Mobile Integrated Healthcare Practice (MIHP), now openly acknowledged by a growing number of reputable constituencies, has the opportunity to achieve the primary objectives of the Institute for Healthcare Improvement’s Triple Aim:
- Improve the health of the population
- Enhance the patient experience of care, including quality, access and reliability
- Reduce or control the per-capita cost of care
Given the reputation of Allegiance Mobile Health as being a trusted provider of top tier patient care, our CLIMB core value of “we exist for the purpose of doing good and improving the delivery of healthcare” and the scale of our organization in the State of Texas, we have decided it is essential our organization actively participate in MIHP and related Population Health programs.
On trial basis, Allegiance Mobile Health has been involved in a series of these initiatives and now our intention is to support, help measure and improve on the work already started by many of our esteemed colleagues as published in papers and articles such as:
- “Mobile Integrated Healthcare Practice: A Healthcare Delivery Strategy to Improve Access, Outcomes, and Value” by Eric Beck, Alan Craig, Jeffrey Benson, Scott Bourn, Jeffrey Goodlow, Hawnwan Philip May, Brent Meyers, Edward Racht, and Lynn White.
- “Filling the gaps in healthcare to improve outcomes, patient satisfaction and value” presented by The Mobile Integrated Healthcare Practice Collaborative Supported by Medtronic Philanthropy.
As indicated in the above documents, the problem we are truly trying to solve is 24/7 coordinated out-of-hospital care. This means finding alternatives to the routine of EMS simply taking a patient to the hospital emergency departments (EDs) despite the fact an alternative destination or even in-home care might be a better option for the patient’s needs and provide an enhanced outcome.
Allegiance Mobile Health is ideally suited for MIHP. We are currently organized to provide 24/7 care at all levels with a quick response mobile workforce. Fundamental to our business are the systems, processes, and infrastructure required to provide 911 emergency level care, including robust voice and data communications systems, portable biometric devices, electronic medical record systems and treatment equipment. This includes a capital investment in over 1,200 employees with 300 vehicles housed in 40 stations responding to over 250,000 requests for service annually and supporting 24 diversified 911 communities. As a result, we are prepared to expand our services in areas such as:
- Post-Acute Care - Transition of the patient from the hospital to the home, reconnection with primary care physicians, medication access and family education, including a bridge either in the home or via our call centers for the immediate period post discharge to allow for a systematic transition to other home care providers.
- Managed Care - Reduce the frequency patients call 911, especially those patients who call several times a day, through needs assessment, medication access, on-site treatment and opportunities for transport to alternative destinations, such as urgent care centers, detoxification centers, primary care physician offices and counseling centers.
- Interventional Visits - Risk reduction and improved patient safety through home monitoring of patients who might otherwise may need to be admitted to the hospital.
- Hospital Readmission Reduction - Lower the rate patients who have been recently discharged from the hospital need to return to the hospital by offering a specific process combing on-site visits using checklists proven to reduce readmission rates, telephonic monitoring, and specialized hotlines.
- Hospice Revocation Avoidance - Extending the scope of support available to in-home hospice patients through partnerships with hospice providers allowing the ability for in-home crisis intervention to determine the need for 911 calls for an on-scene response by hospice staff.
- Patient Navigation and Tracking - Focus on patient-centered navigation and tracking utilizing our call center and partnerships with hospitals and skilled nursing facilities by integrating existing infrastructure and bringing care to patients through technology and communications.
- Mental health intervention - Crisis intervention that provides alternatives to arrest or use-of-force while reducing 911 calls.
Please contact the MIHP team at Allegiance Mobile Health (firstname.lastname@example.org) for more information on the above programs and how we can better assist the communities we service and our fellow healthcare providers.