New York State Now Has a Conceptual Framework for Community Paramedicine
September 9 and 10, 2014, were momentous days for the history of Mobile Integrated Healthcare, Community Paramedicine, and indeed for EMS at-large. The New York State Emergency Medical Services Council (SEMSCO) and State Emergency Medical Advisory Committee (SEMAC) endorsed a conceptual framework for community paramedicine (CP) in the state. The Technical Advisory Group (TAG) on CP has worked hard over the past year to create this framework and the initial questions that the TAG set out to answer regarding the future of CP in our state were:
1. Define the concept of community paramedicine.
2. Explain how community paramedicine ties to the Triple Aim of improved quality, better health, and reduced health care costs.
3. How does community paramedicine fit into the current health care reform environment that is asking providers to take risk and shifting payment away from units of service?
4. What is happening in other states. What are the different settings where community paramedicine is being implemented.
5. Is their evidence that community paramedicine has been successful?
6. Can we define community paramedicine for New York State in common nomenclature?
7. What are the regulatory and legislative barriers to community paramedicine?
8. What regulatory and legislative changes would be needed to allow community paramedicine?
9. What would be an appropriate demonstration project in NYS?
10. What is the business case for health care providers and payers to support community paramedicine?
The final document elaborates on each of these points, providing examples from New York as well as other states that have been successfully adapting EMS into their healthcare system. Beyond the definitions needed to understand CP, there is a very coherent explanation of the likely barriers to CP thus far and ways to enable and nurture EMS innovation.