Reduce 911 misuse
Find the frequent callers, the avoidable transports, and the gaps in primary and behavioral health access driving volume — then design visits that actually change that pattern.
Navigating Mobile Healthcare Innovation
Helping fire, EMS, and health systems build Mobile Integrated Health programs that last beyond the grant.
Compass Mobile Healthcare Consulting (CMHC) partners with fire departments, EMS agencies, and health systems to design, fund, and sustain Mobile Integrated Health (MIH) programs — turning fragmented pilots into systems that reduce 911 misuse, improve access, and survive beyond the grant cycle.
Navigating Mobile Healthcare Innovation
The core problem we solve
A good pilot is not a sustainable program. We build the funding, workflow, and proof from month one — so the program is still standing when the grant ends.
Fire DepartmentsMIH that fits the mission, the staffing, and the budget
EMS AgenciesCommunity paramedicine with real protocols and documentation
Health SystemsContracts and partnerships that pay for value, not just visits
FQHCsMobile health that works inside PPS, 340B, and HRSA scope
Why programs call us
Fragmented pilots don’t survive. Systems do.
Most MIH programs don’t fail on care — they fail on design. The visit works, but the funding is one grant deep, the data doesn’t prove anything, and the workflow lives in one person’s head. We fix the system underneath the care.
Improve access
Bring care to people where they are: home visits, mobile clinic days, and follow-up that closes the loop for patients who otherwise fall through — especially in rural and underserved areas.
Survive beyond the grant
Build a payer and funding mix, documented avoided cost, and stakeholder reporting that make the case for keeping the program — without relying on a single grant to carry it.
What we do
Five pieces. One sustainable program.
Every engagement is shaped to your community’s data, payer mix, and constraints — but the work almost always runs through these five areas.
Feasibility & needs assessment
Analysis of local 911 data, payer mix, and community health needs to find where MIH creates measurable value — before you hire, buy a vehicle, or write a grant around the wrong problem.
- 911 & utilization data
- Payer mix
- Community health needs
Regulatory navigation
State waivers, scope of practice, and billing constraints — without guesswork. We map what your state and payers actually allow, so protocols and documentation are built on solid ground.
- State waivers
- Scope of practice
- Billing constraints
Payer & funding strategy
Health system contracts, public health funding, and sustainable reimbursement models that do not rely on a single grant. Billing matters — but so does documented avoided cost, and we build both cases.
- Health system contracts
- Public health funding
- Reimbursement models
Operational design & training
Field protocols, documentation systems, interdisciplinary workflows, and workforce development. The day-to-day design — who goes, to whom, how often, in what vehicle, and how it’s charted — done deliberately.
- Field protocols
- Documentation systems
- Workforce development
Measurement & evaluation
Outcome dashboards, utilization tracking, and stakeholder reporting that prove impact — for chiefs, boards, funders, and partners who need more than anecdotes to keep saying yes.
- Outcome dashboards
- Utilization tracking
- Stakeholder reporting
Where we go deep
Operations and money, in the same conversation.
Mobile programs live or die at the intersection of field operations and reimbursement. CMHC works both sides — including operational and financial assessments for mobile health programs serving FQHCs and health systems.
Mobile operations
How the program actually runs, day after day.
- Site & route strategyWhere the unit goes, and why that’s where the need is
- Service mix, scheduling & throughputThe right visits, in the right order, without burning out the crew
- Staffing modelsRoles, coverage, and supervision that fit your agency
- Fleet utilization & measurementKnowing what each unit and each hour is producing
Reimbursement & regulatory
How the program gets paid for — and stays compliant.
- Medicaid PPSMobile services designed with FQHC payment in mind
- Payer enrollmentGetting the program credentialed and billable
- 340BWhere pharmacy savings fit a mobile model
- HRSA scope of projectServices, sites, and forms kept in scope and defensible
How we think
Three ideas we bring to every engagement
“Billing alone doesn’t prove value. Documented avoided cost does.”
A transport avoided, an ED visit prevented, a readmission that never happened — if it isn’t documented, it didn’t happen for the funder. We build that documentation into the workflow from the start.
“Sort patients by slope, not just volume.”
The highest-volume caller isn’t always the highest-value enrollment. Trajectory matters — who is getting worse, who is stabilizing, and where a visit today changes next month’s calls.
“Build the proof in month one.”
Programs don’t get to retrofit evidence at grant-report time. Dashboards, definitions, and reporting start with the first visit, so renewal is a summary — not a scramble.
Approach
Design it. Fund it. Sustain it.
A straightforward path from first data pull to a program your stakeholders can defend.
Start with your data
911 history, payer mix, and community needs tell us where MIH will create value in your community — not in general.
Build the model
Protocols, staffing, documentation, routes, and workflows — designed around your constraints and your state’s rules.
Stack the funding
Grants to launch, contracts and reimbursement to continue. No single source carries the whole program.
Prove it, monthly
Dashboards and stakeholder reporting that keep chiefs, boards, and funders bought in — cycle after cycle.
Navigating Mobile Healthcare Innovation
About CMHC
Operational credibility, because we’ve run these programs ourselves.
CMHC was founded by a leadership team with decades in fire service, EMS operations, and healthcare transformation. We bring operational credibility because we have built, led, and sustained these programs ourselves.
That means advice grounded in what a crew can actually do on shift, what a chief can defend to a council, and what a CFO can reconcile — not a slide deck built for a different kind of community.
Consulting areas:
Contact
Let’s talk about what your community needs.
Tell us where you are — exploring the idea, rescuing a pilot, or trying to fund year three — and what you’re seeing in your data. We’ll reply by email and talk through whether CMHC is the right fit.