What is MIH-CP

To assist EMS agencies and practitioners in understanding Mobile Integrated Healthcare and Community Paramedicine (MIH-CP), NAEMT collaborated with multiple national EMS and emergency physicians' organizations to create a Mobile Integrated Healthcare-Community Paramedicine Vision Statement. The vision statement–endorsed by a dozen organizations and counting–outlines the key elements of MIH-CP.

Vision Statement on Mobile Integrated Healthcare (MIH) & Community Paramedicine (CP)

In its simplest definition, Mobile Integrated Healthcare (MIH) is the provision of healthcare using patient-centered, mobile resources in the out-of-hospital environment. It may include, but is not limited to, services such as providing telephone advice to 9-1-1 callers instead of resource dispatch; providing community paramedicine care, chronic disease management, preventive care or post-discharge follow-up visits; or transport or referral to a broad spectrum of appropriate care, not limited to hospital emergency departments.

Key components of MIH programs include:

  • Fully integrated – a vital component of the existing healthcare system, with efficient bidirectional sharing of patient health information.
  • Collaborative – predicated on meeting a defined need in a local community articulated by local stakeholders and supported by formal community health needs assessments.
  • Supplemental – enhancing existing healthcare systems or resources, and filling the resource gaps within the local community.
  • Data driven – data collected and analyzed to develop evidence-based performance measures, research and benchmarking opportunities.
  • Patient-centered – incorporating a holistic approach focused on the improvement of patient outcomes.
  • Recognized as the multidisciplinary practice of medicine – overseen by engaged physicians and other practitioners involved in the MIH 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 programs.
  • Educationally appropriate – including more specialized education of community paramedicine and other MIH providers, with the approval of regulators or local stakeholders.
  • Consistent with the Institute for Healthcare Improvement's IHI Triple Aim philosophy of improving the patient experience of care; improving the health of populations; and reducing the per capita cost of healthcare.
  • 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 programs and component services as an element of the overall (IHI) Triple Aim approach.
  • Legally compliant – through strong, legislated enablement of MIH component services and programs at the federal, state and local levels.

Read the full statement here.