Community Paramedicine/Mobile Integrated Health Committee
Jim DeTienne, Supervisor
EMS & Trauma System Section
Montana Dept. of Public Health & Human Services
Kevin McGinnis, NASEMSO Program Manager
About the CP/MIH Committee
With the emergence of the Patient Protection and Affordable Care Act, the potential for EMS to provide an expanded healthcare role has created considerable attention and discussion. In late 2010, a NASEMSO/NOSORH Joint Committee on Rural Emergency Care (JCREC) discussion paper described challenges and opportunities for EMS to fill unmet or unrealized community needs in primary care and community health. By utilizing EMS providers in an expanded role, community paramedicine increases patient access to primary and preventative care, provides wellness interventions, decreases emergency department utilization, saves healthcare dollars and improves patient outcomes.
One term that is often used in these discussions is “community paramedicine” (CP). However, a broader discussion about the opportunity for EMS providers to be more integrated in the healthcare system than has historically occurred created the concept of Mobile Integrated Healthcare (MIH). While community paramedicine is often seen as expanded role programs for paramedics, EMS MIH helps broaden the discussion to all communities and all providers in the integrated, coordinated provision of emergent and primary care.
In 2013, states were surveyed as to the status of EMS statutes which might facilitate or prohibit CP. In 2014, the CP/MIH Committee intends to expand on this by collecting state information on the status of CP practices, pilots, funding and reimbursement, medical direction, performance improvement and the like, building on the information collected in the Joint 2013 National EMS Leadership Forum survey. We have begun to build the web presence where this information will be shared, such as a state-by-state CP information compendium, beginning here at our committee home page.
The CP/MIH Committee supports state EMS office efforts to explore and develop, as appropriate, the emerging role of EMS in CP-MIH.