Affiliates · Partner organizations · Founded initiatives

Organizations TPF works with, founded, and continues to staff

TPF’s work extends beyond direct consulting engagements. TPF has co-founded organizations, provided startup funding, staffed initiatives, and maintains active working relationships with partner organizations whose missions align with TPF’s own.

2005
Year TPF founded the International Roundtable on Community Paramedicine
Inaugural convener: Gary Wingrove
2019
Year APA was founded by Nick Nudell
Succeeded by the American College of Paramedics
6
Partner organizations spanning clinical education, GIS, policy, and international CP
Current active partnerships
20+
Countries represented in IRCP meeting history
Anglo-American and international participation

Organizations TPF founded or funded

Founded

International Roundtable on Community Paramedicine

ircp.info →

The IRCP is the leading international forum for practitioners, researchers, and policymakers advancing community paramedicine and Second Generation Paramedic practice across Anglo-American systems. TPF principals co-founded the IRCP in 2005 and continue to provide organizational leadership. The 2026 meeting is scheduled for Regensburg, Germany.

Learn about IRCP on this site →
Founded

International Paramedic

internationalparamedic.org →

International Paramedic is the coordinating platform for the Paramedic G5 — the informal alliance of the five Anglo-American paramedic jurisdictions (U.S., Canada, U.K., Ireland, and Australia/NZ). Gary Wingrove convenes the G5 Meeting and serves on the Steering Committee. The site carries affiliated organization links, background documents, and international resources that directly inform TPF’s governance work.

Founded

American College of Paramedics

americanparamedics.org →

Nick Nudell founded the American Paramedic Association in 2019 as the first U.S. membership organization organized around the individual practitioner rather than the agency. Nick led the APA through 2024, when its professionalization mission advanced into the American College of Paramedics, which Nick currently chairs. The ACP continues that work at the legislative and regulatory level alongside TPF’s EMS policy services.

Learn about TPF’s EMS policy work →
Funded & staffed

kniki.org

kniki.org →

TPF provided startup funding for kniki.org and continues to staff its efforts. The organization supports paramedicine-aligned work across clinical education, professional development, and system-level capacity building consistent with TPF’s broader mission.

TPF product

CommunityParamedic.org

communityparamedic.org →

CommunityParamedic.org is a TPF-produced community education and curriculum resource built before community paramedicine had widespread legislative recognition in most states. The site carries curriculum resources, community education content, and program design guidance developed by TPF principals, including work that supported California’s 12 original community paramedic pilot sites. It operates with its own brand identity and TPF is working toward formal subsidiary designation.

Learn about TPF’s CP program design work →

Active partner organizations

These organizations share mission alignment, working relationships, or principal-level staffing with TPF. Several are staffed in part by TPF principals.

Partner

The Paramedic Network

paramedicnetwork.org →

The Paramedic Network delivers training and education in hybrid environments, advancing clinical and professional competency for paramedics and EMS systems. TPF principals contribute to its education and curriculum work, and the organization shares many of the institutional relationships that anchor TPF’s consulting practice.

Education partner

UCLA & California CP Pilot Sites

TPF principals partnered with UCLA in developing and delivering the community paramedicine course across all 12 California Community Paramedic pilot sites. The engagement included developing the student selection guidance framework and contributing to statewide program evaluation methodology.

Learn about TPF’s CP program design work →
Education partner

Paramedic Health Solutions / Mobile CE

TPF principals partnered with Paramedic Health Solutions in developing the Community Paramedic Technician curriculum and operating Mobile CE, a continuing education platform for paramedics. These partnerships reflect TPF’s commitment to practitioner-level education as a governance and professionalization tool.

Learn about TPF’s CP curriculum work →
Research

Ultra-Endurance Sports Science & Medicine (UESSM)

uessm.org →

UESSM is a research organization co-founded by Nick Nudell and Dr. Martin D. Hoffman (UC Davis) to advance the health and safety of ultra-endurance athletes through peer-reviewed research and knowledge dissemination. Nick’s published work spans Sports Medicine, the British Paramedic Journal, and the NAEMSP Newsletter, drawing on his prehospital clinical background and his own experience as an ultra-distance trail runner. UESSM addresses the knowledge and evidence side of ultra-endurance athlete safety; the field operational side is the Ultra Medical Team.

