What is Mobile Integrated Healthcare Practice?

A Unique Approach to Common Healthcare Delivery Problems.

The U.S. health care system is often described as one that fails to achieve optimal health outcomes while generating exorbitant costs for patients, payors and society.

The Institute of Medicine (IOM) estimates that $750 billion—30% of the U.S. annual health care budget—is wasted on unnecessary services, inefficient delivery, excessive administrative costs and prevention failures. Barriers to patient access, fragmentation of acute and chronic care, ineffective management of chronic illness, and complex, outdated reimbursement processes leave patients, clinicians and payors frustrated at historic levels.

A special problem: 24/7 coordinated out-of-hospital care. The discontinuities of health service are notably evident in the care of patients at home; this is particularly true for the chronically ill, frail elderly and mobility impaired. Multiple single-purpose providers offer niche care and often only during restricted hours of operation, neither of which match the actual needs of this patient population.

As a result, patients are routinely referred to hospital emergency departments (EDs) by their healthcare providers, outside of normal business hours, despite the common knowledge that the ED is an imprecise match to their needs. Further, care gaps such as a lack of post-acute transitional care make preventable re-admissions a virtual inevitability that is both expensive and disappointing to patients, caregivers and the health care system.

The MIHP Solution.

In attempts to correct some of these shortcomings, we propose here a novel delivery strategy for an inter-professional practice of medicine—Mobile Integrated Healthcare Practice (MIHP)—intended to serve a range of patients in the out-of-hospital setting by providing 24/7 needs-based at-home integrated acute care, chronic care and prevention services.

A Mobile Integrated Healthcare Practice will:

  • Focus on patient-centered navigation and offer transparent population-specific care by integrating existing infrastructure and resources, bringing care to patients through technology, communications, and health information exchange
  • Define its operations through population-based needs assessment and tools
  • Leverage multiple strategic partnerships operating under physician medical oversight
  • Improve access to care and health equity through 24-hour care availability
  • Deliver evidence based practice using multidisciplinary and inter-professional teams in which providers utilize the full scope of their individual practices and support healthcare delivery innovation

Excerpted from Mobile Integrated Healthcare Practice: A Healthcare Delivery Strategy to Improve Access, Outcomes, and Value. Click here to download the full article.

More Information.

Mobile Integrated Healthcare Practice is gaining recognition and adoption throughout the country. Read more about the MIHP strategy by downloading the articles linked here.

More papers will be uploaded as they become published and available. Check back soon for updates.


Mobile Integrated Healthcare Practice: A Healthcare Delivery Strategy to Improve Access, Outcomes, and Value.
Published in Modern Healthcare, 2013.
Click here to download (pdf)

Disseminating Innovations in Health Care
Published in Journal of the American Medical Association, 2003.
Click here to download (pdf)