Integrated Healthcare Network (MIHN) in Missouri has
community paramedics (CPs) and community health workers
(CHWs) make regular home visits to patients who are
chronically ill, at high risk of medical emergencies, and
lacking access to primary care. In addition, patients who
were recently in the hospital, have trouble managing
their conditions, and/or were referred by a provider are
eligible for the program.
MIHN began as a pilot project in Washington County
serving patients with diabetes; the Washington County
Ambulance District partners with the Great Mines Health
Center (a Federally Qualified Health Center, or FQHC),
Community Asset Builders, and Mineral Area College. When
the project succeeded, it expanded to reach patients with
other conditions and to more counties. The program has
also offered COVID-19 testing, vaccinations, and monthly
food bank deliveries to patients.
Local MIH Networks are currently in the rural counties of
Adair, Carroll, Cedar, Dade, Douglas, Franklin,
Gasconade, Hickory, Lincoln, Maries, Osage, Polk,
Reynolds, St. Francois, Stone, Washington, and Webster.
MIHN partners with the Missouri Department of Health and
Senior Services, including the Office of Rural Health and
Primary Care and the Bureau of Cancer and Chronic Disease
Control. The program also collaborates closely with the
Missouri Office of Rural Health and Primary Care and the
Missouri EMS Association on education and training
opportunities for new and existing MIH Networks.
The MIHN pilot project in Washington County received
funding from the Federal Office of Rural Health Policy
Rural Health Care Services Outreach grant program.