As a member of the healthcare community its our charge to realize that the people that live in our jurisdiction face a number of serious public health concerns. These concerns include rising healthcare cost, chronic disease, communicable disease, substance abuse and natural disasters. One of the main goals of the Mobile Integrated Healthcare program is to shift the response load from our front line EMS and First responding fire units to the appropriate resource. This is accomplished by navigating the patients to the proper healthcare/community resource. The City of San Antonio’s Mobile Integrated Healthcare program represents the most progressive trend in the delivery of patient centered healthcare by using EMS providers within their current infrastructure and scope of practice in an expanded role in the community. By providing patient care and services via in home and out of the hospital environment, Mobile Integrated Healthcare has become a fully functional part of the community and more importantly providing integration with the local healthcare system.