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This is a link to check out PROMIS for data collection.

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https://www.healthmeasures.net/explore-measurement-systems/promis

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Mobile Integrated Health Fact Sheet-2024

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MIH Comprehensive Medical Social Work Assessment

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Does your agency have formalized peer support? If so, does your MIH/CP team get reminders of peer support being an access point to support for them in their work with patients?

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We offer Free Health Screenings for our Town Employees every 3-4 months. We provide the measurements listed in the form and then handout information related to any abnormal values they have.

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A non-profit dedicated to saving the lives of those who are struggling thru mental crisis

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I need support

Our goal, this day, is to stop a suicide, because
one more suicide is one too many.

Heather Palacios

Heather Palacios is the founder of WONDHERFUL , INC a 501c3 non-profit dedicated to saving the lives of those who are struggling thru mental crisis. She speaks at high schools, colleges, churches, businesses throughout the US to reach the nearly 1.8 million people who attempt suicide each year. Our mission is to reach these people who are struggling with our LIFEBOX™ in hopes that they will seek help and choose life. You can learn more by visiting the LIFEBOX page or check out Heather's videos on our WATCH page.

LIFEBOX RESOURCES WATCH SHOP

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Welcome to wondherful Our mission at WONDHERFUL is to SAVE ONE MORE LIFE TODAY, by reaching individuals or their loved ones who are going through a mentally difficult time.

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Zone Tools for patients with chronic diseases.

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These downloadable tools were created to assist patients in managing a number of common health conditions. Better self-management can lead to improved overall health and help reduce the chances of hospital readmission. The tools include: Green Zone-All Clear; Yellow Zone-Caution; and Red Zone-Medical Alert.

This information is intended for educational purposes only. Health Services Advisory Group (HSAG) does not represent or guarantee that this information is applicable to any specific patient's care or treatment. This content does not constitute medical advice from a physician and is not to be used as a substitute for treatment or advice from a practicing physician or other healthcare provider.

Zone Tools

# data[].attributes.attachment_link.description
These downloadable tools were created to assist patients in managing a number of common health conditions. Better self-management can lead to improved overall health and help reduce the chances of hospital readmission. The tools include: Green Zone-All Clear; Yellow Zone-Caution; and Red Zone-Medical Alert. This information is intended for educational purposes only.

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This tool can be used to help patients and healthcare providers know who is assisting the patient in their home.

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To help EMS agencies develop and operate MIH-CP programs, NAEMT has compiled an MIH-CP Program Toolkit. The toolkit contains samples of forms, documents and questionnaires that EMS agencies are currently using to run their MIH-CP programs. ​

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Evaluation Measures for Community Paramedicine Programs - RHIhub Toolkit

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Overview of evaluation measures for rural community paramedicine programs.

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CORE Network - Hope for Addiction Recovery

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Coordinated Opioid Recovery (CORE) Network is the first of its kind in the U.S. and aims to eliminate the stigma of addiction and treat Substance Use Disorder as a disease, with the same level of continuous care.

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The Next Frontier of Remote Patient Monitoring: Hospital at Home

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Remote patient monitoring (RPM) has shown promise in aiding safe and efficient remote care for chronic conditions; however, its use remains more limited within the hospital at home (HaH) model of care despite a significant opportunity to increase…

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Top 10 MIH or community paramedicine program funding sources

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These sources of start-up and long-term funding can help launch and provide economic sustainability for mobile integrated health care

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JEMS: EMS, Emergency Medical Services - Training, Paramedic, EMT News

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The Economics of Community Paramedicine (How To Get Paid for Mobile Integrated Health) - JEMS: EMS, Emergency Medical Services - Training, Paramedic, EMT News

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The Economics of Community Paramedicine (How To Get Paid for Mobile Integrated Health) - JEMS: EMS, Emergency Medical Services - Training, Paramedic, EMT News - Mobile Integrated Health and Community Paramedicine Many agencies have discovered that readmission avoidance is actually the weakest of all economic models to successfully compensate and sustain CP/MIH. So, what models work better? How do agencies translate their efforts into economics and finance?

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Andrew Spencer, Center for Health Care Strategies

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Making a Case for Community Paramedicine: Evidence Roundup | Playbook

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Explores how community paramedicine programs have been implemented across the country, what evidence supports the effectiveness of these models, and how state and federal policies are helping to support the sustainability of these services.

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Clinician-embedded MIH program improves EMS use in high-risk population

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Pairing community paramedics with advanced practice providers for home visits to frequent utilizers decreased 911 volumes in a pilot program

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JEMS: EMS, Emergency Medical Services - Training, Paramedic, EMT News

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Provided photo

This study evaluates the economic impact of a mobile integrated health community paramedicine (MIH-CP) program with a consultant pharmacist partnership established in Manatee County, Florida. The purpose of this retrospective cost-benefit analysis was to determine if this pharmacist-paramedic model resulted in cost benefits from a payer perspective. Costs to payers were quantified through evaluation of ambulance transports, emergency department visits and hospitalizations avoided as a direct result of interventions of the program. Over three years, the net cost savings to payers resulting from interventions provided by the Manatee County Community Paramedicine Program ranged from $4,358,570.93-$7,390,358.51.

