Mobile Integrated Healthcare Practice

Resource Center

About the MIHP Resource Center

Supporting a Unique Approach to Common Healthcare Problems

This website is intended for healthcare providers interested in learning more about MIHP and in obtaining resources to implement an MIHP program.

Mobile Integrated Healthcare Practice (MIHP) is a novel healthcare delivery platform intended to serve a range of patients in the out-of-hospital setting by providing patient-centered, team-based care using mobile resources.

MIHP emphasizes the importance of providing the right care, at the right time, in the right place and at the right cost. The collaboration between a variety of public safety and health care partners promises to provide 24/7 care—whether acute or chronic, at home, in a clinic or in another out-of-hospital location.

It’s a unique approach to common problems, and an idea whose time has come.

The MIHP professional workforce includes but is not limited to:

  • EMTs and paramedics
  • Nurses, nurse practitioners and physician assistants
  • Physicians
  • Community and public health workers
  • Pharmacists
  • Home health providers
  • Hospice workers
  • Nutritionists
  • Data analysts

MIHP programs will vary considerably from community to community based on specific needs and available resources, but all successful MIHP programs require:

  • Medical direction
  • Strategic partnerships
  • Training and education resources
  • Communications (triage or scheduling personnel, dispatch, associated technology, etc.)
  • Mobile resources and transportation
  • Integrated health records
  • Sustainable funding
  • The capability to conduct evaluation and measurement

The Problem

The U.S. healthcare system is often described as one that fails to achieve optimal health outcomes while generating exorbitant costs for patients, payers and society.

The Institute of Medicine (IOM) estimates that $750 billion—30 percent of the U.S. annual healthcare budget—is wasted on unnecessary services, inefficient delivery, excessive administrative costs and prevention failures. Barriers to patient access; fragmentation of acute and chronic care; ineffective management of chronic illness; and complex, outdated reimbursement processes leave patients, clinicians and payers frustrated—and at historic levels.

A special problem is 24/7 care coordinated in the out-of-hospital setting. The discontinuities of health service are notably evident in the care of patients at home; this is particularly true for the chronically ill, frail elderly and mobility impaired. Multiple single-purpose providers offer niche care and often only during restricted hours of operation, neither of which match the actual needs of this patient population.

As a result, patients are routinely referred to hospital emergency departments (EDs) by their healthcare providers, despite the common knowledge that the ED is an imprecise match to their needs. Furthermore, care gaps, such as a lack of post-acute transitional care, make preventable readmissions a virtual inevitability that is both expensive and disappointing to patients, caregivers and the healthcare system.

Adapted from Mobile Integrated Healthcare Practice: A Healthcare Delivery Strategy to Improve Access, Outcomes, and Value. Click here to download the full article.

A Creative Solution

MIHP is a creative healthcare delivery model that links existing healthcare providers with mobile health infrastructure in a collaborative effort to improve the health of a specified population within a community. In the MIHP model, a partnership of community stakeholders determines local needs and gaps in healthcare services. While not a requirement for MIHP, the EMS infrastructure and 24/7 availability may be used to guide patient navigation and care, assisting patients in accessing the most appropriate resources in a timely manner. Additionally, EMS may be able to provide scheduled and unscheduled care through primary, secondary and tertiary interventions.

In summary, a Mobile Integrated Healthcare Practice will:

  • Focus on patient-centered navigation and offer transparent, population-specific care by integrating existing infrastructure and resources; and bringing care to patients through technology, communications and health information exchange
  • Define its operations through population-based needs assessments and tools
  • Leverage multiple strategic partnerships operating under physician medical oversight
  • Improve access to care and health equity through 24-hour care availability
  • Deliver evidence-based practice using multidisciplinary and interprofessional teams in which individual providers utilize their full scope of practice and support healthcare delivery innovation


Featured Document

Principles for Establishing a Mobile Integrated Healthcare Practice.

Complete form to download guide.

This new guide was written by leading researchers, educators, medical directors and practitioners. It pulls together and places in context the basic tenets that should be a part of every Mobile Integrated Healthcare Practice.

Inside you’ll find the following chapters:

  • Population Health Needs Assessment
  • Program Taxonomy
  • Infrastructure and People
  • Competencies and Education
  • Clinical Leadership and Medical Oversight
  • Financial Considerations
  • Legal and Political Considerations
  • Health IT
  • Program Evaluation

MIHP Program Profiles

The profiles included here provide a sampling of various MIHP programs across the country; information was compiled through data submitted by each organization. To submit your organization’s MIHP program profile, complete the electronic profile form below. Once submitted, please allow several days for it to be reviewed and published.

Submit Your MIHP Profile View Program Profiles

Newly Published
Mobile Integrated Healthcare:
Approach to Implementation

Noted pioneers in this new area of practice, co-authors Doug Hooten and Matt Zavadsky provide a step-by-step approach for the practical implementation of an MIH program. Their experience with community stakeholders, payors and other healthcare specialists provides unique insight.

Get more information


White Papers

Community Health Worker Agencies Partner With Emergency Medical Service Providers To Identify Frequent Callers and Connect Them to Community-Based Services, Leading to Fewer 911 Calls

Published in Innovations Exchange, 2013

Community Health Worker Agencies Partner With Emergency Medical Service Providers To Identify Frequent Callers and Connect Them to Community-Based Services, Leading to Fewer 911 Calls

Published in Innovations Exchange, 2013

Mobile Integrated Healthcare Practice: A Healthcare Delivery Strategy to Improve Access, Outcomes, and Value

Published in Modern Healthcare, 2013

Disseminating Innovations in Health Care

Published in The Journal of the American Medical Association, 2003

Community-Based Needs Assessment: Assisting Communities in Building a Stronger EMS System

U.S. Department of Health and Human Services Health Resources and Services Administration Office of Rural Health Policy, 2009

Expanding the Roles of Emergency Medical Services Providers: A Legal Analysis

Association of State and Territorial Health Officials, 2014

Core Competencies for Interprofessional Collaborative Practice

Report of an expert panel representing the American Association of Colleges of Nursing, American Association of Colleges of Osteopathic Medicine, American Association of Colleges of Pharmacy, American Dental Education Association, Association of American Medical Colleges and Association of Schools of Public Health, 2011

Mobile Integrated Healthcare-Community Paramedicine Vision Statement

National Association of Emergency Medical Technicians, 2014

Mobile Integrated Health—Community Paramedicine Committee Strategic Plan Priorities and Strategies 2014

National Association of State EMS Officials, 2014


MIHP Poster Presentation (Includes Logic Model)

MIHP Poster
Courtesy of Eric H. Beck, DO, MPH, NREMT-P
Evolution Health

Download PDF

Videos & Media Resources

NAEMT Video – Transforming EMS: Mobile Integrated Healthcare and Community Paramedicine

EMS World (Integrated HealthCare Delivery publication)

JEMS (various articles related to MIHP) articles related to MIHP)


Paramedics Aren’t Just for Emergencies
Published in The Wall Street Journal, August 2015

Giving EMS Flexibility In Transporting Low-Acuity Patients Could Generate Substantial Medicare Savings
Published in Health Affairs, December 2013

Building a Better Community Paramedic
Published in EMS World, August 2014

How 4 cities are making community paramedicine work for them
Published on, July 2014

The Role of EMS in Community Paramedicine
Published in JEMS, April 2013

Other Resource Sites


The National Association of Emergency Medical Technicians


The National Association of State EMS Officials

Resource Center

Mobile Integrated Healthcare Practice

Funded in part by Medtronic Philanthropy.

Produced in cooperation with the RedFlash Group.