Mobile Integrated Healthcare
Delivering healthcare beyond hospital walls through innovative clinical partnerships that improve patient outcomes, reduce avoidable utilization, and support the future of value-based care.
Healthcare Beyond Hospital Walls
Healthcare is evolving beyond the traditional hospital setting. As health systems face increasing pressure to improve patient outcomes, reduce avoidable readmissions, manage capacity, and control costs, Mobile Integrated Healthcare (MIH) has emerged as a proven model for extending clinical care into the home and community.
One Year of Audited Results
Beginning in March 2022, Procare MIH partnered with leading hospital system in Maryland to launch the Discharge-to-Home Healthcare Bridge Program, closing the gap between hospital discharge and the start of home healthcare services. The pilot has become a full-scale program and grown to include additional patient populations. For the 12-month pilot study period through March 2023, the program achieved the following results:
0%
Return on Investment for hospital systemConservative calculation per hospital system
0
Total MIH Referrals12-month pilot
0
Hospital Days SavedAll referral types
21% → 15%
Readmission Rate
High-risk patient population
METHODOLOGY
- Patient population weighted toward high-risk chronic conditions — CHF, COPD, diabetes, pneumonia, asthma
- Hospital days saved measured in Epic: discharge to start of next care
- Expected Readmission rate of 21% based on Epic’s Risk of Readmission score at patient discharge decreased to actual Readmission Rate for same patient population of 15%
- ROI calculated by hospital system’s finance team using internal cost figures — a deliberately conservative approach; not all days saved were included
Delivering measurable Outcomes
Mobile Integrated Healthcare is more than an innovative care model—it's a proven strategy for helping hospitals and health systems improve patient outcomes, strengthen care coordination, and successfully transition to value-based healthcare. By delivering timely clinical care where patients need it most, Procare helps healthcare organizations extend care beyond hospital walls while improving both the patient experience and operational performance.
Reduce Avoidable Readmissions and Prevent Unnecessary ED Visits
Supporting patients during the critical transition from hospital to home through proactive clinical interventions that help reduce preventable readmissions and improve recovery.
Improve Patient Experience
Delivering compassionate, personalized care in the comfort of the patient's home while increasing access to timely clinical services and enhancing patient satisfaction.
Support Value-Based Care
Helping healthcare organizations improve quality metrics, reduce avoidable utilization, and advance population health through coordinated, evidence-based care delivery.
Extend Care Beyond Hospital Walls
Partnering with hospitals and health systems to deliver innovative Mobile Integrated Healthcare solutions that improve care transitions, expand clinical access, and strengthen the continuum of care.
A Trusted Healthcare Partner
As healthcare continues to evolve, Procare remains committed to helping hospitals and health systems deliver smarter, more connected care. Through innovative Mobile Integrated Healthcare programs, advanced clinical capabilities, and collaborative partnerships, we are redefining how healthcare is delivered—improving outcomes for patients while creating lasting value for the organizations we serve.
A Trusted
Healthcare Partner
As healthcare continues to evolve, Procare remains committed to helping hospitals and health systems deliver smarter, more connected care. Through innovative Mobile Integrated Healthcare programs, advanced clinical capabilities, and collaborative partnerships, we are redefining how healthcare is delivered—improving outcomes for patients while creating lasting value for the organizations we serve.
Demonstrated Clinical Impact
Our Mobile Integrated Healthcare model has delivered measurable clinical and operational results through a one-year partnership with a regional health system, demonstrating the value of extending care beyond hospital walls.
One-Year Pilot Results
- 500+ inpatient days avoided
- Reduced avoidable hospital readmissions and emergency department utilization
- Improved care coordination across the continuum of care
- Enhanced patient outcomes and patient satisfaction
- Demonstrated 149% positive return on the hospital’s investment through reduced hospital utilization
Results reflect outcomes from a one-year Mobile Integrated Healthcare pilot program.
Extending Clinical Care Through Telehealth
Procare combines in-home clinical care with real-time telehealth technology to connect patients directly with hospital-based physicians and care teams. This integrated approach enables comprehensive patient assessments, medication reconciliation, care plan evaluation, and ongoing monitoring—all while allowing patients to receive appropriate care safely at home.
By strengthening communication between patients, clinicians, and healthcare providers, Procare helps improve care transitions, support chronic disease management, and reduce unnecessary hospital utilization.
Advanced Clinical Care in the Home
Working under physician direction and evidence-based clinical protocols, Procare's Mobile Integrated Healthcare clinicians deliver advanced assessment, monitoring, and treatment in the home — allowing many patients to safely receive hospital-level services without returning to the emergency department.
Clinical capabilities include:
- Comprehensive in-home clinical assessments
- Point-of-care diagnostic testing (including i-STAT laboratory testing)
- Cardiac assessment and 12-lead ECG monitoring
- Intravenous medications, fluids, antibiotics, and diuretic therapy
- Respiratory assessment, nebulizer treatments, and oxygen management
- Medication reconciliation and adherence support
- Chronic disease management for high-risk patient populations
- Wound care, catheter management, and other physician-directed clinical interventions
- Telehealth consultations with physicians and specialists
- Clinical decision-making supported by evidence-based protocols
- Patient and caregiver education to support self-management and recovery
- Care coordination with hospitals, physicians, specialists, and home health providers
- Physician-directed treatment plans with rapid escalation when higher levels of care are needed
Care Coordination & Transitional Care
Follow Up
Successful recovery doesn't end at hospital discharge. Procare's Mobile Integrated Healthcare clinicians work closely with hospital care teams to ensure patients experience safe, coordinated transitions from the hospital to home while reducing the risk of avoidable complications and readmissions.
Services include:
- Comprehensive in-home clinical assessments
- Medication reconciliation and patient education
- Chronic disease management support
- Care plan compliance and follow-up
- Coordination of appointments and diagnostic services
- Real-time communication with physicians and care teams
- Transportation coordination and community resource referrals
- Outcome monitoring and quality improvement
- Multiple follow-up calls to the patient following the MIH visit
- Communication back to the hospital and home health care teams
Common Conditions We Support
- Congestive Heart Failure (CHF)
- Chronic Obstructive Pulmonary Disease (COPD)
- Pneumonia
- Asthma
- Diabetes
- Hypertension
- Cellulitis requiring IV antibiotics
- Post-discharge surgical recovery
- Dehydration
- High-risk Medicare patients
- Patients transitioning from hospital to home