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Grady Mobile Integrated Health (Institutional Barriers (Grady Health…
Grady Mobile Integrated Health
Individual Barriers to Care
Lack of social support
Health Literacy
Understanding of the 911 system
Access to transportation
Access to healthy food/places to exercise
Differences in exposures and vulnerability to utilizing the ED and 911 system (trauma, co-morbidities, ACEs, etc.)
Institutional Barriers (Grady Health System)
911 Call center policies regarding when to deploy MIH versus regular EMS
Availability of supplies and medications for MIH to use in the field
Ability of MIH to provide home visits for high risk readmission individuals
MIH provider training/education
MIH Provider Productivity Policies
Lack of follow-up care
Care Coordination
Ability of MIH to mitigate on scene
Social/Policy Barriers
Medicare Reimbursement Policies
Insurance Coverage
APRN Scope of Practice
EMTALA
Racial inequities
Lack of access to primary care prevention