Donald Thibeau receives treatment on his amputated leg from Keely Taylor, a medical assistant from the Jackman Health Clinic, at his home in Jackman on July 26, 2021. Reduced home health care services in rural areas has led to an increase in home visits, especially in communities like Jackman.
Damian Brockway, a paramedic with North East Mobile Health, helps Kristy Griffin, a medical assistant with Penobscot County Health Center, change a dressing on the leg of Donald Thibeau at Thibeau's residence in Jackman on June 16, 2021.
Dr. Patricia Doyle examines Marcelle Lumbert's eye with Rena Lumbert standing close by during an office visit to the Jackman Community Health Center in Jackman on Aug. 19, 2021.
A man powers his wheelchair south on U.S. Route 201 in the middle of Jackman on July 26, 2021.
Damian Brockway, a paramedic and community health practitioner with Northeast Ambulance, sutures the finger of Rick Bridges as Andrea Groft, left, the per diem physician assistant, watches July 3, 2021, at the Penobscot County Health Clinic in Jackman. In the current model, the clinic is staffed with per diem physician assistants to expand the scope of practice available at the clinic. That care can be extended via a telemedicine visit with a doctor and the paramedic will perform whatever medical procedure is required.
Marcelle Lumbert is helped to her feet by paramedic and community health practitioner Skyler Carpenter in her bathroom after she fainted in the late evening hours Dec. 12, 2021, in Moose River.
Sklyer Carpenter sits in his EMS rig Feb. 8 as he closes U.S. Route 201 to traffic in Dennistown, due to a stranded 18-wheeler in the road during a blizzard.
Donald Thibeau receives treatment on his amputated leg from Damian Brockway, a paramedic with Northeast Mobile Health, at his home in Jackman on July 26, 2021. Reduced home health care services in rural areas has led to an increase in home visits, especially in communities like Jackman.
Donald Thibeau offers a tune to his medical care providers last June after getting a fresh dressing on his amputated right leg at his home in Jackman.
Damian Brockway, a paramedic with North East Mobile Health, draws blood from Mary Rita Griffin, 97, on July 26, 2021, at her Jackman home. The biggest change in duties from an advanced EMS provider to the new community care practitioner is the extended care of regular patients versus the several emergency calls per shift in a normal paramedic environment.
Skyler Carpenter, a paramedic/community health provider, confers Dec. 12, 2001, with the on-call per diem physician's assistant, Andrea Groft, from the Jackman home of Marcelle Lumbert. The telemedicine portion of this call is the key component to the Jackman model. By removing the physician assistants from the staff and replacing them with doctors and specialists from regional hospitals via telemedicine, officials say a community can greatly reduce its costs while expanding care.
Sklyer Carpenter sits in his EMS rig Feb. 8 as he closes U.S. Route 201 to traffic in Dennistown due to a stranded 18-wheeler in the road during a blizzard.
Dr. Patricia Doyle is reflected in the mirror as she talks with Kristy Griffin, a medical assistant, in the front office of the Penobscot Community Health Care clinic in Jackman on Aug. 19, 2021.
Damian Brockway assists Boyd Fortier out of the exam room and to his waiting vehicle July 3, 2001, at the Jackman Community Health Center.
Damian Brockway, a paramedic and community health practitioner with Northeast Ambulance, treats Boyd Fortier for dehydration July 3, 2001, at the Jackman Community Health Center.
Skyler Carpenter, a paramedic/community health practitioner with Northeast Ambulance, cleans the urgent care room Dec. 12, 2021, at the Penobscot Community Health Care clinic in Jackman.
Dr. Patricia Doyle examines Dennis Palmer during an acute care visit July 26, 2001, at the Penobscot Community Health Care clinic in Jackman.
Marcelle Lumbert stands on the scale Aug. 19, 2021, at the Jackman Community Health Care clinic as her daughter-in-law, Rena Lumbert, offers a hand.
Dr. Patricia Doyle examines a patient July 20, 2021, at the Penobscot County Health Center clinic in Jackman.
Damian Brockway enters the Jackman Community Health Center with a wheelchair July 3, 2001, after assisting a patient to his vehicle. The patient was being treated for dehydration and complications with multiple sclerosis.
Rick Petrie, special project director for Northeast Ambulance, applies fake finger nails to red hot dogs as the class learns how to suture digits at the United Technologies Center in Bangor on July 1, 2021.
Damian Brockway, a paramedic with Northeast Ambulance, practices placing a breathing tube at the Penobscot County Health Center in Jackman on May 8, 2021.
Maine 
