The CP@clinic Program (Community Paramedicine at Clinic), formerly known as the Community Health Assessment Program through Emergency Medical Services (CHAPEMS), is a chronic disease prevention and health promotion program where seniors living in subsidized housing can attend weekly drop-in sessions led by paramedics within their building. Paramedics provide health assessments, make referrals to community-based resources, and engage participants in healthy lifestyle conversations
Health assessments include:
- Cardiovascular Disease (CVD),
- Blood Pressure (BP) monitoring,
- Diabetes Risk Score (CANRISK),
- Falls Risk (TUG test),
- Quality of Life (EQ-5D-5L Health Questionnaire),
- Poverty (Food and Income Security)
- Social Isolation and Loneliness (Three-Item Loneliness Scale ).
CP@clinic targets leading chronic conditions and health issues in senior populations by providing health assessments for cardiovascular disease, diabetes, and risk of falls. In addition, this program better connects participants to the primary care system by faxing participant’s repeat blood pressure measures to their family physician. CP@clinic seeks to improve participants health, quality of life, social isolation, better connect them to existing healthcare resources in their community, and reduce their economic burden on the emergency care system.
CP@clinic began as a pilot program in 2011 in Hamilton, Ontario. After determining the feasibility of the program and its potential to impact seniors health, the program transitioned into the randomized control trial (RCT) phase in 2013. This project was funded by the Canadian Institutes of Health Research (CIHR) from 2013 to 2017. CP@clinic continues to be implemented and is currently in the scale-up and on-going program evaluation phase.