical director for rural EMS services
as well as the Community Paramedic Program at Hennepin
Connie Mattera, MS, RN, EMT-P, is the EMS administrative
director and system coordinator for the Northwest Community EMS System in Arlington Heights, Ill., and is a former
member of the NAEMSE Board of Directors.
1. Zavadsky M. Reno roundtable report: Insight on community paramedicine from around the world. JEMS.
2015; 41( 1): 14.
2. O’Meara P. (Sept. 30, 2015.) The International roots of
community paramedicine. EMS World. Retrieved Sept.
28, 2017, from www.emsworld.com/article/12120727/
3. NAEMT, NASEMSO, ACCT, NAEMSE, IAED, AAA, North Central EMS Institute, NEMSMA, the Paramedic Foundation and
NAEMSP. (Jan. 31, 2016.) Joint vision statement on Mobile
Integrated Healthcare (MIH) and Community Paramedicine.
NAEMT.org. Retrieved Sept. 28, 2017, from www.naemt.
4. Alaska Community Health Aide Program. (n.d.) Retrieved Sept.
28, 2017, from www.akchap.org.
5. Hauswald M, Raynovich W, Brainard AH. Expanded emergency
medical services: The failure of an experimental community
health program. Prehosp Emerg Care. 2005; 9( 2):250–253.
6. Tan DK. EMS at the healthcare table. JEMS. 2013; 38( 4): 48–50.
7. American Academy of Orthopaedic Surgeons: Community health
paramedicine. Jones & Bartlett Learning: Burlington, Mass., 2017.
8. Umansky B, Lee C. (May 2, 2017.) What 183 C-suite executives
told us about their top concerns. The Advisory Board. Retrieved
September 29, 2017, from www.advisory.com/research/