Caroline Co. Launches Mobile Integrated Health Program

CAROLINE COUNTY, Md. – Caroline County has launched a Mobile Integrated Health (MIH) Program aimed at improving community health and reducing 911 call volume.

The County Commissioners reviewed and discussed the memorandum of understanding for the program during their public meeting on Tuesday, Nov. 25. The program will be operated collaboratively by the Caroline County Health Department (CCHD) and Caroline County Department of Emergency Services EMS Division.

The Origins of the MIH Program

The concept for the MIH program was introduced nearly three years ago during collaborative discussions between the two departments. During the planning process, a comprehensive needs assessment was completed. Additionally, program policies and procedures were developed, and the necessary funding was secured. Dedicated staff have since been hired through the Caroline County Health Department to oversee and administer the program.

Who Qualifies for MIH?

According to program criteria, individuals who have called 911 five or more times within the last six months, are 18 years or older, and reside in Caroline County will be eligible for services. Director of Nursing Holly Trice noted that approximately 73 residents currently meet the high-utilizer threshold. Referrals will be limited initially, with close coordination between the County, community healthcare providers, and partner agencies.

“Data shows a steady rise in EMS call volume, increasing demand on our emergency resources,” said Trice. “Our goal is to improve health outcomes while reducing unnecessary 911 utilization and avoidable emergency department visits.”

MIH Program Rollout

The program will launch on Dec. 1 in a limited capacity, with full implementation beginning in January. As the program becomes fully operational, the MIH team will provide short-term case management, including necessary home visits each week. Each visit will include physical, psychosocial, and environmental assessments to identify needs and connect clients with appropriate community resources.

“This program is needed,” said KJ Marvel, Division Chief for Caroline County Emergency Medical Services. “Without a local hospital in the county, this effort helps ensure that paramedics remain available for high-acuity emergencies while also reducing ER wait times, unnecessary transports, and helping residents access primary care.”

Funding the Program

Funding for the program is currently provided by Caroline County and The Caroline Foundation. County leaders and program administrators plan to continue pursuing grant opportunities and advocating for reimbursement pathways that support long-term sustainability.

“One of the things we need to continue lobbying for is the ability to reimburse MIH services,” Trice added. “These services benefit the community and the healthcare system as a whole, and we need your voices to help move this forward.”