AARP Hearing Center
When Jeff Woolsey returned to his job at the Alexandria, Virginia, Fire Department after Thanksgiving, he had a small stack of papers on his desk from colleagues who spent the holiday weekend responding to emergency calls.
One note asked Woolsey, an emergency medical services (EMS) captain, to check on an older resident who is in declining health and living in “less than optimal conditions"; another requested that he visit a local man who is having a difficult time providing care to his mother after a stroke. Dressed in his uniform — not a fireproof jacket and helmet but a gray collared shirt — Woolsey hopped into the station's Ford Explorer and headed out for a day of home visits.
After 28 years of responding to emergency calls, Woolsey is now the city's community paramedic. It's his job to help prevent those emergency calls from coming in.
He tapes down trip hazards, such as telephone cords and throw rugs, in the homes of adults who have suffered recent falls and makes sure community members with chronic conditions take their medications correctly. He connects people with local food and transportation services and has even helped a few residents obtain handicapped parking spots and disability-compliant housing. And he does it all without sirens and stretchers.
"One of the best parts of my job is just getting out and having a conversation with people,” says Woolsey, who has been Alexandria's community paramedic for about two years. “And sometimes it's just [helping them make] simple changes.”
Responding to rural health needs
Community paramedicine programs such as the one Woolsey oversees have become more common throughout the country in the past decade, especially in rural communities where access to health care is increasingly limited. Since 2005 more than 160 rural hospitals have closed, according to data compiled by the University of North Carolina, leaving many residents with longer commutes to both emergency and preventive services.
Distance is what keeps many people in rural Idaho from “getting the health care they need,” says Wayne Denny, chief of the Bureau of Emergency Medical Services and Preparedness at the Idaho Department of Health and Welfare.
"If someone needs to have a blood sample drawn for lab work, that may be put off for weeks because someone's not going to take a day out of their life to travel to the nearest larger town where there's a clinic. It really delays the care,” says Denny, who is building a community paramedic program in Idaho to reduce emergency room admissions.