Nationally, Emergency Departments and 911 EMS systems are strained by serving more and more patients with the same or shrinking resources. In trying to understand ways to combat this squeeze, a focus of particular interest is a small but influential group of high-utilizers who disproportionally request emergency outpatient resources. Research shows these requests are mainly related to non-compliant chronic disorders like substance abuse, mental illness, homelessness, or a combination of all three.
Inappropriate use of hospital Emergency Department (ED) services results in inefficient use of expensive and limited resources. It can also cause secondary problems such as ED boarding, overcrowding, staff or patient injuries, and prolonged length of stay. These contribute directly to workforce burnout and attrition.
The Mobile Integrated Health (MIH) program focuses on coordinating and facilitation efficient, targeted management of outpatient problems that would otherwise burden the ED, decreasing hospital admissions and improving quality of care.
Grady’s MIH program evolved from our Upstream Crisis Intervention Program that was developed and implemented in January 2013. At the time, the program was referred to as Community Paramedicine and was later changed to better describe the level of services provided to our patients. Both our MIH programs embed high-level clinicians with expertise in their respective fields, partnered with Grady EMS field paramedics, and deploy within our 911 system.
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