Medstar Mobile Healthcare

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Advanced elements associated with emergency medical services and patient care in the homecare environment.

Course Learning Objectives
  • Introduction to Mobile Integrated Healthcare Programs (MIHP)- 
    • Define the concept of Mobile Integrated Healthcare
    • Articulate the evolution and history of healthcare delivery, and the evolution and current practice of EMS
    • Summarize the reasons for transformation to MIHP
    • Define the general features and core components for MIHP
    • Compare and contrast the philosophies of event-focused, episodic care to patient centered integrated care
    • Explain the expanded role of the MIHP Practitioner
    • Describe the role of MIHP in the healthcare system and the community and its importance to accomplish better patient outcomes
    • Review the general features and core components of an MIHP Program
  • Motivational Interviewing- 
    • Explain evidence-based therapeutic intervention
    • Examine social determinants of health
    • Explore autonomy, collaboration and evocation
    • Analyze road blocks to listening
    • Analyze affirmation, reflection and summary statements
    • Examine how to appropriately respond to resistance
    • Examine different ways to prepare for change
  • Roles, Responsibilities, and Interactions 
    • List components that contribute to wellness and the importance they have in managing stress
    • Describe the similarities, differences, and warning signs associated with burn out and compassion fatigue
    • Define professional boundaries and limits
    • Discuss the strategies used to ensure personal safety during a patient encounter in the Community Health setting
    • Describe the enrollment visit, intake visit, follow-up home visit, and end-of-care visit
    • Explain the factors that influence education of patients, including health literacy concerns
  • Patient Assessment and Care
    • Describe the purpose of the patient needs assessment
    • Identify special considerations that can affect the needs of the patient
    • Identify the elements of a patient assessment in the community health environment
    • Describe the system review approach to the physical examination used by the community paramedic
    • Identify the components and purpose of a basic metabolic profile
    • Describe the role of the plan of care to optimize integrated care
  • Disease Management: Heart Failure, Diabetes, and Respiratory
    • Review of the renal system and how it works
    • Understand the pathophysiology of heart failure
    • Explain how to assess the patient with heart failure and their environment
    • Explain management options of the patient with heart failure by the MHP/CP
    • Develop an effective care plan for the patient with heart failure
    • Basic review of the endocrine system
    • Defining diabetes and understanding the pathophysiology of Type I and Type II diabetes
    • Explain how to assess the patient with diabetes and their environment
    • Explain management options of the patient with diabetes by the MHP/CP
    • Develop an effective care plan for the patient with diabetes
    • Understand the anatomy and physiology of the human airway
    • Understand the pathophysiology of COPD and asthma
    • Explain how to assess the patient with asthma or COPD and their environment
    • Explain management options of the patient with asthma or COPD by the MHP/CP
    • Develop an effective care plan for the patient with asthma or COPD
  • Behavioral Health
    • Examine the components of human behavior
    • Examine substance-related disorders, psychosis, schizophrenia and mood disorders
    • Describe the physical and environmental assessment of the behavioral health patient
    • Discuss management options
    • Develop an effective care plan to help the patient better manage their disorder and utilizing available community resources and primary care teams.
  • Hospice/palliative/home health: 
    • Develop a partnership with hospice agencies to optimize the patient experience 
    • Describe the psychosocial needs of the hospice patient and their family
    • Discuss therapeutic options for management of acute complications for the hospice patient
    • Identify state and federal laws regarding advance directives and out of hospital do not resuscitate orders
    • Develop an effective care plan to help the patient and family navigate the hospice experience 6. Explore the process of advanced care planning
  • Course Review/Scenarios/Final Exam
    • Demonstrate focused assessments for the following patient population: Congestive heart failure, diabetes, hospice, behavioral health, and the high utilization population
  • Core Clinical Rotations
    • Mobile Health Paramedic- 20 hours
    • Critical Care Paramedic- 12 hours
    • MHMR iCARE- 4 hours
    • Hospice- 4 hours
    • Home Health- 4 hours
    • Primary Care- 4 hours
Required Textbooks
  • Mobile Integrated Healthcare: Approach to Implementation 1st Edition.
Evaluation Standards

A = 90 – 100%

B = 80 – 89%

F = 0 – 79%

Disabilities

ADA Statement:

Any student with a documented disability (e.g. learning, psychiatric, vision, hearing, etc.) may contact the Office on the Weatherford College Weatherford Campus to request reasonable accommodations. Phone: 817-598-6350 Office Location: Office Number 118 in the Student Services Building, upper floor. Physical Address: Weatherford College 225 College Park Drive Weatherford, TX.

Academic Integrity
Academic Integrity is fundamental to the educational mission of Weatherford College, and the College expects its students to maintain high standards of personal and scholarly conduct. Academic dishonesty of any kind will not be tolerated. Academic dishonesty includes, but is not limited to, cheating on an examination or other academic work, plagiarism, collusion, and the abuse of resource materials including unauthorized use of Generative AI. Departments may adopt discipline specific guidelines on Generative AI usage approved by the instructional dean. Any student who is demonstrated to have engaged in any of these activities will be subject to immediate disciplinary action in accordance with institutional procedures.
Hope Statement
Any student who faces challenges securing basic resources such as food, clothing, or housing and believes this may affect their performance in their course of study is urged to contact the Director of Student Resources, Dr. Deborah Cregger, for support at (817) 598-6444. Her office is on the first floor of Student Services. If the student prefers, they may contact their instructor, who can reach out on their behalf. Weatherford College also provides the Coyote Pantry. The Pantry maintains boxed and canned foods for students in need. The location of the Coyote Pantry is two blocks west of the Weatherford campus at the Baptist Student Ministry (118 E. Park Ave., Weatherford). Pantry hours are Mon-Thurs. 8:30 am-4:30 pm and Fri. 8.30 am-12:00 pm (817-599-6586).