MIH and Community EMS applicant and program guidance

These documents provide guidelines for Mobile Integrated Health Care (MIH) and Community EMS applicants and programs.

Table of Contents

Data Submission Requirements

MIH programs and MIH with ED Avoidance programs must submit data to DPH relative to access, availability, quality, and cost associated with the delivery of program services.  The Data Submission Guidance provides specific information on the data submission requirements for MIH and MIH with ED Avoidance programs and also describes optional data elements Community EMS programs may voluntarily submit to the DPH. 
 
Download the Data Submission Requirements.

Defined List of Community EMS Program Services

This guidance defines the list of Community EMS program services available to Community EMS applicants for inclusion in a Community EMS application.

Learn more about the Defined List of Community EMS Program Services or download the guidance document.

Guidance for Preparing Gap in Service Delivery Narrative

The MIH Program seeks to optimize healthcare delivery and integrate multiple healthcare service providers through a coordinated, team-based approach, and to provide needed healthcare services where gaps exist. 

MIH Program applicants must identify and validate one or more gaps in service delivery, using data and a corresponding community health needs assessment, and describe how the proposed MIH program will address the identified gaps.

This guidance outlines the best practices to MIH Program applicants for completing the Gap in Service Delivery Narrative, including requirements for content and format.

Learn more about Preparing a Gap in Service Delivery Narrative or download the guidance document.

Policies and Procedures for Obtaining Informed Consent

Both MIH Program and MIH with ED Avoidance Program applicants must have policies and procedures that address the process to obtain a patient’s informed consent at each clinical encounter. This guidance provides specific information that must be included within the MIH Program’s policies and procedures for obtaining a patient’s informed consent.

Download the Policies and procedures for obtaining informed consent.

Protocol for Determination to Treat/Transport to Alternate Destination

This Protocol provides guidelines for approved MIH with ED Avoidance programs.

The Determination to Treat/Transport to Alternate Destination Protocol establishes baseline criteria that an MIH with ED Avoidance program must follow when establishing specific ED Avoidance clinical protocols. Applicants for Department approval of an MIH with ED Avoidance program must submit the clinical protocols to the Department.

Download the Mobile Integrated Health Program with an ED Avoidance Component Protocol for Determination to Treat / Transport to Alternate Destination.

Vehicle, Equipment, and Medication Guidance

MIH and Community EMS programs must ensure that the vehicles used when responding to an MIH call, Community EMS call, or scheduled home visit are appropriate for the clinical encounter. This guidance provides the minimum standards for programs when determining the appropriateness of vehicles used as well as the condition of equipment and medications transported in the vehicles for a given clinical encounter.

Download the Vehicle, Equipment, and Medication Guidance document.

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