The average cost-benefit ratio was determined to be 1:4.02 (1:3.24-4.80). This indicates that for every $1 spent on program implementation, $4.02 was saved by payers. The results of this analysis do not include cost savings from medication-related interventions for which there is limited historical cost data from a payer perspective. Further potential savings to payers were identified as $824,704-$10,544,165 from medication interventions alone. As compared to a system not featuring a MIH-CP Program consisting of a pharmacist-paramedic partnership, there is a positive economic benefit to the payer. This data supports implementation of similarly structured pharmacist-paramedic MIH-CP programs as an approach to reduce overall costs to payers.
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Introduction

In 13 months, patient RG had 46 medication changes made by different physicians on his healthcare team. During this timeframe, he suffered an abdominal aortic aneurysm and pneumonia, and battled daily to get his chronic obstructive pulmonary disease (COPD), heart failure, atrial fibrillation, hypertension and gastroesophageal reflux disease under control. Patient RG's struggle mirrors that of many battling chronic disease and complicated medication regiments.

From 2008 to 2015, Manatee County, Florida, experienced high utilization of emergency services for patients who had poorly managed chronic diseases, coinciding with a 37% surge in 911 calls. ¹ In 2015, 69% of 911 calls were for non-emergencies and many of these cases involved patients in need of chronic disease management. The increasing call volume resulted in limited access to resources, emergency department (ED) overcrowding and ED wait times exceeding four hours.In addition, 44% of Manatee County households live below poverty level or earn less than the basic cost of living in Florida. ² These households have difficulty navigating health insurance options, accessing primary care, and are more likely to visit the emergency department for non-emergency care. 3

Communities experiencing similar health-system burdens have explored implementing MIH-CP teams as a novel solution to improving health equity among the medically vulnerable and reducing healthcare costs. MIH-CP is a provision of healthcare that delivers patient-centered care directly to patients' homes through the utilization of mobile resources, consisting primarily of community paramedics. ⁴ MIH-CP often includes additional practitioners of various fields and specialties that are integrated with emergency medical services (EMS). However, this evaluation is the first economic review of a fully implemented MIH-CP program with a pharmacist on the team.

The Manatee County Community Paramedicine Program was established in response to local gaps in access to healthcare and implemented in a similar in-home patient-centered model. The goals of the program include increasing access to primary and preventative care, reducing use of unnecessary emergency medical services and improving patient outcomes among the medically underserved.

Specifically, Manatee County Community Paramedicine integrates community paramedics with a consultant pharmacist to provide a unique combination of skills. Paramedics bring field experience assessing and treating patients in the home, triaging emergency situations and managing acute disease exacerbation. Pharmacists provide expertise in medication reconciliation, medication therapy management, addressing nonadherence and identifying medication adverse effects. 5,6 The program was designed to address the highest areas of need in Manatee County in the following categories: mental health or substance use disorders, diabetes mellitus, chronic cardiovascular or respiratory disease, frequent falls, and high system stilizers. Patients may be referred by the active 911 system, primary care providers, health systems, case managers and the public.

This research serves to evaluate the economic impact of a MIH-CP program consisting of community paramedics and a consultant pharmacist through cost benefit analysis and to illustrate the effectiveness of the model through program data and case reports. This evaluation may impact policy development for leaders of health systems, Centers for Medicare and Medicaid Services (CMS) and insurance companies in considering payment for innovative mobile healthcare models. Economic evaluation through this research may also assist county governments and other EMS agencies in the decision-making process as they develop MIH-CP teams in their communities. Additionally, this research may be useful for health systems in determining whether interprofessional mobile health teams consisting of community paramedics and consultant pharmacists are a reasonable strategy for optimizing transition of care efforts and discharge planning to reduce hospital readmission rates.

Material and Methods

This cost-benefit analysis was performed from a payer perspective. The overall costs incurred by county government (EMS) were collected and compared to costs prevented through program interventions. Costs to payers were estimated based on average actual payments distributed from CMS to local hospitals for these events. Costs analyzed include those associated with program implementation, ambulance transports prevented, ED visits prevented, hospital admissions prevented, medication nonadherence corrected and adverse drug events (ADE) avoided. Costs of services and estimates for CMS payments were calculated from county and federal records. Estimations of medication intervention costs were derived from the literature available at the time of this analysis.

Costs Utilized

In this analysis, actual costs incurred or costs prevented through intervention which occurred within the 2017-2019 timeframe were considered current, and were not adjusted for inflation. Costs estimated from prior to 2017 data were adjusted for inflation to current value.

The operating costs included in this analysis account for the program's average annual budget. This includes the community paramedic salaries and benefits, pharmacist salary, emergency response vehicles, medical equipment and overhead costs. The consultant pharmacist associated with Manatee County Community Paramedicine is provided by a higher education institution at no cost to the program. However, for this analysis the cost of adding a pharmacist to a community paramedicine team is estimated to be $151,355 annually. ⁷ This estimate is based on the current national median pharmacist salary, plus cost of benefits.

The minimum cost for any ambulance transport in Manatee County is $622.16. ⁸Per a 2012 report by the U.S. Government Accountability Office, the cost paid by Medicare for ambulance transport in 2010 ranges from $224-$2,204 per transport for Medicare beneficiaries. ⁹Upon adjusting for inflation in 2019, this equates to $262.63-$2,584.06. ¹⁰ These values were utilized in this cost analysis to estimate savings in ambulance transport diversions.

