Expanding EMS: The Potential of Mobile Integrated Healthcare
Patient Logistics

Expanding EMS: The Potential of Mobile Integrated Healthcare

August 15, 2024
by
Daniel Smith

The landscape of Emergency Medical Services (EMS) is undergoing an evolution. Traditionally seen as responders to acute medical crises, EMS is now embracing a broader role through Mobile Integrated Healthcare (MIH)1, a model that provides patient-centered care outside of a hospital setting using mobile resources. This trend, which expands EMS' reach into comprehensive in-home care management, has the potential to enhance patient care as well as address inefficiencies across healthcare systems, optimizing processes from emergency response to long-term care.

Here we explore the rise of MIH and delve into the specific advantages of partnering with a patient logistics software solution like VectorCare that streamlines care coordination, enhances patient outcomes, and reduces healthcare costs.

The Rise of Mobile Integrated Healthcare

Mobile Integrated Healthcare or MIH is at the heart of this paradigm shift in healthcare delivery, expanding the role of EMS from urgent responders to proactive providers of comprehensive and continuous home health care management. This model connects EMS into the broader spectrum of health services, providing care that extends beyond the ambulance and into the patient’s living room. 

By incorporating chronic disease management, post-hospitalization follow-ups, and preventive care directly into patients’ homes, MIH aims to bridge the gap between hospital and home care, ensuring a continuum that traditionally fragmented systems struggled to maintain.

One of the core components of successful MIH programs is the ability to provide not just medical care, but also the logistical management necessary to support ongoing home health care services. This is where VectorCare’s sophisticated patient logistics platform comes into play.

VectorCare: Pioneering Support for MIH

VectorCare is redefining how healthcare resources are coordinated and delivered in the home setting. By optimizing the scheduling of routine visits and managing the direct transportation of healthcare professionals to patients' homes, VectorCare ensures that the right care is delivered at the right time. Moreover, the platform facilitates the on-site availability of necessary medical supplies and equipment, which is critical for effective home treatment.

The system's robust capabilities extend to the seamless coordination among diverse healthcare providers. Through VectorCare, information flow and service delivery are synchronized, which helps eliminate the silos that often complicate patient care pathways. For instance, it can synchronize data from hospital systems directly with EMS providers, enabling a unified approach to patient management that leverages real-time data for immediate decision-making.

3 Core Benefits of VectorCare In MIH

The impact of VectorCare’s patient logistics platform is best illustrated through a real-world application in Oregon, where a major payer-provider partnered with an ambulance service employing paramedics for home visits. This MIH program, facilitated by VectorCare, aimed to reduce hospital readmissions and emergency department visits among patients with chronic conditions. 

By coordinating regular paramedic visits to these patients' homes, the program not only improved the quality of care, but also significantly decreased the need for these patients to return to the hospital, showcasing the effectiveness of applying advanced logistics in MIH.

Studies have shown hospital-at-home care resulted in reduced readmissions, lower costs, and better experiences compared with traditional hospital care2.

The integration of VectorCare into MIH programs demonstrates these 3 significant benefits:

1. Reduced Hospital Readmissions

By providing continuous and proactive care at home, MIH programs can address potential complications early before they require emergency intervention or hospital readmission.

2. Enhanced Patient Satisfaction 

The majority of people prefer to receive hospital-level care in the comfort of their own homes, citing convenience, comfort, and effectiveness according to a 2024 USC Schaeffer Center study3. VectorCare’s efficient scheduling and resource allocation make regular home visits feasible and timely, enhancing patient experience and compliance with prescribed care plans.

3. Cost Savings

In-home care is typically less expensive than hospital-based care4. By reducing the frequency of hospital visits and readmissions, MIH programs can lead to substantial cost savings for healthcare systems.

In conclusion, as healthcare continues to evolve, the integration of EMS into broader care continuums through MIH will become increasingly essential. VectorCare’s patient logistics platform stands at the forefront of this evolution, offering the tools necessary to make MIH not just a possibility but a thriving reality.

By enhancing the efficiency and effectiveness of home health care services, VectorCare is addressing and supporting current needs within NEMT and shaping the future of EMS in healthcare delivery.

Read about the vital role of NEMT in enhancing health outcomes here, or browse our Journal.

1. "Mobile Integrated Health Interventions for Older Adults: A Systematic Review", Innovation in Aging, by Brock Daniels, Erik Blutinger, Jamie Abudu-Solo, Kevin G Munjal, Leah Shafran Topaz, Meghan Reading Turchioe, Melani Ellison, Michelle R Demetres, Nathan Louras, Ruth M Masterson Creber, March 2023. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10114527/#:~:text=MIH%20programs%20are%20able%20to,are%20treated%20in%20the%20home.

2. "Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial", Annals of Internal Medicine Vol. 172 No. 2, by Agustina Saenz, Bonnie Blanchfield, Charles T. Pu, David M. Levine, Jeffrey L. Schnipper, Kei Ouchi, Keren Diamond, Kimberly Burke, Mary Paz, December 2019. https://www.acpjournals.org/doi/10.7326/M19-0600

3. “Acceptability of Hospital-at-Home Care and Capacity for Caregiver Burden”, JAMA, by Melissa A. Frasco, Erin L. Duffy,  Erin Trish, 2024. https://jamanetwork.com/journals/jama/article-abstract/2820852

4. “The Cost-Effectiveness of Homecare Services for Adults and Older Adults: A Systematic Review”, International Journal of Environmental Research and Public Health, Ana Carolina Silva, Andrea Castro, Cintia Curioni, Daniel Araujo, Jorginete Damião, Miguel Huang, Renata Guerra, Taianah Barroso, February 2023. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9960182/