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 have evolved. Community Paramedics working within the Mobile Integrated Healthcare (MIH) model provide 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 health care and EMS organizations across Ohio to facilitate care management, identify patient resources, assist in the development and operations of mobile integrated healthcare programs, and provide resources for community paramedic teams.
What We Do
OhioHealth EMS works with local health care and EMS Community Paramedic teams to facilitate the continuum of care for patients using or desiring to use OhioHealth services across the state. If a patient needs connections to OhioHealth or other services, we can assist with the connection and communication between caregivers and service providers.
For OhioHealth patients needing a connection to local EMS Community Paramedic services, OhioHealth EMS can connect with those teams to determine if they have the capability and availability to provide needed services. When a referral is made, we work with the local EMS Community Paramedic team to facilitate communications and services. For selected patients, the OhioHealth EMS Community Paramedic team provides direct services and patient management.
Community Paramedics help patients…
- Improve their health and well being.
- Reduce ED or hospital encounters and cost of care.
- Understand instructions to be followed after leaving the hospital.
- Connect with health care resources including home health, medical equipment suppliers, etc.
- Connect with community resources including food banks, housing, transportation, senior services, etc.
- Identify and connect to a primary care or other physician.
- Schedule doctor, clinic, and other appointments.
- Access and obtain prescription medications.
- Understand what medicines to take and when to take them.
Community Paramedics may…
- Perform patient assessments including clinical, social, safety, environmental, etc.
- Perform diagnostic procedures, including cardiac monitoring, 12 lead ECGs, glucose checks, blood analysis , etc.
- Draw blood and start IVs.
- Administer medications.
- Carry BLS and ALS supplies, equipment, and medications similar to emergency ambulances.
- Complete medication reconciliation.
- Consult and refer to health care services, physicians, mid level providers, and others.
- Provide patient education.
OhioHealth Programs and Services
- OhioHealth at Home
- Cancer Care and Oncology Services
- Diabetes Services
- Heart Failure Program and Clinics
- Mental Health
- Pain Management
- Primary Care
- Senior Health
- Wound Care and Hyperbaric Therapy
General Information Patient Flyer