1. Mobile Integrated Healthcare Education Kay Vonderschmidt, MS, MPA, NRP

2. Educational Recommendations  North Central EMS Institute  The Community Paramedic Program closes the gap by expanding the role of EMS personnel. Through a standardized curriculum, accredited colleges and universities will train first responders at the appropriate level to serve communities more broadly in the areas of:  Primary care  Public health  Disease management  Prevention and wellness  Mental health  Oral health  The Community Paramedic Program adapts to the specific needs and resources of each community. It will succeed through the combined efforts of those that have a stake in maintaining the health and well-being of its residents.

3. Expanded Knowledge Base  Primary Care  Chronic Management of medical conditions  Mental Health and Psychological First Aid  End-of-life care

4. Educational Structure  Most programs are based within a community college  In house with clinical  On line – find your own clinical  12 – 14 credit hours – 6 months average – avg cost $2000.00  80 hours of lecture  40 hours of skills  80 – 120 hours of clinical experience

5. Educational Curriculum  Role in the Health Care System  Social Determinants of Health  Public Health and Primary Care  Developing Cultural Competence  Role Within the Community  Personal Safety and Wellness  Clinical Experience

6. Educational Skills  Medication reconciliation  Comprehensive physical exams  CHF  COPD  Diabetic  Kidney  Age based exams  Well baby  Geriatric  Developmental assessment  Hospice

7. Diagnostic testing and Home health equipment  Specimen collection  Point of care analyzers  Walkers, canes, commodes  Ostomies  Central lines  Peg tubes

8. Public Health  Immunization schedules (young and old)  Home Safety Inspections  Community health activities  TB medication administration

9. Mental Health  Mental health assessment  Establish goals for psychological intervention  Psychological first aid  Pain and pain management

10. Care plans  Heart failure  Asthma  COPD  Diabetes  TBI  Spinal cord injury  Muscular diseases  HTN  Wound Care  Infection  Oral Health  Psychiatric

11. Clinical Experience  Primary Care Settings  Clinics  Physician offices  Mental health

12. Program Benchmarks  March 2012 – US Dept. of Health and Human Services  Self-assessment for community paramedicine planning, development, and evaluation  Community Health Assessment  Collaboration between CP, public health, health leadership  Electronic information system integration  Gap analysis  Program evaluation  Community benefit (decreased EMS transports, decreased hospital visits, etc)  more

13. CP program support

14. Certification Exam International Board of Specialty Certification  CP-C® candidates must upload a certificate of course completion from an accredited community paramedic course.