Mobile integrated health care is an emerging medical model that uses trained allied health professionals to fill needs in health care services and resources. This model is not a duplication of existing health services but is one solution to the changing demands on the health care system.
Like other health care models, the mobile integrated health care model fulfills the framework of the Institute for Healthcare Improvement (IHI) Triple Aim.
The IHI Triple Aim encourages health care delivery models that:
- Improve health care quality and patient satisfaction
- Improve the health of populations
- Reduce per capita cost of health care
The Center for Medicare & Medicaid Services (CMS), IHI and the Affordable Care Act (ACA) all encourage the creation of health care models that improve patient care and reduce costs. They seek to reward and reimburse for the quality of care provided, not the quantity of care.
The CORE Mobile Integrated Health model requires many coordinated efforts to be successful.
The long-term goal of CORE Mobile Integrated Health is to be fiscally self-sustaining. There are many options to pursue funding, including subscription services from local health care providers or billing Medicare, Medicaid and private insurers.
Foundation in the EMS Model and the Paramedic Practitioner
The EMS industry is well positioned to take advantage of the changing health care environment. The established model within Indianapolis EMS allows us to tap into the specific needs of the community, as well as knowledge of local social and health resources. The skill set and experience of our highly-trained paramedics makes them uniquely capable of connecting patients with the most appropriate services for their needs – services that often are not 911 response or transportation to the emergency department. Paramedics have medical knowledge to provide competent, affordable health care services not currently provided in traditional health care models.
Community paramedics utilize their training and experience in the home environment to:
- Solve problems
- Help patients and their families navigate the health care system
- Provide patient and family education
- Serve as resource coordinators
- Encourage patient and family empowerment in their health care plan
- Help patients overcome obstacles to self-care
- Advocate on behalf of patients
- Function as the eyes and ears of physicians
Expanded Career Role
Community paramedicine is an opportunity for seasoned paramedics to gain substantial supplemental education and new experiences in community health care services. Community paramedicine is helping to pave a new career path for experienced street professionals looking to advance their knowledge and skills.
Indianapolis EMS has created extensive curriculum for the continuing education of our community paramedics, including training in:
- Primary care – disease management
- Public health – prevention and wellness
- Mental health
- Patient and consumer health education
- Cultural competence
- Social determinants of health
- Project-specific clinical care experiences