Mobile Integrated Healthcare Forsyth COunty Emergency Services

The Forsyth County Emergency Services Mobile Healthcare (MIH) division started seeing patients in December of 2015. The MIH division is funded through Forsyth County Government.

The initial goals of the MIH pilot include:

Proactive response instead of reactive response to community needs.
  • Address 911 system "superusers" with assessment, education, and connection with resources
  • Diversion of Behavioral Health patients from ED to alternate care facilities or connection with Mobile Crisis Team.
  • Supplement to 911 system to reduce needed response of Fire Departments on medical calls.

Staff and Equipment

Forsyth County Behavioral Health Plaza
  • Six full time MIH - Paramedics (Community Paramedics)
  • Scheduled 7 days a week, 8:00 am - 8:00pm
  • Three cars and 1 SUV (outfitted to function as QRV)
  • Additional equipment (weight scales, BAC Breathlyzers, etc)
  • Housed at Forsyth County Behavioral Health Plaza in Winston Salem


Assessment, Communication, and Education
  • Agency Training Officers attended Community Paramedic course in cohort offered by Hennepin Technical Community College.
  • Crisis Intervention Training
  • Developing course with focus on case management, CIT, and assertive engagement

Case Flow

  • Discovery - monthly reports of frequent users of 911 system, referrals, 911 dispatch.
  • Consultation - by phone or in person at residence, shelter, scene, or facility to give information about program.
  • Comprehensive Needs Assessment - consent obtained, physical exam, history (medical, psychiatric, social), medication reconciliation, home safety inspection (with FCFD Marshal), medical information release obtained, list of needs completed.
  • Follow up - scheduled as needed; assessment, medication reconciliation, communication with resources, advocacy
  • Discharge - completed when patient and provider feel that needs are met. Continued communication via phone and tracking in the 911 system.

Crisis Intervention Team

  • MCO Centerpoint initiated pilot project
  • MCO is now Cardinal Innovations; extending pilot
  • Reimbursement for diversion of Behavioral Health patients to alternate care facilities
  • Mental Health Urgent Care - Community Wellness Center opening soon.
Highland Avenue Community Wellness Center

Moving Forward

  • Refusal/ treat and release call back program
  • Increased engagement with community partners
  • Increased information sharing with both hospitals
  • Increased specified training for MIH providers
  • Patient satisfaction surveys
  • Improved Quality Assurance tracking of patient/program outcomes


  • Care Line - 336-703-2273
  • Program Manager - Major Daren Ziglar 336-703-2753 ,
  • Operational Supervisor - Captain Bryan Gallimore 336-703-2748,

Thank You!

Created By
Bryan Gallimore


Created with images by TBIT - "alarm light siren" • TCOYD - "Foot screening" • Unsplash - "stairs wall concrete"

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