Community Paramedicine
A National Survey Commissioned by the JNEMSLF and conducted by NAEMT
Process Used
• Remove Duplicates
• Place data in a form that would allow
many to one to provide data in a flat file
• Build basic charts from survey data
• No data was validated
• Basic error checking per chart
CP Survey Data
Overview
• 231 unique programs
– Plus one that responded it operates in
multiple states
• 51 responses contained mostly blank
fields
• 5 international responses (not included in
the charts and graphs)
CP Survey Data
Who completed the survey
140
129
120
100
80
61
60
40
29
20
20
0
Provider of patient services
Program administrator or coordinator
Medical director
No answer
CP Survey Data
Number of programs per state
20
19
18
16
15
14
14
12
12
11
10
10
10
9
8
8
8
8
6
6
6
5
5
6
5
4
5
4
5
4 4
4
3
2
2
1
1
1
1
2
5
4
2
2
1
4
3
3
2 2 2
1
2 2
1 1
AK
AL
AR
AZ
CA
CO
CT
DC
FL
GA
HI
IA
ID
IL
IN
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
SC
SD
TN
TX
VA
VT
WA
WI
WY
0
CP Survey Data
Top 5 states with the most programs
•
•
•
•
•
Indiana – 19
Texas – 15
Illinois – 14
Virginia – 12
North Carolina - 11
CP Survey Data
Delivery Models
60
50
50
39
40
35
30
26
20
36
27
19
10
0
Volunteer
Public - municipal
Public - hospital
Private, non-profit
Public - county or
regional
Private, for-profit
Public - fire-based
CP Survey Data
CP Programs by population served
100
92
90
80
70
60
51
51
100,001 - 500,000
more than 500,000
50
38
40
30
20
10
0
less than 50,000
50,000 - 100,000
CP Survey Data
CP Programs by annual call volume
140
120
119
100
80
68
60
45
40
20
0
less than 10,000
10,000 - 50,000
more than 50,000
CP Survey Data
Size of area served
120
108
100
80
74
60
50
40
20
0
less than 250 sq miles
250 - 1000 sq miles
more than 1000 sq miles
CP Survey Data
CP Programs by population density
90
78
80
72
70
70
60
50
40
30
20
12
10
0
Super Rural
Rural
Suburban
Urban
CP Survey Data
Why was a CP program started
140
120
120
120
120
100
95
80
60
40
54
51
36
20
0
approached by other modeling of other CP
healthcare system
programs
stakeholders
community
assessment
gap analysis of health gap analysis of health
care needs
care needs
Other
No answer
CP Survey Data
Partner Agencies
160
141
140
140
120
100
89
80
80
75
60
49
39
40
20
0
Medical director
Hospital
Other EMS services
Public health
Home health
Other
No answer
CP Survey Data
How long has CP program been operating
140
118
120
100
80
60
48
40
40
26
20
0
less than 1 year
1 - 3 years
more than 3 years
No answer
CP Survey Data
CP Program model types
140
126
120
100
80
60
49
40
40
30
20
11
8
0
Readmission avoidance
Frequent EMS User
Primary care/physician See and refer to alternate
extender model
destination after
assessment
911 Nurse Triage
No answer
CP Survey Data
Type of vehicle used
140
121
120
100
80
72
60
57
40
20
19
20
3
3
0
SUV
Ambulance
Fire truck
Helicopter
Car
POV
No answer
CP Survey Data
Funding mechanisms
160
146
140
120
100
80
60
46
36
40
28
20
4
0
Self-funded
Fee for service
Grant
Fee for referral
No answer
CP Survey Data
How many CP providers respond at a time
140
133
120
100
80
60
51
40
34
20
6
3
5
4
more than 4
0
1
2
3
No answer
CP Survey Data
Who provides medical direction
160
141
140
120
100
80
61
60
40
29
20
6
0
Single director
Multiple directors
Committee
No answer
CP Survey Data
Who approves the clinical protocols
160
139
140
120
100
80
79
60
36
40
25
22
20
0
Medical Director
Agency
State
Hospital
No answer
Next Steps
Feedback from the JNEMSLF
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•
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What questions need answering?
Are the answers in the data?
Should blanks be removed?
Define the questions
THANK YOU!
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