{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T06:45:02Z","timestamp":1791873902596,"version":"4.3.4"},"reference-count":10,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Population Health Management"],"abstract":"<jats:p>To advance local health equity, a large urban fire department\u2019s Mobile Integrated Healthcare (MIH) Unit worked with a Chicago-based health care organization to refer patients in \u201cmedical homes\u201d to a MIH program. Medical home coordinators referred individuals to Community Paramedics (CPs) in the MIH Unit for program enrollment with a 4-visit model in 4 clinical pathways (hypertension, diabetes, asthma\/Chronic Obstructive Pulmonary Disease [COPD], and heart failure). A total of 911 utilization of ambulance transportation, emergency department (ED) visits, and inpatient hospitalizations before and after intervention were measured to gauge program impact. A postgraduation survey was distributed to participants. From November 2022 to March 2025, 68 referred individuals completed the program and graduated with a total of 321 in-person visits by CPs. Data were gathered for 6 months before program enrollment and 6 months post-intervention. The most common clinical pathway for graduated patients was hypertension (75%), diabetes (57%), asthma\/COPD (47%), and heart failure (41%). Among graduated patients, there was a 43% decrease in 911 ambulance transports, a 46% decrease in ED utilization, and a 42% decrease in hospital admissions. The postgraduation survey was completed by 53% of program graduates; 81% reported symptom improvement, 58% indicated an improved relationship with their primary care clinic, and 74% agreed that CPs improved their overall health care experience. Creating a partnership between a patient\u2019s primary care medical home and a large urban fire department\u2019s MIH program is a successful strategy for decreasing 911 ambulance transports, ED utilization, and inpatient hospital admissions for individuals at risk for poor health outcomes.<\/jats:p>","DOI":"10.1177\/19427891261496776","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T05:50:16Z","timestamp":1791870616000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Community Paramedics Address Health Inequities Within EMS Through Mobile Integrated Healthcare (MIH) Program Referrals from a \u201cMedical Home\u201d"],"prefix":"10.1177","author":[{"given":"Zo\u00eb","family":"Curry","sequence":"first","affiliation":[{"name":"Section of Emergency Medicine, University of Chicago Medical Center, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brent","family":"Olson","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Loyola University Medical Center, Maywood, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Kloos","sequence":"additional","affiliation":[{"name":"Medical Home Network, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Zaentz","sequence":"additional","affiliation":[{"name":"Chicago Fire Department, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ameera","family":"Haamid","sequence":"additional","affiliation":[{"name":"Section of Emergency Medicine, University of Chicago Medical Center, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Piwowar","sequence":"additional","affiliation":[{"name":"Chicago Fire Department, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"O\u2019Connor","sequence":"additional","affiliation":[{"name":"Chicago Fire Department, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0883-3527","authenticated-orcid":false,"given":"Katie","family":"Tataris","sequence":"additional","affiliation":[{"name":"Section of Emergency Medicine, University of Chicago Medical Center, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.25181"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd13.160088"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2023.a912717"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rcsop.2022.100201"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-05989-7"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-022-01148-7"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/pop.2017.0130"},{"key":"e_1_3_2_9_1","unstructured":"8.Medical Home Network. Medicalhomenetwork.org 2019. Available from: https:\/\/medicalhomenetwork.org\/"},{"issue":"3","key":"e_1_3_2_10_1","first-page":"A27","article-title":"Community-driven health solutions on Chicago\u2019s south side","volume":"19","author":"Smith JD","year":"2021","unstructured":"9.Smith JD, , Davis P, , Kho AN. Community-driven health solutions on Chicago\u2019s south side. Stanf Soc Innov Rev 2021;19(3):A27\u2013A29. Available from: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8570619\/","journal-title":"Stanf Soc Innov Rev"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7101a6"}],"container-title":["Population Health Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19427891261496776","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19427891261496776","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19427891261496776","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T05:50:17Z","timestamp":1791870617000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19427891261496776"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,12]]},"references-count":10,"alternative-id":["10.1177\/19427891261496776"],"URL":"https:\/\/doi.org\/10.1177\/19427891261496776","relation":{},"ISSN":["1942-7891","1942-7905"],"issn-type":[{"value":"1942-7891","type":"print"},{"value":"1942-7905","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,12]]},"article-number":"19427891261496776"}}