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
- MIH Data Submission Link
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.
MIH and Community EMS Regulations
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.
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.
Guidance for Modification of an Approved MIH Program
MIH regulations allow an approved MIH program request to modify the approved program in accordance with processes and criteria established in Department guidance. This document will provide guidance to approved MIH programs as to what DPH considers to be a program modification.
- Download the MIH Modification Guidance
- Download the MIH Modification Form (PDF) | (DOCX)