The average cost of a visit to the emergency department in Manatee County is $7,331 per patient visit. ³ Payer costs associated with hospitalization were also included in this analysis, as interventions provided which would reduce ED visits could also be assumed to reduce resulting hospitalizations. The Centers for Disease Control and Prevention (CDC) reports on ED visits that result in hospital admission, stratified by age group. Based on this data, coupled with demographic data of the program's patient population, an adjusted hospital admission rate was calculated at 17.93%. ¹¹ A hospital admission in Manatee County results in an average length of stay of 4.5 days and average cost charged to CMS of $85,677 per patient per stay. ³ In 2018, local facilities received $22,442 in reimbursement from CMS per hospitalization. ¹²

Costs associated with medication nonadherence are variable. A meta-analysis by Cutler et al. in 2018 reviewed 79 studies assessing the economic impact of medication nonadherence. ¹³ Of the 79 studies reviewed, 83% reported total healthcare costs, though some studies evaluated a collection of pharmacy costs, inpatient costs, outpatient costs, emergency department visit costs and/or hospitalization costs.

Cutler et al. found the overall annual cost of medication nonadherence per patient to be $21,257 (range $5,271 - $52,341). ¹³ In addition, the authors evaluated disease-adjusted nonadherence impact in over 14 disease areas. Correlating this data to the patient categories relevant to the Manatee County Community Paramedicine program, the annual cost of medication nonadherence per patient would total: mental health $11,052, addiction $53,504, diabetes mellitus $6,310, cardiovascular disease $9,204 and respiratory disease $6,505. Costs of nonadherence for fall patients were not analyzed in the Cutler study.

Although medication-adverse event costs have been previously reported for hospitalized patients, conclusive data on these costs within the outpatient setting is lacking. It is proposed by Classen et al. that hospitalized patients who suffer a medication adverse effect have an increased cost of $2,262. ¹⁴ A systematic review done by Formica et al. evaluated the economic burden of preventable adverse drug reactions in the United States and Europe and found costs to society ranged from $193 - $9,440.This range was utilized to determine the additional economic impact associated with medication interventions.

Outcomes Measured

Based on the clinical expertise of the team's medical director, interventions provided by the community paramedic and/or the consultant pharmacist that directly prevented 911 use or ED visit were classified as an ambulance/ED diversion, and costs associated with ambulance transport, ED visits, and an assumed hospitalization rate of 17.93% were included in this evaluation.

Based on the clinical expertise of the team's consultant pharmacist, interventions provided by the community paramedic and/or the consultant pharmacist that directly resulted in medication adherence (adherence >80%) or prevented an adverse drug event were classified as a medication intervention. Costs associated with the corresponding interventions were included in this evaluation. Data for adverse drug events prevented had not been previously documented in aggregate, therefore a random sampling of patient case data was employed to determine a study population average. Thirty-three patients from a sample of 313 were randomly selected utilizing an online random number generator and evaluated to identify and classify adverse drug event(s) avoided.

Results

This economic analysis reports on the costs and cost benefits of the Manatee County Community Paramedicine Program over three consecutive years. The costs of operation totaled $604,867 in year one, $645,368 in year two, and $693,749 in year three. The Manatee County Community Paramedicine operation, including the costs of employing a full-time pharmacist, cost a total $1,943,984 over three years.

Manatee County Community Paramedicine diverted 389 ambulances in Year One, 489 ambulances in Year Two, and 428 ambulances in Year Three. As noted, a typical CMS reimbursement for ambulance transport ranges from $262.63-$2,584.06; therefore, the program saved payers an estimated $342,994.78-$3,374,782.36 in ambulance transports prevented.

In addition to avoiding ambulance transports, the program also prevented emergency room visits and hospitalizations. Based on available data, CMS reimburses approximately 26% of the costs billed for every hospitalization. Assuming a similar reimbursement rate of 26% for emergency department visits, the costs saved by payers is described here. The program avoided 309 ED visits in Year One, 396 in Year Two, and 300 in Year Three. Manatee County charges an average $7,331 per patient per ED visit. ³ Assuming CMS reimburses 26% of the costs, the CP program saved the payer $1,915,590.30 from avoided ED visits.

For each hospitalization, health systems in Manatee County charge an average of $85,677 per patient per hospital stay. ³ Per CMS data, CMS paid Manatee County hospitals an average of $22,442 per hospitalization. Based on the hospitalization rate of 17.93%, interventions made by the program over three years resulted in an estimated 180 hospitalizations prevented and $4,043,969.85 saved by the payer.

Figure 1 demonstrates program costs compared to savings achievable by payers, specific to ambulance diversions, ED visits avoided, and hospitalizations prevented.

Payer costs for adverse drug events and nonadherence are poorly described in the literature. However, total health system costs have been successfully estimated, with payers undoubtedly absorbing a significant portion of these costs. Pharmacist interventions tracked through this program were classified as an ADE avoided or medication nonadherence identified and resolved. Current studies estimate the benefit of every ADE prevented to be $193-$9,440 saved, and medication nonadherence corrected to be an average of $21,257 (range $5,271-$52,341) per patient per year. Applying these costs to the Manatee County MIH-CP model, costs saved over three years of program implementation range $60,409-$2,954,720 in ADEs prevented and $3,082,265 (range $764,295-$7,589,445) in medication nonadherence corrected. (See Figure 2.)

