Community paramedicine, also known as mobile integrated health (MIH-CP), is an innovative model of care that seeks to improve the effectiveness and efficiency of health care delivery by using specially trained paramedics in partnership with other health care providers to address the needs of local health care systems. In November 2014, the California Office of Statewide Health Planning and Development (OSHPD) approved a Health Workforce Pilot Project sponsored by the California Emergency Medical Services Authority, which has encompassed 20 projects in 14 communities across California testing seven different community paramedicine concepts. Fourteen projects are currently enrolling patients. The Philip R. Lee Institute for Health Policy Studies and Healthforce Center at UC San Francisco are conducting an independent evaluation of these projects. This report presents findings through September 30, 2019, for projects currently enrolling patients and projects that have closed. The evaluators conclude that Californians benefit from these innovative models of health care that leverage an existing workforce operating at all times under medical control--either directly or by protocols developed by physicians experienced in emergency care. The projects have improved coordination among providers of medical, behavioral health and social services and reduced preventable ambulance transports, emergency department visits and hospital readmissions. They have not resulted in any adverse outcomes for patients. This report presents a summary of major findings from the evaluation for policymakers. All data submitted by project sites are reported to OSHPD on a quarterly basis.
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