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Table of Contents:
Bloomington Fire Department’s Fantastic Presentation and the 5 E’s
MIH-CP Staffing Tips
Region of the week
Spotlight Panel Session Discusses AI and Funding Cuts in MIH-CP
Read Time: 9 minutes
NAMIHP
Mobile Integrated Health and Community Risk Reduction: THE Healthy Marriage
Bloomington Fire Dept | Shelby VanDerMoere & Amber Stewart
5 E's for MIH-CP:
Engineering: Addresses the physical environment to reduce risk before harm occurs. This includes fall risk assessment in the home, improving accessibility, and modifying surroundings to prevent injury (e.g. grab bars, ramp access, hazard removal).
Education: Providing information and building awareness in the public. Examples include CPR training, proper fire escape planning, Narcan/naloxone distribution and training, and other community health literacy efforts that empower people to act in emergencies.
Enforcement: Using laws, codes, and inspections to ensure minimum safety standards are met. This can include fire code compliance, housing inspections, and other regulatory mechanisms that create accountability across the community.
Economic Incentives: Removing financial barriers to safety by offering incentives like tax breaks, subsidies, or free equipment (e.g. smoke alarms, CO detectors). Helps ensure that cost is not the reason a household goes unprotected.
Emergency Response: Ensuring the community has access to adequate, well-trained responders who can act in real time when the other four E's aren't enough. This includes MIH programs like community paramedics and EMTs who go beyond traditional 911 response to provide proactive, preventive care.
Meet the Speakers
Staffing Tips
Supportive Separation of Staff: When it is Time to Say Goodbye
Gainesville Fire Department | Krista Ott
Hiring the Right People
Start by clearly defining your job descriptions and identifying both the strengths you're looking for and your non-negotiables. Source candidates thoughtfully — treat them like customers. When screening, look beyond qualifications to culture fit, and don't fixate on a candidate's past. Use social media as a tool. From there, run effective interviews, check references and backgrounds, compare your candidates carefully, and make a clear offer.
Involuntary Termination
Preparation is everything, set a time and location that fits the situation, and go in knowing what you want to say. Keep it short, direct, and caring. There's an important distinction between separating someone from employment versus simply "firing" them. The framing matters. State your justification clearly, acknowledge the emotions in the room, and actively listen. Walk them through next steps, anticipate concerns they may have about support going forward, and always end on a positive note.
Meet the Speaker
Sponsored By: Julota
Julota's MIH-CP software empowers community paramedics to deliver smarter, more connected care by simplifying fragmented data and streamlining processes. With real-time patient insights, automated reporting, customizable workflows, secure HIPAA and CFR-42-compliant collaboration, and actionable analytics, Julota enables impactful care and improved outcomes. Designed to bridge healthcare and social determinants of health, it helps your program stay ahead of change.
Region of the Week: Caroline County, Maryland
Caroline County's new Mobile Integrated Health unit had a strong early showing, serving 10 patients and saving over $111,500 in its first 30 days by proactively preventing 911 calls and hospital transports. The program targets frequent 911 callers (five or more calls in six months), offering joint nursing and paramedic home visits focused on physical, psychosocial, and environmental assessments. Despite only operating one day a week during its soft launch, the county saw an 85% reduction in 911 calls among enrolled patients, with 100% patient satisfaction. Funding and limited scheduling remain barriers as the program works toward expanding to more days per week.
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Spotlight Session
AI and Funding Cuts in MIH-CP
AI in Community Care
A key takeaway from the Spotlight Panel Session on Acute Care Anywhere was that AI should augment clinical decision making, not replace it. In practice, this looks like reducing chart fatigue, turning dense patient data into readable narratives, and tailoring discharge instructions to the individual. In MIH specifically, AI can flag trends in vital signs faster than any manual review, freeing case managers to focus on the human side of care that no algorithm can replicate.
Funding Cuts to MIH
MIH programs are often labeled as excess spending, so the burden falls on programs to prove their value. That means showing concrete reductions in ED and outpatient costs, starting with small pilots that generate hard evidence, and building relationships with decision makers like your chief and mayor before the budget conversations happen.