Figure 2 provides average savings estimated from a payer perspective and demonstrates additional healthcare savings from adverse drug events and nonadherence events that have been successfully managed through the pharmacist-CP program. Payers undoubtedly absorb a significant percentage of these costs, which are poorly described in the literature. The total number of medication interventions over three years exceeds 700, with 64% of interventions focused in correcting nonadherence and preventing adverse drug events (See Table 1).

The economic impact of Manatee County Community Paramedicine can be illustrated through the example of a patient case. Patient RG was selected due to a past medical history of COPD, heart failure, and pneumonia,three conditions tracked by CMS for hospital readmissions and related reimbursement models. ¹⁶ The clinical course of this patient highlights the collaboration between the community paramedics and consultant pharmacist leading to his graduation from the program. While this case demonstrates the various cost-benefits discussed in this study, RG's system utilization and interventions can be categorized as "above average" compared to most patients within the program.

The cost of enrolling RG into the community paramedicine program was calculated by extrapolating total costs of the program divided by the total number of CP appointments made to date. Based on the data, a single appointment can range from $234.92-$307.68 depending on the service requirements of the patient. Community paramedics met with RG for a total of 56 appointments over a course of 13 months. Additionally, the pharmacist provided 20 hours of medication therapy consultation, totaling $1,456. In total, the cost of RG's enrollment in the Manatee County Community Paramedicine program was $14,610.72.

In the case of RG, six ambulance transports were diverted resulting in a CMS cost savings estimate of $1,575.78-$15,504.36, and six ED visits were prevented resulting in further savings for CMS of $11,436.36. Continuing with the assumption that 17.93% of ED visits result in hospitalizations, it can be estimated that without the community paramedicine program intervention, RG would have been hospitalized at least once. This results in an additional $22,442 in savings for CMS. In total, approximately $35,454.14-$49,382.72 was saved by payers as a direct result of interventions provided by this program. Figure 3 demonstrates RG costs versus savings by payer.

Additionally, this patient received pharmacotherapeutic interventions that resulted in the avoidance of 11 medication adverse events. This included ADE's from multiple medication errors, drug toxicities, incorrect use of medications and two different episodes of angioedema. The initial episode of angioedema was attributed to lisinopril and pregabalin. The second episode occurred when lisinopril was reinitiated by a new physician previously unaware of the patient's medical history and allergy profile. Both times, the reaction was identified by the pharmacist on the community paramedicine team, and the reaction was successfully treated on an outpatient basis and did not require hospitalization.

The costs saved to society by the prevention of 11 ADEs totaled $2,123-$103,840. The pharmacist also corrected multiple nonadherence concerns relating to RG's cardiovascular health and respiratory disease, resulting in an additional $15,709 saved by society. Pharmacy interventions added $17,832-$119,549 cost savings to society, much of which would be absorbed by payers (See Figure 4).

Overall, throughout three years of operations and including the annual cost of a full-time pharmacist, the net benefit of the Manatee County Community Paramedicine Program ranges between $4,358,570.93-$7,390,358.51. The calculated cost-benefit ratio for the program is 1:4.02 (1:3.24-4.80). Beyond this ratio, pharmacist interventions with nonadherence and adverse drug events contribute an additional cost benefit to society of $824,704-$10,544,165, much of which is expected to be realized as savings by payers.

Conclusions

Following the evaluation of the economic impact of the Manatee County Community Paramedicine Program, this analysis finds a substantial financial benefit to establishing paramedic-pharmacist partnerships within mobile integrated health teams. Secondary to the CP-pharmacist collaboration and pharmacist's expertise in medication reconciliation and medication therapy management, the program has shown significant impact in avoidance of ambulance transports, ED visits and hospitalizations in the targeted patient populations. By utilizing payer-perspective data on the attributable costs of these services, the program shows a net-benefit ranging between $4,358,570.93-$7,390,358.51, as well as an average cost-benefit ratio of 1:4.02.

These cost benefits are further augmented by the pharmacist regarding nonadherence and adverse drug event interventions. It was determined that a pharmacist resolving nonadherence and identifying ADE's adds additional cost savings to society of at least $824,704, but according to literature available, savings up to $10,544,165 could be realized over a span of three years.

This study does not attempt to quantify nonadherence and ADE savings from a payer-perspective. Examples of pharmacist and medication-related benefits not included in this analysis are benefits associated with improved health status, transitioning patients off disability, reduction in mortality rate and quality of life improvements. Additionally, some interventions proved difficult to evaluate from an economic perspective, including the identification of medication errors and undertreated health conditions, and were therefore not included in the composite benefit calculations of the program. More studies are needed to fully determine the cost saving benefits of pharmacist-paramedic collaborative services to third party payers.

As previously mentioned, the current program has utilized a pharmacist whose time is donated by a higher education institution. The pharmacist performs medication reconciliations, medication therapy evaluations, and facilitates communication with physicians regarding critical medication issues and uncontrolled chronic diseases. These actions contribute significantly to the cost-savings realizable within this model. MIH-CP programs with small caseloads may also find it possible to optimize EMS operations with the addition of pharmacist expertise; for example, pharmacists can ensure compliance with Drug Enforcement Agency controlled substance requirements, increase efficiency of medication storage and inventory management and evaluate prehospital drug administration protocols to maintain evidence-based practices.

