Mobile Integrated Healthcare and Community Paramedicine
Although Emergency Medical Services has evolved, its historical and primary role as an emergency medical response system has not changed significantly in the last several decades. Now, EMS is more closely integrated into the overall health system and roles are evolving. Community Paramedics working within the Mobile Integrated Healthcare (MIH) model are providing new opportunities for patients.
In February 2014, the National Association of Emergency Medical Technicians (NAEMT), National Association of EMS Physicians, National Association of EMS Educators, National Association of State EMS Officials, American College of Emergency Physicians and other partnering organizations released a 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.
In June 2014, the Ohio Department of Public Safety, Division of EMS’ executive summary of mobile integrated healthcare presented an exciting look into healthcare partnerships.
In July 2015, EMS World released their Roadmap to Achieving Mobile Integrated Healthcare. An editorial supplement to the Journal of Emergency Medical Services, Doing it Right, was released in September 2015. The Mobile Integrated Healthcare Practice Collaborative produced a comprehensive guide, Principles for Establishing a Mobile Integrated Healthcare Practice. The National Association of Emergency Medical Technicians (NAEMT) manages a library with a vast array of resources including a toolkit and knowledge center.
Since late 2012, OhioHealth Emergency Medical Services has been a leader in defining the role of Community Paramedics and their effect on models of care. Today, OhioHealth EMS continues to lead by working closely with EMS organizations across Ohio to identify patient resources, assist in the development and operations of mobile integrated healthcare programs, and provide education for community paramedics.
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