Monadnock Community Hospitals Mobile Integrated Healthcare (MIH) Program selected for National Program Worlds Greatest
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Mobile Integrated Health MIH
Mobile Integrated Healthcare (MIH)
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Mobile Integrated Healthcare (MIH)


Monadnock Community Hospital’s Mobile Integrated Health program is a community benefit providing patient-centered care in the home focused on primary care.

It is the only community paramedicine program in the Monadnock region and was the busiest in the state in 2022 at 49% of all cases in New Hampshire among twelve programs.

MIH’s community paramedics Joshua Patrick and Thomas Dardas have been recognized by the International Board of Specialty Certification (IBSC) as the third program in the world, and the first program east of the Mississipi, to achieve 100% board certification.

Mobile Integrated Healthcare (MIH) is a novel approach to filling some of the gaps in the healthcare system. It utilizes emergency medical service providers in non-traditional roles to help improve population health, reduce costs per capita, and improve the experience of care.

  • The MIH program at MCH is patient-centered and focused around primary care. Our highly educated and board certified community paramedics (CPs) work directly with the patient’s primary care provider (PCP) to increase access to primary care and mitigate transportation and technology challenges.
  • The MIH program is an innovative and comprehensive program that provides many services to our patients.
  • MIH works with PCPs to help patients successfully transition from a hospital admission or skilled nursing facility back into the community to prevent readmissions.
  • Our skilled Community Paramedics can provide support for patients who have a high number of avoidable emergency department visits by connecting them with resources.
  • The MIH program also supports many aspects of primary care by being their eyes, ears, and hands within the patient’s home.
  • Being a hospital-based program has substantial benefits. Our Community Paramedics (CPs) are able to document directly in your health record.
  • This allows real time collaboration between your PCP and the Community Paramedic.
  • The CPs are also able to bring your current medication list, allergies, and past medical history up to date for your PCP.

Mobile Integrated Healthcare (MIH) Program Survey Rating from 1-5, 1 very poor, 5 very good as of 10/5/23

Patient Quotes We would not be able to access the necessary labs and other assessments needed for my care without MIH The paramedics always communicate clearly and respectfully and are patient with the MS concerns. This program has really been a game changer - if the help didn't come to me some test and observations would not have been done.

Reason for MIH Service Home bound 48% Post discharge 19% No transportation 19% Other 9% Home health unavailable 5% No PCP appts 0%

MIH Provider Friendliness/courtesy of the care provider 4.92 Likelihood of you recommending this care provider to others 4.92 Care provider's discussion of any proposed treatment (options, risks, benefits, etc) 4.91 Care provider's efforts to include you in decisions about your care 4.91 Explanations the care provider gave about your problem or condition 4.92 Concern the care provider showed for your questions and worries 4.92

Personal Issues Degree to which staff treated you with respect and compassion 4.79 Your confidence that staff provided care in a safe and secure manner 4.92 How well the staff protected your safety (by hand sanitizing, wearing id, etc) 4.92 Our concern for your privacy 4.85

MIH Program The quality of care received from the MIH program 5.00 Likelihood of you recommending the MIH program to others 5.00 I would no have been able to get the care I received without the MIH program 5.00 Coordinated care with my primary care provider 5.00 Helped increase my access to healthcare 4.92

Access Degree to which the scheduler treated you with respect and compassion 4.85 Our promptness in returning your phone calls 4.64 Ease of contacting (e.g. email, phone) the MIH program 4.73 Ease of scheduling your appointment 4.69

Patient Quotes I have a hard time both with transportation at times and sometimes agoraphobia. I have been sick this past year - bad fall - transfusions due to low blood - bronchitis. He was patient and caring with me. It was great. I needed to be seen by a doctor and have labs drawn but I couldn't go to the lab or doctor's office because I was too weak. I was so thankful Josh could come to me.