Community Paramedicine Program to Improve Diabetes Care Quality, Equity, and Outcomes

Community Paramedicine Program to Improve Diabetes Care Quality, Equity, and Outcomes

The purpose of this study is evaluate the effectiveness of Diabetes-REM (Rescue, Engagement, and Management), a comprehensive community paramedic (CP) program to support adults in Southeast Minnesota (Mower, Freeborn, and Olmsted counties) and Northwest Wisconsin (Barron, Rusk, and Dunn) who have uncontrolled diabetes (HbA1c ≥ 9%) and have experienced an emergency department (ED) visit or hospitalization for any cause in the prior 6 months.

Inclusion Criteria (Patients):

• Most recent hemoglobin A1c ≥ 9% within the last 2 years.
• Age ≥ 18 years old.
• Type 1 or type 2 diabetes.
• Paneled to a Mayo Clinic or Mayo Clinic Health System practice.
• Able to provide informed consent.
• Proficient in English.
• Community-dwelling.
• Live in Southeast Minnesota (Mower, Freeborn, or Olmsted counties) or Northwest Wisconsin (Barron, Rusk, or Dunn counties).

Inclusion Criteria (Paramedics):

•Community Paramedics who delivered the Diabetes-REM intervention.

Exclusion Criteria:

• Cognitive impairment precluding informed consent.
• Lack of conversational English skills.
• Resident of a long-term care facility.
• Enrolled in hospice.
• Enrolled in a care coordination or disease management program.
• Advanced or terminal illness.