1. (1) Definitions. Within these rules, the following terms shall apply:

   1. (a) “Approved Program” means a Community Paramedic training program approved by the Tennessee Emergency Medical Services Board;
   2. (b) “Board” means the Tennessee Emergency Medical Services Board;

   3. (c) “Community Paramedic” means an individual who:

      1. 1. ls licensed as a paramedic that delivers care in emergency and non-urgent pre- hospital settings with oversight of a physician;
      2. 2. Has received specialized training in physiology, disease processes, injury and illness prevention, and medical system navigation, in addition to general paramedic training; and
      3. 3. Meets the requirements for additional endorsement as a community paramedic as established by the Board;
   4. (d) “Community Paramedicine” means the practice by emergency medical services personnel, primarily in an out-of-hospital setting, that may include the provisions of such services as patient evaluation, advice, treatment directed at preventing or improving a particular medical condition, or referrals to other community resources, which may be provided occasionally or at irregular intervals;
   5. (e) “Medical Control” means the instruction, advice, or orders given by a physician in accordance with locally or regionally approved protocols related to the practice of a community paramedic;
   6. (f) “Medical Director” means an individual who has an active, unencumbered license to engage in the practice of medicine pursuant to Title 63, Chapter 6 or Chapter 9, who is knowledgeable of the mobile integrated healthcare program, and provides medical advice, direction, oversight, quality assurance and authorization to the community paramedicine personnel within a board-approved program;
   7. (g) “Mobile integrated health care” (MIHC) means the provision of health care using patient- centered, mobile resources in the out-of-hospital environment under local medical control as part of a community-based team of health and social services providers to include, but not be limited to, home health organizations and community paramedics.

Authority: T.C.A. §§ 68-140-302, 68-140-304, and 68-140-309. Administrative History: Original rules filed December 16, 2019; effective March 15, 2020.