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Welcome to TMF Health Quality Institute’s Mobile Integrated Health Care – Community Paramedicine Learning and Action Network

The landscape of health care is changing. With it, the focus of emergency medical services (EMS) is adapting to an environment of value-based care. This website is dedicated to helping make this transformation a successful journey.

MIH-CP is an innovative health care delivery model using experienced paramedics to provide high-quality, patient-centered health care to patients in their homes, while simultaneously helping to reduce the cost of American health care for the greater good. This website is designed to help you learn about MIH-CP programs, to assist agencies with establishing programs to provide MIH-CP services, and to bring all parties with an interest in MIH-CP together. Resources on this site are organized according to the groups listed below.

Program Leaders – Administrative resources for those responsible for developing and implementing MIH-CP programs
Practitioners – Clinical resources for MIH-CP caregivers and professionals
Patients – Resources for patients regarding MIH-CP services
Health Care Partners – Resources for non-EMS medical professionals and leaders on how MIH-CP can benefit your organization
Payers – Resources to help health insurance payers understand MIH-CP operations and benefits

Please create an account on this website to access valuable information and resources.

How MIH-CP Supports the Quadruple Aim

The Institute for Healthcare Improvement’s (IHI) Triple Aim is a framework for how the health care system can approach optimal health system performance. The Quadruple Aim adds an additional focus on addressing health care provider burnout.

Improved Population Health

MIH-CP programs and practitioners actively improve the health of their patient populations through multiple means, including patient education, medication review, chronic disease management, preventive care and assistance with patient self-management. Delivery of these services takes place in a patient’s home, a point-of-view not available during traditional care delivered in a clinic or hospital setting.

Improved Experience of Care

MIH-CP programs and practitioners deliver patient-centered care, in the patient’s own home. This has resulted in average patient satisfaction survey ratings in excess of 95 percent, with reported improved scores on patient quality-of-life surveys.

Improved Per Capita Cost of Care

The 2017 NAEMT MIH-CP Survey noted that MIH-CP programs and practitioners reported 79 percent reductions in hospital readmissions and 75 percent reductions in EMS high-utilizer call volume. When calculated together with per-event ambulance transport, emergency department (ED) and hospital admission costs, this translates to each program having the potential to save its local health care system multiple millions of dollars annually.

Reduction of Workforce Burden

MIH-CP programs and practitioners work collaboratively with physicians to shift a portion of the physician’s non-clinical and clinical workload to non-physician providers, working under physician supervision and direction. Additionally, MIH-CP programs result in improved ED and Primary Care capacity, leaving physicians with more face-to-face clinical time with their patients.

Locate a Program

Click on the dots on the map below to locate an MIH-CP program near you. Create an MIH-CP Program Profile or access a data table to download the existing programs.

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