Mobile Integrated Healthcare Program

What is Mobile Integrated Healthcare (MIH)?

 Mobile Integrated Healthcare represents one of the most progressive evolutions in the delivery of community based care by sending EMS providers within their current scope of practice in an expanded role through the use of non-‐emergent resources in the pre-‐hospital setting. The intent is to provide patient centered healthcare in a clinical and non-‐clinical role. MIH paramedics will provide medical assessment and preventive healthcare education tailored to the medical needs of the individual and connecting individuals with appropriate social services resources. The MIH program allows the paramedics to act in a proactive non--emergent capacity.

On October 1, 2014, SAFD began a six-month pilot Mobile Integrated Healthcare (MIH) Program which focused on patients with a high volume use of the 911 system. The MIH program has consistently demonstrated a 60% reduction in call volume for that demographic. MIH has become an integral part of the prehospital response by solidifying its position as an active collaborator in the healthcare system at large.

This program uses patient-‐centered, mobile resources in the out-‐of-‐hospital environment. The San Antonio Fire Department/Mobile Integrated Healthcare (SAFD/MIH) program aspires to provide and improve the wellness and healthcare delivery to our citizens by extending the Fire Departments reach out into the community. With city leadership that believes in the wellness vision, the MIH program has since taken on several grants.

 

SAFD Mobile Integrated Healthcare Current Programs

High Volume Utilizers
Since inception the program:

  • 2132 enrolled participants
  • 16,762 MIH Patient Contacts for High Volume Utilizers
  • A 60% reduction in call volume from those patients

Integrated Mobile Partners Action Crisis Team (I.M.P.A.C.T.)
A collaboration between the SAFD and SAPD Mental Health Unit (MHU) with an emphasis on the homeless population.

Hospice
Program focuses on providing care to terminal patients in their home that are enrolled in hospice. This program is in collaboration with Hospice services in the San Antonio Area.

Haven for Hope Acute Care Station (ACS)
The San Antonio Fire Department MIH program launched a partnership with Haven for Hope and Centro Med to set up an Acute Care Station (ACS) at the Haven for Hope campus.

Texas Targeted Opioid Response
The Texas Targeted Opioid Response (TTOR) program is in conjunction with the UT Health Science Center School of Nursing to address the opioid crisis in Bexar County and the surrounding area. 

  • The goal is to make contact with residents who have overdosed on opioids in the past 72 hours to distribute Narcan and provide CPR training along with recovery options.

Program for Intensive Care Coordination (PICC)
In conjunction with SAPD and STRAC, this is a program was created to navigate and transport mental health patients in crisis, that do not require medical attention to a psychiatric facility instead of the Emergency Department. Two MIH paramedics work side by side with the SAPD’s Mental Health Unit (MHU), Center for Health Care Services and the South Texas Crisis Collaborative (STCC) to form the Program for Intensive Care Coordination (PICC) Team to address the needs of this patient population.

Medication Assisted Treatment (MAT)
This program starts immediate Medication Assisted Recovery via infield induction of Suboxone for patients with an addiction to opioids as a temporary bridge to get the patient to a detoxification bed and program.

  

For more information please contact

San Antonio Fire Department – MIH Team
315 S. Santa Rosa
San Antonio, Texas 78207
Contact the SAFD MIH Team

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San Antonio Fire Department

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