The purpose of this Guidebook is to do just that – guide you through the research, analysis, planning, development, and successful launch of your own customized Florida Mobile Integrated Healthcare – Community Paramedicine (MIH-CP) Program. This resource is straight-forward and easy to read. In addition to guidance, it provides recommendations and lessons learned from MIH-CP programs in Florida, advice from experts across the country, with expanded resources and templates



Hospice care aims to support patients and families at the end of life. EMS was designed to reduce death and disability. While the goals of these two fields may not perfectly align, EMS is often called to provide emergency care for hospice patients, even though EMTs and paramedics are not always sufficiently trained in communicating with families at such times. Moreover, EMS care most often results in transport to an ED, although for these patients an ED may not be the most appropriate destination.

Journal Watch: Can MIH Care Reduce Hospice Transports?


1. Any prehospital clinical care program must have an engaged and active Medical Director who oversees protocol development, clinical training, clinical procedures, and quality assurance.

2. The program must perform a thorough needs assessment in order to design and operationalize a service delivery model that will address the specific needs of the customer/community. Without a clear understanding of specific needs, how can the program be expected to meet specific objectives?

12 Steps To A
Successful MIH Program


This toolkit compiles emerging practices and resources to support rural communities seeking to build community paramedicine and mobile integrated health programs across the United States.

This toolkit presents practical strategies that can help rural communities build successful community paramedicine programs. In particular, it focuses on existing programs that have successfully provided rural community paramedicine services.

Rural Community Paramedicine Toolkit

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hospital at home - crash course

Telehealth and MIH

Mobile Integrated Health:
A Community-Centered Fire/EMS Approach

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