Estimated savings by the program were also noted to correlate with the number of employed community paramedic personnel. For example, between Year Two and Year Three, one community paramedic left the program. This may have resulted in the lower potential costs savings seen in Year Three and may highlight a need for additional personnel to maintain or improve cost benefits to the payer.

The implementation of a pharmacist-paramedic mobile integrated health community paramedicine team is a cost-effective approach for payers in reducing ambulance transports, ED visits, and hospital readmissions, as well as for minimizing nonadherence, and preventing adverse drug events.
Declarations of Interest: There are no declarations of interest from any authors related to this research. Dr. Victoria Reinhartz has otherwise received compensation for expert healthcare consulting services related to mobile integrated health systems improvement, and for drug therapy lectures given to mobile integrated health and community paramedicine teams. unding Source: This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors.
References

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Victoria Reinhartz, PharmD, CPh, Isabel Sandoval, Demetrios Chagoya, Stephanie Peshek, PharmD

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Incorporating Pharmacists Into Mobile Integrated Health Teams: A Cost-Benefit Analysis - JEMS: EMS, Emergency Medical Services - Training, Paramedic, EMT News

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This study evaluates the economic impact of a mobile integrated health community paramedicine program with a consultant pharmacist partnership established in Manatee County, Florida.

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News Center » SOP Joins Community Initiative to Advance Health Care in West Baltimore

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Pharmacists in the School’s e-Health Center will leverage state-of-the-art telehealth technologies to provide in-home, comprehensive medication reviews to patients.

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Falls and a fear of falling can diminish your ability to lead a full life. Physical therapy can help you improve your balance, muscle strength, and endurance and lower your fall risk.

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The Health Care District of Palm Beach County takes a significant stride in the battle against falls by launching its Prevent Falls PBC app. The app is designed to empower users with the tools they need to prevent falls and maintain a healthy, active lifestyle.

Falls were the leading cause of traumatic injuries in Palm Beach County last year, with a staggering 2,570 reported incidents, marking a 145% increase since 2010. In response to this alarming trend, the Health Care District initiated a robust falls prevention initiative earlier this year, securing a $1 million one-year grant sponsored by U.S. Rep. Lois Frankel. This initiative builds upon the Health Care District's previous falls awareness program for older adults, emphasizing evidence-based falls prevention efforts. As an integral component of this broader initiative, the Prevent Falls PBC app signifies a proactive step toward constructing a safer and healthier community.

The Prevent Falls PBC app offers a range of features, including falls prevention resources, a balance assessment tool, tai chi balance classes, weather alerts, push notifications for updates, and more. The app is available for download from the Apple Store, Google Play Store, or PreventFallsPBC.org.

"The Health Care District is committed to creating a safer and healthier community," said Darcy J. Davis, Chief Executive Officer for the Health Care District. "This Prevent Falls PBC app, along with our free community tai chi balance classes, are integral components of our proactive approach to falls prevention to help residents avoid injury and stay on their feet."

"I look forward to seeing the positive impact this app will have on our community's well-being," said Joel Rosales, Trauma Nurse Manager for the Health Care District. "The app not only provides valuable resources, but also engages the community with practical solutions to reduce falls."

The Health Care District invites the public to download the free Prevent Falls PBC app and join its free tai chi balance classes held weekdays from 8:30 a.m. to 9:30 a.m. under the pavilion at the South County Civic Center in Delray Beach, Florida, in partnership with Palm Beach County Parks and Recreation. For more information, visit PreventFallsPBC.org .

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Health Care District Launches Prevent Falls PBC App to Combat Falls in Palm Beach County

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The Health Care District of Palm Beach County takes a significant stride in the battle against falls by launching its Prevent Falls PBC app. The app is designed to empower users with the tools they need to prevent falls and maintain a healthy, active lifestyle.

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News Releases | Health & Senior Services

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Official news from the Department of Health & Senior Services

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A Florida paramedic doubted this response to overdoses — then he saw it working

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In some counties, hand-delivering withdrawal medications is stopping the opioid epidemic’s revolving door and giving people new hope.

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Training Objectives:

Discuss outcomes of both opioid use and opioid treatment during pregnancy (MAT/pharmacotherapy)

Discuss what happens when women who use drugs get pregnant

Review the risks associated with opioid use and pregnancy, newborn outcomes and NAS

Discuss how Stigma impacts patients and the shame associated with it deters them from seeking treatment

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Treatment of Opioid Use Disorder for Pregnant Mothers (In-person Event) | LSF Health Systems

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Join us for an in-person event where we will have the opportunity to hear from Dr.Jason hunt about the treatment of Opioid Use Disorder among pregnant women. He will challenge the common myths and stigma around SUD treatment for pregnant women…

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Data Analytic tools for cost-benefit analysis

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Data Analytic tools for cost-benefit analysis

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I have some excel tools for cost-benefit analysis of MIH programs I put together: a Medicare reimbursement predictor as well as program value to hospital systems. Would this be of interest to any other programs?

