Mobile Integrated Healthcare Practice

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EMS Loyalty Program

Date of latest update

September 2014


Fort Worth and 14 suburban cities in north Texas

For More Information Contact

Matt Zavadsky,director of Healthcare & Community Integration (

Population Served

Patients who call 911 15 or more times in 90 days; or patients referred by agencies (hospitals, first responders, payers) that believe these patients would benefit from intervention. A total of 390 patients have been enrolled to date.

The Need

Patient education on better ways to manage medical issues and navigation to resources other than an ED or EMS agency that can better serve as a patient centered medical home.

The Goal

• Improve the patient’s experience of care, including outcome • Improve population health • Reduce the cost of care • Educate on ways to better manage medical needs • Connect with resources necessary to reduce 911 and/or ED use • Reduce 911 and ED use

Medical Oversight

The patient’s assigned primary care physician (delegated practice); in absence of this, the EMS medical director.

Key Partners

• Medical Control Authority (Emergency Physi- cian’s Advisory Board) • John Peter Smith Health Network • Texas Health Resources • HCA—Plaza Medical Center • Baylor Scott & White—Fort Worth • Tarrant County Mental Health/Mental Retarda- tion Agency • United Way • Area Agency on Aging • Catholic Charities • Resource Recovery Council • Perrone Pharmacy • Tarrant County Homeless Coalition • Tarrant County Public Health • Day Resource Center • Care Now Medical Clinics • Concentra Medical Clinics • Federally Qualified Health Center


Specially trained mobile healthcare practitioners and critical care paramedics; RN for case management


Outside referrals; fee for enrollment

Plans for Sustainability

Continued fees for enrollment (hospitals and other referring sources); move to capitated arrangement for payers (Cigna-HealthSpring, Amerigroup, Silverback Care Management, etc.)

Technology Used

Regular ALS medical equipment; digital scale; IStat point of care testing; SharePoint EMR. Also testing several telemedicine and telemonitoring platforms.

Program Results

• Approximately 29 percent reduction in ED/EMS use during enrollment • Approximately 82 percent reduction in ED/EMS use post-graduation

Resource Center

Mobile Integrated Healthcare Practice

Funded in part by Medtronic Philanthropy.

Produced in cooperation with the RedFlash Group.