Drennan 2014.

Study name	Expanding Paramedicine in the Community (EPIC) study
Methods	Pragmatic, stratified RCT to compare a community paramedic intervention to standard of care for patients with COPD, heart failure (HF) , or diabetes mellitus (DM)
Participants	Patients with diagnosed DM, HF, or COPD, identified by the Family Health Care Team as being at high risk for hospital admission based on hospital admission rates over 3 years before study enrolment
Interventions	Intervention will consist of an initial visit and 3 follow‐up visits at 3‐month intervals over 1 year by a paramedic who has received additional training in chronic disease management. Visits include a medical history, a physical examination (recorded on an electronic assessment tool that is e‐linked to the patient care record for the entire family healthcare team), and disease‐specific education and counselling. If necessary, the community paramedic may initiate treatment in the home based on disease‐specific evidence‐based medical directives and/or may initiate telephone contact with the primary healthcare physician in accordance with the medical directive Control group: usual care from family healthcare team
Outcomes	Number of hospitalisations per patient after 1 year, number of 911 calls, number of clinical visits, length of hospital admission, mortality, EQ‐5D‐3L, intervention compliance and safety, cost‐effectiveness
Starting date	Starting date: June 2013; estimated completion date: December 2016
Contact information	DrennanI@smh.ca; ClinicalTrials.gov identifier: NCT02034045
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