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I look forward to working with other members of the chronic disease management workgroup. Although MobileMedix Plus is privately owned, the services we provide began under the auspices of the Health Council of East Central Florida in 2017. We outgrew the nonprofit Health Council in early 2024 and now serve a population exceeding 30,000 mostly elderly individuals with multiple chronic health conditions (CHF, COPD, CKD, etc.) living in six Florida counties. I will be sharing resources when we identify or implement them.

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FFCA has a MIH Handbook. I personally was unaware until today. Disclaimer- I have not read it. 

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FFCA has a MIH Handbook. I personally was unaware until today. Disclaimer- I have not read it. 

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This is a great resource for planning for hurricanes and disasters with patients. 

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This is a great resource for planning for hurricanes and disasters with patients. 

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While living in and visiting Florida offers many benefits and advantages, it is important to keep in mind severe weather hazards and potential threats. Every family and business should have predefined emergency plans and always keep an emergency supply kit ready and stocked.

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A Review of Tools to Screen for Social Determinants of Health in the United States: A Practice Brief

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Increasingly, health care institutions are called on to address social determinants of health (SDH) given the connection to morbidity and mortality across populations. However, widespread implementation of screening for health-related social…

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Is your program partnering with Healthy Mothers, Healthy Babies? They accept referrals to assist pregnant patients, as well as patients with infants and toddlers. They can connect patients to pre and post natal care, case management, Medicaid, as well as assist with gaps in caregiving education and infant/toddler care supplies, such as formula and diapers. 

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Is your program partnering with Healthy Mothers, Healthy Babies? They accept referrals to assist pregnant patients, as well as patients with infants and toddlers. They can connect patients to pre and post natal care, case management, Medicaid, as well as assist with gaps in caregiving education and infant/toddler care supplies, such as formula and diapers. 

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I reached out to them to engage potential health plan partners and payors. They can assist you in connecting with plans serving your region. 

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I reached out to them to engage potential health plan partners and payors. They can assist you in connecting with plans serving your region. 

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(as of 10/25)Avesis, a Guardian companyMedeAnalyticsMedline IndustriesModivCare Solutions, LLCNascateNavitus Health SolutionsPacira BioSciences, Inc.Pinnacle BrokersSellers DorseySurfMed
Presenting Sponsor: MedArrive

FirstLine Benefits
GA Foods

GT Independence
HealthCrowd

NationsBenefits

Pondera Solutions, a business of Thomson Reuters
Southeastrans, Inc.
Tabula Rasa HealthCare
Transaction Data Systems
Transunion

Pyx Health
Ride2MD
Rubin Turnbull & Associates

Health Network One
HHAeXchange
Independent Living Systems
InterSystems
LIBERTY Dental Plan
3M Health Information Systems
Access2Care
Adelanto Healthcare Ventures, LLC
Akerman
AMC Health
American Logistics

Capital City Consulting
CGI Technologies and Solutions, Inc.
Consumer Direct Care
Corcoran Partners
Clarity Software Solutions, Inc.
DermTech
Edifecs
Florida HIE Services
Flume Health
Mitsubishi Tanabe Pharma America, Inc.
Zelis

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(as of 10/25)Avesis, a Guardian companyMedeAnalyticsMedline IndustriesModivCare Solutions, LLCNascateNavitus Health SolutionsPacira BioSciences, Inc.Pinnacle BrokersSellers DorseySurfMedPresenting Sponsor: MedArrive FirstLine BenefitsGA Foods GT IndependenceHealthCrowd NationsBenefits Pondera Solutions, a business of Thomson ReutersSoutheastrans, Inc.Tabula Rasa HealthCareTransaction Data SystemsTransunion Pyx HealthRide2MDRubin Turnbull & Associates Health Network OneHHAeXchangeIndependent Living SystemsInterSystems LIBERTY Dental Plan 3M Health Information SystemsAccess2CareAdelanto Healthcare Ventures, LLCAkermanAMC HealthAmerican Logistics Capital City ConsultingCGI Technologies and Solutions, Inc.Consumer Direct CareCorcoran Partners Clarity Software Solutions, Inc.DermTechEdifecsFlorida HIE Services Flume Health Mitsubishi Tanabe Pharma America, Inc.

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Urban MIH Programs Roll Call! Post your program, contact person, and email!

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Urban MIH Programs Roll Call! Post your program, contact person, and email!

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Rural MIH Programs Roll Call! Post your program, contact person, and email!

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Rural MIH Programs Roll Call! Post your program, contact person, and email!

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Intensive outpatient mental health treatment for ages 11-34. Insurance accepted

They also have opportunity for CE credit through free webinars.

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At Charlie Health, we combine evidence-based care with a compassionate, personalized approach. Our flexible, online format and customized group, individual, and family sessions provide comprehensive support for teens and adults struggling with serious mental health challenges.

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Infant Loss and Child Bereavement Resources

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Infant Loss and Child Bereavement Resources

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Grief & Infant Loss Resources | Safe to Sleep®

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Explore resources for families who have experienced the tragic loss of a baby.

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This is a great resource for safe sleep education for all caregivers, including different languages.

As well as education about SIDS/ Safe Sleep that can be used on your social medias/websites.

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Order, Print, and Download Materials | Safe to Sleep®

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Order, print, and download free Safe to Sleep® campaign materials, including booklets, handouts, and other items.

