Blurring the lines of pre-hospital and home care. When 911 is activated, is it possible to triage the root cause and dispatch an appropriate clinical professional to the patient instead of EMS transporting to the ED?
CAMTS has since published its Mobile Integrated Healthcare (MIH) accreditation standards, now in their 2nd Edition (2026).
Why MIH?
- Prevents readmission
- Management of frequent EMS users
- Chronic disease counseling
- Assessment and assistance to appropriate treatment centers
- Nurse triage services
- Physician extension
This model is relatively new in our industry. Originally implemented as a way to manage chronic diseases and illnesses at home to avoid hospital readmission, it has grown exponentially in recent years.
By blending EMS, telemedicine, and often mid-level providers in the community, these mobile resources are available to help patients manage chronic illnesses in their homes. This can help decrease the frequency of acute decompensation and costly hospital readmission.
Depending on the model, hospital level monitoring and care can be provided at home. This has several benefits including increased likelihood for rest and recovery in their own environment, instead of the hospital. Monitoring equipment and frequent visits by MIH professionals allow for the care team to provide this type of care.
Another benefit of MIH is the ability to direct patients to the appropriate clinical setting without visiting the ED. These can include primary care, specialists, mental health professionals, and other treatment centers.
We can help ensure you are prepared for MIH Accreditation— be one of the first!
Where CAMTS MIH Standards Stand Today
CAMTS now publishes standalone Mobile Integrated Healthcare (MIH) accreditation standards. According to the CAMTS standards page, the 2nd Edition (2026) is the current MIH version, and CAMTS revises its standards every two to three years and accepts comments through open drafts. Because editions change, confirm the current version before you begin preparing.
What MIH Programs Should Be Ready to Show
The care model differs from air transport, but MIH programs still need survey-ready evidence in the same core areas. The standards define the specifics; these are the areas we would typically review first in a readiness assessment:
- A clear scope of service and patient selection criteria for community-based visits.
- Clinical protocols and medical direction oversight for care delivered in the home, including how telemedicine and handoffs are handled where used.
- Staff qualifications, orientation and ongoing competency verification.
- A quality management program that tracks outcomes such as ED diversions and readmissions, and closes the loop on issues it finds.
- Coordination agreements and referral pathways with primary care, specialists, behavioral health and other community partners.
Getting Started
The most efficient first step is a gap analysis of your current policies, training records and quality data against the current MIH standards. That shows which gaps to close first and lets you set a realistic application timeline. Programs that begin early have time to run a mock survey before the real one. Not sure which accreditation fits your program?
Questions to Answer Before You Apply
- Which services in your program fall within the MIH standards, and which do not?
- Who provides medical direction for community-based care, and how is their oversight documented?
- What outcome data do you already collect, and who reviews it?
- Which community partners do you rely on for referrals, and are those relationships formalized?
- What is your target application date, and how much preparation time does that leave?
If several of these are unanswered, a gap analysis is the fastest way to turn them into a plan.
Further reading
You may also want to read why CAMTS accreditation matters and what medical transport accreditation means. If your program is preparing for accreditation, learn how we help with CAMTS accreditation consulting.
Frequently Asked Questions
What is CAMTS accreditation for Mobile Integrated Healthcare (MIH) programs?
CAMTS offers accreditation standards specifically designed for Mobile Integrated Healthcare programs, recognizing MIH as a distinct area of community paramedicine and mobile health services. CAMTS MIH accreditation independently verifies that a program meets rigorous clinical and operational standards for this specialized model of care.
How do MIH programs qualify for CAMTS accreditation?
MIH programs must demonstrate compliance with CAMTS standards for clinical quality, staffing qualifications, patient care protocols, quality improvement, and operational management. The process mirrors traditional CAMTS accreditation but is tailored to community-based, non-transport service delivery.
Why should Mobile Integrated Healthcare programs seek CAMTS accreditation?
CAMTS MIH accreditation validates the clinical quality and safety of community paramedicine programs, supports payor recognition, and provides a competitive advantage when bidding for government contracts or hospital partnership agreements.
How does MIH accreditation differ from traditional air medical transport accreditation?
While core quality management principles are similar, MIH accreditation focuses on community-based patient interactions, chronic disease management, social determinants of health, and care coordination with primary care — rather than transport and aviation-specific standards.