Baltimore Mobile Integrated Health (MIH)
The Baltimore City Fire Department (BCFD), University of Maryland Medical Center, the City of Baltimore, and University of Maryland, Baltimore have partnered to launch a new healthcare delivery model for selected areas of Baltimore City. This innovative community-based program will support the health of individuals through a comprehensive, free, multidisciplinary care model for patients, which provides care outside the hospital setting and is designed to reduce health disparities, decrease emergency department visits, and prevent hospital readmissions.
Mobile Integrated Health’s (MIH) Transitional Health Support (THS) is designed to help patients with multiple social, environmental, and healthcare challenges to improve the successful transition from hospital to home. The THS multidisciplinary team is comprised of community paramedics (CP), nurses (RN), community health workers (CHW), emergency medical technicians (EMT), social workers, pharmacists, nurse practitioners (NP), and physicians (MD). This team uses a holistic, evidence-based, and modern approach to provide robust, patient- centered support to individuals and their families at home, after discharge from hospital.
The goal of the project was to identify relevant metrics to collect that could be used to conduct analyses that support the optimization of key scheduling and enrollment decisions in a way that improves operational and patient outcomes.
For scheduling, key questions were:
- How often should THS providers see patients over a 30-day period and at what interval?
- What is the impact of expanding THS program operations from five to seven days versus going to 10-hour days?
- What THS field team schedule maximizes patient contact?
For enrollment, key questions were:
- What THS enrollment strategies are optimal?
- How can the THS operations current operational construct be optimized?
- What resources are required to expand the program to an additional zip code (21215)?