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Just watched a News interview from this morning 2-19-2025, on a phase two clinical trial for an opioid vaccine. I’ve attached a link to the story, and thank you all for your time and interest.

https://youtu.be/Ggy9NHlyILs?si=HWwwlZtlLvh2snnt

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Anti-fentanyl vaccine closer to being used to save lives

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SLCFD/SLC DOH Direct On Scene Education (DOSE) Safe Sleep Packet.  "Baby Safety Tips" (inside of tri-fold)

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SLCFD/SLC DOH Direct On Scene Education (DOSE) Safe Sleep Packet.  "Baby Safety Tips" (inside of tri-fold)

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Here is one of the inserts for the SLCFD/SLC DOH Direct On Scene Education (DOSE) Safe Sleep Packet. The entire packet contains detailed booklets, but this tri-fold brochure was designed to deliver safety messages via images and quick tips. This is the inside view. This image was provided by the Broward Sheriff's Office.

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SLCFD/SLC DOH Direct On Scene Education (DOSE) Safe Sleep Packet.  "ABC's of Safe Sleep" (outside of tri-fold)

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SLCFD/SLC DOH Direct On Scene Education (DOSE) Safe Sleep Packet.  "ABC's of Safe Sleep" (outside of tri-fold)

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Image shows outside portion of the tri-fold (inside shows “Baby Safety Tips”).  When folded, the front page shows “A,B,C’s” of Safe Sleep and an image of ideal infant sleep practices.  This allows our firefighters to quickly educate on the essentials, while on scene.  DOSE details are found on an inner fold.  The back has “pack & play” program info that can also be covered quickly, if applicable.

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These are the 2025 HEDIS measures that health care plans use for quality measurement. Medical practices and groups use these to identify and fill any patient care gaps. Allowing MIH personnel to identify and/or eliminate some of these gaps benefit both the medical office and the health plan. We coordinate our efforts at MobileMedix Plus with our client medical groups to help close gaps at the patient home when possible.

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We discussed homelessness this week so I pass this along as a possible resource.

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This is a good Pt overview video of DM1 vs DM2.

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Diabetes symptoms | Signs of all types of diabetes | Diabetes UK

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CDC Stats 2024 Falls & Dx tests for pts.

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Talia Hunter

Coral Springs Parkland Fire

THunter@coralspring.gov

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Reimbursement for Safety Planning and Follow-Up Interventions Available for use by Clinical Social Workers in 2025

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Effective January 1, 2025, clinical social workers will be able to seek reimbursement for Safety Planning and Follow-up Interventions. Establishment of these payment services is an important step by the Center for Medicare and Medicaid Services (CMS) to help address the growing suicide and overdose populations.

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Reimbursement for Safety Planning and Follow-Up Interventions Available for use by Clinical Social Workers in 2025

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Effective January 1, 2025, clinical social workers will be able to seek reimbursement for Safety Planning and Follow-up Interventions. Establishment of these payment services is an important step by the Center for Medicare and Medicaid Services (CMS) to help address the growing suicide and overdose populations.

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Has your program partnered with Caring Choices? This resource provides support for moms by providing resources and counseling during pregnancy and up to baby's first birthday. They also offer adoption services for a number of North Florida counties including: Alachua, Baker, Bradford, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Lafayette, Lake, Levy, Marion, Nassau, Putnam, St. Johns, Sumter, Suwannee, Union and Volusia Counties

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Caring Choices | Pregnancy Counseling Gainesville, FL

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Caring Choices helps pregnant women by offering pregnancy counseling, connecting them with helpful resources, and assisting with adoption services if that’s the course they choose.

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WIC is a federally funded nutrition program for women, infants, and children. They offer healthy foods, health education, counseling, and breastfeeding support at no cost.

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WIC is a federally funded nutrition program for Women, Infants, and Children. WIC provides the following at no cost: healthy foods, nutrition education and counseling, breastfeeding support, and referrals for health care and community services.
EBT WIC Client logon
WIC EBT Card

Florida WIC clients use a WIC EBT card to purchase WIC approved foods at authorized WIC grocery stores. If you have a WIC EBT Card and have questions or problems using your card, call WIC EBT Customer Service at 1-866-629-1095.

Check your balance before shopping. You can do this by calling WIC EBT Customer Service at 1-866-629-1095 or by going to the WIC EBT website. If there is a WIC EBT Point of Sale (POS) machine at the store, you can also slide your card and enter your PIN to get your balance.

How do I apply for WIC?

* Note: Use the WIC Prescreening Tool to see if you might be eligible for WIC. Prescreening Tool is available in multiple languages.

To apply for WIC, contact a local WIC office. Find the local phone number in the list or call 1-800-342-3556 and ask for the phone number of your local WIC office.

The local WIC office will give you an appointment to see if you are eligible for WIC. At this visit, your household income and the medical/nutrition status of each applicant will be reviewed.

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The Office of Women's Health is a government website that offers information on women's health and wellness, including information on reproductive topics. Additionally, there are many places to search for resources on the website!

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The Office on Women’s Health (OWH) was established within HHS to coordinate women’s health efforts across HHS and addresses critical women’s health issues.

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This site has a wealth of information for everyone but is geared towards rural

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Information and resources to support rural health.

