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Mobile Integrated Healthcare–Community Paramedicine

Mobile Integrated Healthcare–Community Paramedicine (MIH-CP) is the provision of healthcare using patient-centered, mobile resources in the out-of-hospital environment. MIH is provided by a wide array of healthcare entities and practitioners that are administratively or clinically integrated with EMS agencies, while CP is one or more services provided by EMS agencies and practitioners that are administratively or clinically integrated with other healthcare entities

While the services provided by local programs may vary, key characteristics of MIH-CP programs include:

  • Fully integrated – a vital component of the existing healthcare system, with efficient bidirectional sharing of patient health information.

  • Goal directed – predicated on meeting a defined need of a specific patient population in a local community articulated by local stakeholders and supported by formal community health needs assessments.

  • Patient-centered – incorporates a holistic approach focused on the improvement of patient outcomes.

  • Collaborative – works together with existing healthcare systems or resources, fills resource gaps within the local community.

  • Consistent with the Institute for Healthcare Improvement's (IHI) Triple Aim philosophy - improving the patient experience of care; improving the health of populations; and reducing the per capita cost of healthcare.

  • Data driven – data collected and analyzed to develop evidence-based performance measures, research and benchmarking opportunities.

  • Physician led – overseen by engaged physicians and other practitioners involved in the MIH-CP program, as well as the patient’s primary care network/patient-centered medical home, using telemedicine technology when appropriate and feasible.

  • Team based – integrating multiple providers, both clinical and non-clinical, in meeting the holistic needs of patients who are either enrolled in or referred to MIH-CP programs.

  • Educationally appropriate – including more specialized education of MIH-CP practitioners, with the approval of regulators or local stakeholders.

  • Financially sustainable – including proactive discussion and financial planning with federal payers, health systems, Accountable Care Organizations, managed care organizations, Physician Hospital Organizations, legislatures, and other stakeholders to establish MIH-CP programs and component services as an element of the overall (IHI) Triple Aim approach.

  • Legally compliant – through strong, legislated enablement of MIH-CP component services and programs at the federal, state and local levels.

Paramedics are board certified as Community Paramedic by the IBSC. 

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