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Mobile Integrated Healthcare: Approach to Implementation


The healthcare landscape in the United States is evolving rapidly but has largely ignored EMS, until recently. As the country focuses on cost containment and more appropriate methods to deliver services as a result of healthcare reform, EMS will need to undergo dramatic change to fill a new role in the healthcare system. The current traditional delivery method for EMS is financially unsustainable and will soon not be a viable option for care. EMS has a choice to make—adapt to the new environment or be left behind.

A viable alternative to the current structure of EMS is mobile integrated healthcare (MIH)—community-based health management that is fully integrated with the overall health system. Various programs like this have appeared across the United States, but a definitive resource that describes how to successfully implement such a program has not been available. Mobile Integrated Healthcare: Approach to Implementation, authored by Matt Zavadsky, MS-HSA, EMT, and Doug Hooten, MBA, from MedStar Mobile Healthcare, fills this void by serving as a reference not only to the EMS community, but also to other medical professionals working toward implementation of a successful MIH program.

“EMS is healthcare, and healthcare is undergoing a rapid revolution. Communities that are able to successfully integrate EMS services into the larger healthcare system in a way that is patient centered and collaborative will discover the true benefit that EMS can bring to the local healthcare system," says lead author Matt Zavadsky. "MedStar has learned much as we evolved from being an EMS agency to using our valuable mobile resources to become a fully integrated member of the healthcare system. We’ve gotten a lot of scars along the way. We believe part of our mission is to help others learn from our experience.”

Mobile Integrated Healthcare: Approach to Implementation provides a step-by-step approach for the identification of community needs, forming the appropriate partnerships for integration, selection of staff, acquiring resources, patient identification and overcoming hurdles to a successful program. The book also provides several strategies for long-term MIH program sustainability through the development of sustainable economic models. Examples from successful programs across the country are included.

The author team of Mobile Integrated Healthcare: Approach to Implementation has developed and implemented several functioning, successful and sustainable programs. Their experiences with community partners and other healthcare specialists provide a broad-based view of the future of EMS in the healthcare industry. Their approach to integration should be considered by EMS leaders, governmental officials, hospitals, payers and community partners such as county health authorities, home care and hospice agencies, homeless coalitions and psychiatric services. The type of care EMS providers give needs to evolve with the changing landscape of healthcare. This text describes how healthcare professionals and community partners can work together to facilitate that change and define a successful MIH program.

Contents of the book cover:

  • The current state of healthcare and the EMS system
  • Healthcare reform and Mobile Integrated Healthcare Systems
  • Organizational readiness assessment
  • Assessing community needs and promoting stakeholder engagement
  • Program development
  • Types of Mobile Integrated Healthcare Programs
  • Data tracking and performance measures
  • Initial and sustainable funding models

The book's foreword is written by Maureen Bisognano, the President and CEO of the Institute for Healthcare Improvement. Preview a sample chapter here. To order, visit


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