Thank you for taking the time to respond to this short survey about Patient Care Models: Treat and Discharge, Treat and Refer and Alternate Destination. These models have been shown to be safe and effective, (please see https://www.tandfonline.com/doi/full/10.1080/10903127.2025.2525528), and can offer important benefits for patients, paramedics and the healthcare system. They also represent an important shift in paramedic practice.

We are interested in learning from you and understanding how these models can be further incorporated into your everyday paramedic practice (please see cper.myobh.ca for Medical Directives). This is your opportunity to share your perspective with us and help shape the future of your profession.

Your responses will remain completely anonymous and results will be presented only in a collective format.

Our goal is to learn from you. We want to know what will help you in using these care models, if there are barriers that may prevent you from using them, and how we can help make these care models work better.

Please complete the following questions and click "Done" in the green box at the bottom when done. Paramedics should only complete this survey once, and must work for one of the services in CPER region.

Thank you for all you do to support your patients and communities.

As a thank you for taking the time to complete the survey, there is a place at the bottom of the survey to enter your name, email and mailing address for a draw for one of 10 $50 gift cards.

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* 1. Please tell us a little about your experience as a paramedic.

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* 2. Which Patient Care Models have you used in the past year? Please check all that apply.

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* 3. What is your best estimate for how many patients have you treated in the past year under any of the following Patient Care Models?

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* 4. Please tell us more about your experience with these Patient Care Models.

  The clinical indications are clear The clinical conditions are easy to apply The checklist is straightforward The Patient Care Model meets the patient's needs at the time of the 911 response It is easy to make a referral or connect the patient for follow up
Hypoglycemia
Seizure
Tachydysrhythmia
Palliative Care
Mental Health and Addictions

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* 5. When considering using a Patient Care Model, what barriers have you encountered? Please comment even if you have not used a Patient Care Model.

  The clinical indications are unclear and not easy to apply The checklist is too long It is easier to get a signature for a patient refusal I am concerned about my liability It is unclear which code I am to use on the ACR The requirement for assessing patient capacity is difficult Concern about the risk to the patient Unsure about when I use Patient Care Models
Hypoglycemia
Seizure
Tachydysrhythmia
Palliative Care
Mental Health and Addictions
I have not used a Patient Care Model

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* 6. Does the opportunity to call/consult with Online Medical Consultation change your ability to use any of the Patient Care Models?

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* 7. What specific actions could increase your comfort regarding the use of Patient Care Models. Please check all that apply

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* 8. What do you think the impact of the Patient Care Models can be on the quality of patient care/patient satisfaction? Please rank the following with 1 being the greatest impact and 6 having the least impact of these choices

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* 9. What are the impacts of the Patient Care Models to you as a paramedic? Please select all that apply.

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* 10. Please indicate what specific support you need from your network to support implementation of Patient Care Models?

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* 11. Do you think any new Patient Care Models need to be added?

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* 12. Patient Care Models are the future and we encourage you to have a say. Do you have any other comments about Patient Care Models?

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* 13. We will be holding focus groups to have more discussion about the barriers and enablers to paramedics using Patient Care Models. If you would like to participate (time and location depending), please provide your email contact information. We will likley hold focus groups in January and February. Thank You!

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* 14. As a thank you for completing the survey, please provide your email and mailing address so we can enter your name into a draw for one of 10 $50 gift cards and send you the card if you win!

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