Interested in partnering? Get in touch →
TPF operational

Ultra Medical Team

The Ultra Medical Team is a TPF operational initiative providing evidence-based field medical support, volunteer oversight, equipment standards, and protocol frameworks for ultra-endurance sporting events. Where UESSM generates the research, the Ultra Medical Team applies it on the ground — in resource-limited, high-exertion environments where conventional emergency medical infrastructure is absent or inadequate. The Ultra Medical Team is currently paused and is actively looking for event and organizational partners to support its reactivation.

Austere and event medicine at TPF → Interested in partnering? Get in touch →

Selected programmatic work with partner organizations

The following represent specific engagements and programs delivered in partnership with organizations aligned with TPF’s mission. These are listed for transparency and cross-reference — they reflect the breadth of work TPF principals have contributed to over time.

Systems of care
Paramedic Systems of Care — Enhancing Value-Based Services
Multi-state work developing paramedic systems of care frameworks aligned with value-based service delivery, including performance measurement infrastructure and quality improvement protocols.
Community paramedicine
Statewide CP Stakeholder Engagement — Georgia, Wisconsin, and Indiana
Multi-state community paramedicine stakeholder engagement work, including legislative strategy, regulatory mapping, and Medicaid State Plan Amendment pathway analysis for statewide CP program development.
System evaluation
Community, State, & Federal System Evaluations
TPF principals have conducted EMS system evaluations at community, state, and federal levels, including assessments commissioned by state EMS bureaus, federal agencies, and regional EMS advisory bodies.
Performance improvement
Paramedic Performance Measurement and Improvement
Development, training, and support for paramedic performance measurement and improvement systems — connecting clinical outcome data to system design decisions and practitioner development frameworks.
Data systems
EMS Links — Wisconsin Office of Rural Health
Information system design, analysis, evaluation, and consultation for EMS data infrastructure in rural communities and state and federal government contexts. This work supports evidence-based EMS system decisions at the policy level.

Common questions

What is the International Roundtable on Community Paramedicine?

The International Roundtable on Community Paramedicine (IRCP) is the world’s leading annual forum for practitioners, researchers, and policymakers advancing community paramedicine and Second Generation Paramedic practice. It was co-founded by Gary Wingrove and TPF principals in Halifax, Nova Scotia in 2005 and is administered by The Paramedic Foundation. The 22nd Forum is scheduled for Regensburg, Germany in October 2026. More than 20 countries have been represented in IRCP meeting history.

Did The Paramedic Foundation found the organizations listed on this page?

TPF principals founded or co-founded the International Roundtable on Community Paramedicine (2005), International Paramedic (the Paramedic G5 coordinating platform), and the American College of Paramedics (2019, through the American Paramedic Association). This is a founding-level relationship — TPF did not consult to the field, it built the international forums that defined how community paramedicine developed globally.

What is the Second Generation Paramedic (G2P) framework?

The Second Generation Paramedic (G2P) framework, developed through the IRCP, describes paramedics practicing in expanded roles outside the traditional emergency response and transport model. G2Ps apply their training and skills in community-based environments — providing services through integrated care delivery networks with enhanced protocols. The G2P framework has informed community paramedicine legislation and scope-of-practice design in multiple jurisdictions across the U.S., Canada, Australia, the U.K., and Ireland.

How does TPF’s relationship with the American College of Paramedics connect to EMS policy work?

Nick Nudell founded the American Paramedic Association in 2019 as the first U.S. membership organization organized around the individual practitioner rather than the agency. That organization advanced into the American College of Paramedics, which Nick currently chairs. The ACP pursues paramedic professionalization at the legislative and regulatory level — directly complementing TPF’s EMS policy and governance consulting work. The two organizations share leadership but maintain separate governance.

Partner with TPF: Start a conversation →

Partner with TPF

If your organization works in rural health, community paramedicine, EMS governance, paramedic education, or austere and event medicine and you see potential alignment with TPF’s work, TPF would like to hear from you. TPF engages in research partnerships, curriculum development, and program co-design.