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The Community Paramedicine Needs Assessment Tool (CPNAT) is a comprehensive tool designed to aid the development of community paramedicine programs. It provides essential guidance for conducting effective needs assessments, targeting communities based on shared characteristics or experiences, such as location, culture, or interests. It should be used when: Developing new, or evaluating existing, community paramedicine programs. Conducting thorough assessments during the initial program design. Applied to both broad (city-wide) and focused (specific population) analyses. Who should use the tool Community paramedicine leaders using a strengths-based, community-centered approach. The CPNAT also recognizes communities as experts in their own health and social requirements, supporting them in program co-design for optimal outcomes. How to use the tool Start with planning questions, gather qualitative and quantitative data about community attributes, and prioritize community-defined outcomes. Incorporate community-led methodologies for data gathering and outcome prioritization. Document follow-ups and consider political/contextual factors for program success. Access the tool in various customizable formats under a Creative Commons license.