The NFPA 451 Guide for Community Health Care Programs offers guidance for creating, implementing, and managing community health initiatives that contribute to public health and safety. It can also be used as a blueprint for starting additional public-facing health care services beyond those usually available at facilities, including mobile health units, home health care, and non-emergency medical services. NFPA 451 addresses a major national need: relieving emergency medical services (EMS) from delivering preventive and early-intervention care designed to promote wellness, address health issues before they reach critical emergency status, and understand the client's overall health experience. It encourages a seamless approach to care through healthcare providers, EMS, and other community resources, emphasizing coordinated delivery. Beyond that, it contains recommendations regarding staff training, patient safety, and operational protocols-aspects that make community health programs conform to best practices and regulations. Another factor emphasized in NFPA 451 concerns the need for program evaluation, giving input for continuous performance with regard to ensuring that services generated through these programs are responsive to the needs of the communities served and, eventually, lead to better health outcomes.