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Kelly Taylor

AdventHealth EMS (Hospital based)

kelly.taylor@adventhealth.com

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Kelly Taylor

AdventHealth EMS (Hospital based)

kelly.taylor@adventhealth.com

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Symptoms of left sided heart failure | Circulatory System and Disease | NCLEX-RN | Khan Academy

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Symptoms of right sided heart failure | Circulatory System and Disease | NCLEX-RN | Khan Academy

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Hypertension and heart damage | Circulatory System and Disease | NCLEX-RN | Khan Academy

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Types of pulmonary diseases | Respiratory system diseases | NCLEX-RN | Khan Academy

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What is coronary artery disease? | Circulatory System and Disease | NCLEX-RN | Khan Academy

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Categories of mental disorders | Behavior | MCAT | Khan Academy

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Pathophysiology - Type II diabetes | Endocrine system diseases | NCLEX-RN | Khan Academy

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Attached is a CMS reimbursement calculator I put together. It involves using plug and play models which you could use to project reimbursement using your current numbers. Your CMS factors may be different depending on your region. There are three reimbursements models: 1) the minimum only using state Medicare reimbursement with only Medicare eligible patients 2) Uses Medicare reimbursement with only Medicare eligible patients with the realistic belief you will do at least 2 follow up visits in a month 3) Uses the real time formula and adds the variable of Medicare Advantage coverage into the equation with the average reimbursement being approximately 200% of CMS.

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Web App for identifying Mobile Integrated Health Program by County

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Web App for identifying Mobile Integrated Health Program by County

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Our team uses these PCP letters as a resource to better coordinate care with other providers and advocate for our patients' needs.

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SAFE SLEEP COMMUNITY TRAINING FOR PARTNERS AND PROFESSIONALS

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Learn how to create a safe sleep environment for babies at our community training for partners and professionals!

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Have you heard of Centering Pregnancy? It's a really innovative program that focuses on educating moms with close due dates

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Have you heard of Centering Pregnancy? It's a really innovative program that focuses on educating moms with close due dates

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Centering group prenatal care follows the recommended schedule of 10 prenatal visits, but each visit is 90 minutes to two hours long - giving women 10x more time with their provider. Moms engage in their care by taking their own weight and blood pressure and recording their own health data with private time with their provider for belly check.

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NAMIHP link and email for Victoria Reinhartz from the Oct. 2025 ATC meeting

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NAMIHP link and email for Victoria Reinhartz from the Oct. 2025 ATC meeting

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Victoria Reinhartz, PharmD, CPh

Executive Director

National Association of Mobile Integrated Healthcare Providers

O: 1.833.4.NAMIHP | C: 770-712-7067

vreinhartz@namihp.org

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NAMIHP | Home | The Solution to Fragmented Healthcare

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We exist to create and support national partnerships in Mobile Integrated Healthcare through education, open dialogue, business development, and community awareness.

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Central and North Central Florida Healthy Start Coalitions - Every baby deserves a healthy start

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Healthy Start - Central and North Central Florida Healthy Start Coalitions

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Counties: Alachua, Bradford, Citrus, Columbia, Dixie, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee, Union About: Healthy Start is a home visiting program that provides one-on-one support throughout a woman’s pregnancy, and is there for mom and family after baby is born and during early childhood. This free program is designed to meet the

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Fetal Infant Mortality Community Action (Projects Listed by Regions) 

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Fetal Infant Mortality Community Action (Projects Listed by Regions) 

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Pregnancy and Substance Use: A Harm Reduction Toolkit from the National Harm Reduction Coalition

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Pregnancy and Substance Use: A Harm Reduction Toolkit - National Harm Reduction Coalition

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This information is intended for use by pregnant and parenting people who use drugs, their loved ones, and their service providers. Our goal is to promote the overall health and well-being of pregnant people who use substances and their families. Most people use substances. And when they find out they are pregnant, most people think about stopping or reducing their substance use. It is important to know that there are many things you can do, related to substance use or not, to have a healthy pregnancy.

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The National Center for Fatality Review and Prevention

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FIMR Map - The National Center for Fatality Review and Prevention

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View the states, territories, and regions that have a FIMR program and its details

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Pregnancy and Substance Use Harm Reduction Toolkit from the National Harm Reduction Coalition

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Pregnancy and Substance Use: A Harm Reduction Toolkit - National Harm Reduction Coalition

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This information is intended for use by pregnant and parenting people who use drugs, their loved ones, and their service providers. Our goal is to promote the overall health and well-being of pregnant people who use substances and their families. Most people use substances. And when they find out they are pregnant, most people think about stopping or reducing their substance use. It is important to know that there are many things you can do, related to substance use or not, to have a healthy pregnancy.

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Hi everyone!

Michael Tayler from Hillsborough County here.

My position sits within the Indigent Health Care Fund - that "social services" fund every county has to help the very poor pay medical bills - so I'm on the payor side of things.

In Hillsborough, we run our fund as a health care plan (the Hillsborough County Health Care Plan) and actually enroll people as members (just like an insurance company). We would like to establish a payment structure and begin paying for CP/MIH services to our plan members.

Can you share how (and how much) you "bill" for your CP/MIH encounters?

Feel free to share here, but please e-mail me so we can have a direct conversation - TAYLERM@HCFL.gov

Thanks, and keep up the good work!

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Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications

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Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications

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Due to aggressive automated scraping of FederalRegister.gov and eCFR.gov, programmatic access to these sites is limited to access to our extensive developer APIs.