1 Principles for Community Paramedicine Programs A joint position statement of the National Association of EMS Physicians and the National Rural Health Association

While not a new concept, community paramedicine programs are increasing in number across America and throughout the world. The aim of the programs are to increase access to primary and preventive care, provide wellness interventions within the medical home model, decrease emergency department utilization, save healthcare dollars and improve patient outcomes using emergency medical services (EMS) providers in an expanded role. In order to assure medical appropriateness, engaged medical directors are a key component to any successful community paramedicine model 1 Many emergency medical services agencies have been engaged in public health programs for decades. These activities have traditionally included prevention and education, although a broader approach was envisioned. In 2001, a memorandum of understanding 2 was written between the American Public Health Association, the National Association of EMS Physician