Development of a Logic Model to Guide Implementation and Evaluation of a Mobile Integrated Health Transitional Care...

Area of Science:

• Health Services Research
• Public Health
• Emergency Medicine

Background:

• Healthcare organizations are expanding emergency medical services into Mobile Integrated Health and Community Paramedicine (MIH-CP) to serve underserved communities.
• MIH-CP programs aim to improve health outcomes through patient-centered, home-based care management.
• These programs ideally reduce healthcare utilization, such as 911 calls and emergency department visits.

Purpose of the Study:

• To describe the structured process used by a multidisciplinary team to develop a logic model for a new MIH-CP program.
• To outline the key components of the initial logic model and the Transitional Health Support program.
• To document subsequent revisions made to the logic model and program structure.

Main Methods:

• Development of a logic model by a multidisciplinary team prior to program launch.
• Description of the structured process for logic model creation.
• Documentation of the Transitional Health Support program's initial structure and evolution.

Main Results:

• A structured approach was successfully employed to develop a comprehensive logic model for an innovative MIH-CP program.
• The initial logic model and program structure were defined, guiding implementation and evaluation.
• Revisions to the logic model and program structure were made based on ongoing development and evaluation.

Conclusions:

• A systematic logic model development process is crucial for complex, innovative healthcare programs like MIH-CP.
• The Transitional Health Support program's structure and logic model evolved through a structured development and revision process.
• This methodology provides a framework for other organizations establishing similar community paramedicine initiatives.