Mobile Integrated Healthcare Practice

Resource Center

Submit your organization’s MIHP program profile

Observation Admission Avoidance

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 (NEW title!)

Population Served

Patients who might ordinarily be kept in hospital for observation who could be sent home with follow-up care over 24 – 72 hour period 96 patients enrolled to date

The Need

Some patients admitted to obs status are done so for reasons other than clinical need ED docs sometimes hesitant to send them home without adequate, short-term follow-up care

The Goal

Improve the patient’s experience of care, including outcome Improve population health Reduce the cost of care Help the patient transition to follow-up PCP appointment safety at home, vs. an expensive Obs admission in the hospital

Medical Oversight

PCP (delegated by EMS Medical Director) ED Physician sending patient home (if on-duty at time of consult) EMS Medical Director in the absence of above

Key Partners

North Texas Specialty Physicians Silverback Care Management Texas Health Resources PCP/specialty physician referred to


Specially Trained Mobile Healthcare Practitioners (MHPs) and Critical Care Paramedics (CCPs) RN for case management


Patient enrollment fee

Plans for Sustainability

Fee for enrollment

Technology Used

SharePoint EMR SandLot HIE

Program Results

Only 3 of the 96 patients enrolled required and ED visit prior to PCP/Specialist follow-up

Resource Center

Mobile Integrated Healthcare Practice

Funded in part by Medtronic Philanthropy.

Produced in cooperation with the RedFlash Group.