Care Anywhere With Community Paramedics Program to Reduce Hospitalization
Community Paramedic Hospitalization Reduction and Mitigation Program: Pragmatic Clinical Trial
1 other identifier
interventional
250
1 country
2
Brief Summary
The purpose of this research is to compare the effectiveness of the Care Anywhere with Community Paramedics program with usual care in a pragmatic randomized controlled trial. The goal of the Care Anywhere with Community Paramedics program is to prevent or shorten hospitalizations among patients who are being treated in the clinic/ambulatory setting ("prehospital setting"), emergency department, or hospital and are clinically appropriate to be cared for at home with community paramedic services.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2022
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 21, 2022
CompletedFirst Submitted
Initial submission to the registry
January 27, 2022
CompletedFirst Posted
Study publicly available on registry
February 10, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
March 31, 2023
CompletedOctober 5, 2023
October 1, 2023
1.2 years
January 27, 2022
October 4, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of days spent outside the hospital and ED
The number of days spent outside the hospital and ED during the 30 days following enrollment to the trial. (not in the hospital, ED, or nursing home; not counting planned admissions)
30 days
Secondary Outcomes (6)
Patients with an ED visit hospitalization or death
30 days
CACP Program patient satisfaction
30 days
Health related quality of life
30 days
Treatment burden
30 days
Community Paramedic satisfaction with the CACP program
30 days
- +1 more secondary outcomes
Study Arms (2)
Care Anywhere with Community Paramedics program
EXPERIMENTALSubjects will be discharged from a pre-hospital setting, Emergency Department or the hospital with community paramedic services ordered and overseen by the treating clinical team per current standard of care.
Standard of Care
NO INTERVENTIONSubjects will receive continued usual care
Interventions
Outpatient management with supportive services provided by the community paramedic team.
Eligibility Criteria
You may qualify if:
- Adult (age ≥ 18 years) patients currently admitted to the ED, hospital or are in a pre-hospital setting but being considered for referral to the ED or hospital in Mayo Clinic Rochester, MN and Barron, WI but do not require hospital-level monitoring or care other than services that could be delivered by CPs in the ambulatory setting.
- Must reside within approximately a 40-mile radius of Rochester, MN or within the service radius of Barron, WI.
- Participants who require assistance with activities of daily living, or who are at increased risk for falls, need to have a caregiver available at home
You may not qualify if:
- Referring clinician and the community paramedic service do not believe the patient to be clinically appropriate for outpatient care with the CACP program.
- Inability or unwillingness of individual or legal guardian/representative to give written informed consent.
- Clinical, behavioral, or cognitive instability, determined by the referring clinician or the CACP service.
- Living conditions unsafe for CPs to enter (patient refuses to secure weapons or animals prior to CP's arrival).
- Enrolled in the trial during an earlier hospitalization or ED visit.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Mayo Cliniclead
Study Sites (2)
Mayo Clinic in Rochester
Rochester, Minnesota, 55905, United States
Mayo Clinic Health System
Barron, Wisconsin, 54812, United States
Related Publications (2)
Ridgeway JL, Sundt WJS, Krpata TS, Glasgow A, Smith OA, Lampman MA, Smith-Stellflug JL, Menser TL, Juntunen MB, Liedl CP, Hentz JG, McCoy JJ, McCoy RG. Evaluating adoption and reach in a pragmatic randomized trial of community paramedicine for intermediate acuity patient care. J Clin Transl Sci. 2024 Oct 17;8(1):e199. doi: 10.1017/cts.2024.646. eCollection 2024.
PMID: 39655042DERIVEDRidgeway JL, Gerdes EOW, Dodge A, Liedl CP, Juntunen MB, Sundt WJS, Glasgow A, Lampman MA, Fink AL, Severson SB, Lin G, Sampson RR, Peterson RP, Murley BM, Klassen AB, Luke A, Friedman PA, Buechler TE, Newman JS, McCoy RG. Community paramedic hospital reduction and mitigation program: study protocol for a randomized pragmatic clinical trial. Trials. 2023 Feb 20;24(1):122. doi: 10.1186/s13063-022-07034-w.
PMID: 36805692DERIVED
Related Links
Study Officials
- PRINCIPAL INVESTIGATOR
Rozalina McCoy, MD, MS
Mayo Clinic
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
January 27, 2022
First Posted
February 10, 2022
Study Start
January 21, 2022
Primary Completion
March 31, 2023
Study Completion
March 31, 2023
Last Updated
October 5, 2023
Record last verified: 2023-10
Data Sharing
- IPD Sharing
- Will not share