CAN CSA Z1630-17:2018 pdf download.Community paramedicine: Framework for program development
1.1 CAN CSA Z1630-17 provides a framework for the planning, implementation and evaluation of a community paramedicine program, hereinafter referred to as“the program". The purpose of this Standard is to provide guidance to fully understand the context, key considerations and essential elements for community paramedicine program development. The Standard provides a systematic approach for policy makers, paramedic services and their partners intending to establish a community paramedicine program. The framework provides a practical guide and describes the participatory, evidenced-based,patient-centred process for establishing a practice role and new model of care.
4.2.2 Patient- and family-centred
Patient- and family-centred care recognizes and incorporates the carer's needs, the patient's personal circumstances, their overall health history, the social and cultural context, as well as factors associated with the location and environment of patient encounter. Patients and their carers are integral parts of the care team who collaborate with the health care professional in making clinical decisions.
4.2.3 Needs and evidence based
Each program shall assess community needs and identify the gaps between the services and resources available. It shall then define its service model with system-specific health status benchmarks and performance indicators. The model of care shall integrate and balance best research evidence with paramedics' clinical expertise and the patient's and family's values and needs.
4.2.4 Goal directed and outcome based
Community paramedic programs shall undergo ongoing and rigorous evaluation and improvement of their service and community paramedic roles related to pre-determined outcome-based goals.
4.2.5 Integrated collaborative care
Programs should build on existing and established community linkages and partnerships and should supplement provision by other providers. Programs should provide seamless care pathways along and within each patient' s continuum of care and assist patients with navigation of the health care system.This involves the understanding that it shall be the responsibility of all partners to ensure that optimum patient care is provided and that there is a shared responsibility and accountability of patient care.
4.2.6 Patient and provider safety
The safety of the patient and the community paramedic shall be keystones of community paramedicine programs. Engagement in voluntary and mandatory patient and practitioner safety reporting systems are key characteristics of a community paramedicine program.
4.2.7 Stakeholder engagement
Engagement of stakeholders is key to program success and should be reinforced during the planning stages and implementation of the program. Communications should be open and transparent to increase community/public awareness and establish strong partnerships.CAN CSA Z1630-17 pdf download.