Sarissa Ryan
International Paramedic Practice, Vol. 5, Iss. 3, 22 Dec 2015, pp 55 - 60

Community care paramedic services In the United States (US) are seeking solutions
in the wake of the Affordable Care Act. Health care is moving into a new era: it is
transitioning away from a fee for service model to a model based on continued
improved patient outcomes. This shift to focused patient-centered care is nothing new
to paramedics. They sit in the community waiting to respond at a moment's notice
to provide life-saving and life-sustaining care from the time they are dispatched, to
the time they arrive at the emergency room. With the implementation of community
care paramedic programmes they have the opportunity to expand upon simply
providing transport services. Now the opportunity exists to not just sit and wait for
the emergency but to be part of keeping patients from getting sicker and helping
to manage them before they call 911. Finding a way to fund community paramedic
programmes that provide these much needed healthcare services is where the
current healthcare reform will provide solutions. Filling the gaps between integrated
community health care services is viable through existing Accountable Care
Organisations that are supported legislatively and can fiscally help these programmes
succeed in this new era of health care.

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