Care Anywhere With Community Paramedics Program to Reduce Hospitalization

  • STATUS
    Recruiting
  • End date
    Dec 31, 2024
  • participants needed
    240
  • sponsor
    Mayo Clinic
Updated on 12 May 2022

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.

Description

This pragmatic randomized controlled trial will randomize, with 1:1 allocation, 240 adults being treated in the pre-hospital setting, emergency department or hospital to either availability of the Care Anywhere with Community Paramedics (CACP) program or to no availability of the CACP program (i.e. usual care). Patients randomized to the CACP program will be able to receive in-home medical care - as ordered by their treating clinicians - from the Mayo Clinic Ambulance Community Paramedic Service. Primary outcome is going to be days alive spent at home without hospitalization (excluding planned admissions), emergency department visits, or skilled nursing facility care.

Details
Condition Acute Illness
Treatment Care Anywhere with Community Paramedics program
Clinical Study IdentifierNCT05232799
SponsorMayo Clinic
Last Modified on12 May 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

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

Exclusion Criteria

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
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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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