In 2012, the US Health & Human Services’ Agency for Healthcare Research & Quality (AHRQ) held a National Conference where seven factors for Mobile Integrated Healthcare (MIH) were identified:

  1. Education and Expanded Practice Roles
  2. Integration of Community Paramedicine with Other Health Providers
  3. Medical Direction and Regulation
  4. Funding and Reimbursement
  5. Data, Performance Improvement and Outcome Evaluation
  6. Community Paramedicine Research Agenda

For each of these factors, the National Conference outlined Current Practices and Resources and Opportunities.

Mobile Integrated Healthcare in Massachusetts

The Commissioner has the authority to allow EMS-related pilot projects under a Special Project Waiver application process under the Office of Emergency Medical Services (OEMS).  Two Mobile Integrated Healthcare pilot projects have been approved:

  • Cataldo Ambulance Service, in collaboration with the Beth Israel Deaconess Medical Center’s Post-Acute Care Transition (PACT) Program
  • EasCare LLC, in collaboration with the Commonwealth Care Alliance

Both of these Special Project Waivers are valid for one year.  The Department has brought together a group of stakeholders from nursing, accountable care organizations, emergency medical services, hospitals, fire departments and other healthcare-related representatives.  The Mobile Integrated Healthcare workgroup has been reviewing each of the six focus areas, as defined by AHRQ.  The workgroup has been engaged throughout the pilot projects and will use the information gathered from these two pilot projects to help define Mobile Integrated Healthcare Program activities, implementation, evaluation of data trends and outcomes.  Recurring themes will be identified for consideration by the Department in development of a Mobile integrated Healthcare program.

Pilot Projects: Waiver Applications and Approval Letter Listing Terms and Conditions



This information is provided by the Office of Emergency Medical Services within the Department of Public Health.