Glossary
The vocabulary, defined.
Program, funding and interoperability terms that come up in every community paramedicine conversation.
All terms.
Community paramedicine
Community paramedicine is the practice of trained paramedics delivering scheduled, non-emergency care in patients' homes under medical direction, usually to prevent avoidable hospital and ED use.
Mobile integrated healthcare (MIH)
Mobile integrated healthcare is a coordinated care model that delivers services in the home using EMS and partner clinicians, with community paramedicine as its most common component.
Treat in place
Treat in place is an EMS pathway where a patient is assessed and treated at home, with clinician consultation, instead of being transferred to an emergency department.
Rural Health Transformation Program (RHT)
The Rural Health Transformation Program is a $50 billion CMS program running FY2026 through FY2030 that distributes funds to states, which award them to rural subrecipients.
Non-supplantation
Non-supplantation is the grant rule that new funds must add capacity rather than replace money an organization already spends on existing services.
Subrecipient
A subrecipient is an organization that receives grant funds from a state to carry out part of a program, and carries the state's compliance and reporting obligations.
ePCR
An ePCR is the electronic patient care report an EMS agency completes for every encounter; it remains the legal record of care.
NEMSIS
NEMSIS is the national EMS data standard used for state and federal EMS reporting; version 3.5 is the current schema in wide use.
SMART on FHIR
SMART on FHIR is the standard that lets a third-party application launch inside an EHR with the patient context and authorized data access.
Online medical control
Online medical control is real-time consultation with a physician or advanced practice clinician who authorizes care decisions during an EMS encounter.
Critical access hospital (CAH)
A critical access hospital is a small rural hospital with 25 or fewer inpatient beds that receives cost-based Medicare reimbursement.
RUCA codes
Rural-Urban Commuting Area codes classify census tracts by population density and commuting patterns, and are used to define rurality in federal programs.
Patient logistics
Patient logistics is the coordination of the non-clinical services a care plan depends on: mobility, durable medical equipment, home health, deliveries and home visits.
Frequent ED user
A frequent ED user is a patient with repeated emergency department visits, typically driven by unmet needs outside the hospital.
See a mission go from the chart to the home and back.
A 30-minute walkthrough with a coordinator view, a CP program view and the dashboard your sponsor will read.