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:
MIHP programs will vary considerably from community to community based on specific needs and available resources, but all successful MIHP programs require:
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to patient access; fragmentation of acute and chronic care; ineffective management of chronic illness; and complex, outdated reimbursement processes leave patients, clinicians and payers frustrated—and at historic levels.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.
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:
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:
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.
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.
Published in Innovations Exchange, 2013
Published in Innovations Exchange, 2013
Published in Modern Healthcare, 2013
Published in The Journal of the American Medical Association, 2003
U.S. Department of Health and Human Services Health Resources and Services Administration Office of Rural Health Policy, 2009
Association of State and Territorial Health Officials, 2014
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
National Association of Emergency Medical Technicians, 2014
National Association of State EMS Officials, 2014
Courtesy of Eric H. Beck, DO, MPH, NREMT-P
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 EMS1.com, July 2014
The Role of EMS in Community Paramedicine
Published in JEMS, April 2013