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Community Health Evaluations Completed Using Paramedic Service (CHECUPS): Design and Implementation of a New Community-Based Health Program

Author: MICHEL R RUEST, CHRIS W ASHTON and JEFFREY MILLAR
Published in JHHSA, Vol. 40 No. 2


The Government of Ontario established a one-time funding program intended to create a Community Paramedicine best practice in support of its Action Plan for Health Care. The County of Renfrew Community Resilience Program responded with the creation of the CHECUPS program. The study was conducted in the County of Renfrew, Ontario, Canada where a Community Resilience Program expanded to include the CHECUPS Program. The evaluation of the CHECUPS program has addressed impacts to three domains: 1) patient overall health and satisfaction; 2) primary care integration; and 3) paramedic resource utilization. The results included a total of 222 patients that demonstrated a 24% reduction in 911 activation; 20% reduction in repeat ED visits; 55% decrease in patients that were admitted post ED visits; and all patients indicated that they were either “satisfied” or “very satisfied” with the care provide by community paramedics. The CHECUPS Community Paramedic Program is in an excellent position to support the Province of Ontario Action Plan for Health Care by responding to the increasing emergency response demands, chronic pressures within the health care system, and need to provide a more sustainable, integrated, patient-centred system.

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