The Academy of International Mobile Healthcare Integration (AIMHI) represents high performance emergency medical and mobile healthcare providers in the U.S. and abroad.

AIMHI, formerly known as the Coalition of Advanced Emergency Medical Services (CAEMS), changed its name in March 2015 to better reflect its members’ dedication to promoting high performance ambulance and mobile integrated healthcare systems working diligently to performance and technological advancements.

Member organizations are high-performance systems that employ business practices from both the public and private sectors.  By combining industry innovation with close government oversight, AIMHI affiliates are able to offer unsurpassed service excellence and cost efficiency.


Leading the transformation of EMS to mobile integrated healthcare through the development of high performance systems, and setting the standard for clinical excellence, accountability, public education, research and economic efficiency.


To improve patient health and experience of care by promoting excellence in mobile healthcare integration through evidence-based out of hospital healthcare system effectiveness and efficiency.

High Performance System Design

As defined by Stout and Overton, HPEMS systems share key features of system design rarely associated with less cost-effective systems with examples as follows:

  • Sole provider: Exclusive market rights to furnish emergency and non-emergency ambulance service are granted to a sole and often competitively selected provider for a specific population or service area.
  • Control center operations: The ambulance provider has control of the dispatch center.
  • Accountability: HPEMS systems have performance requirements that can result in financial penalties or replacement of the provider when the requirements are not met. HPEMS systems use and collect data regularly to meet these performance requirements, which has allowed for the ability to collect data for the HPEMS Market Study.
  • Revenue maximization: HPEMS systems incorporate the business function into their operations, with the resulting understanding of the billing requirements and maximization of revenues from Medicare, Medicaid, and other third-party payors.
  • Flexible production strategy: HPEMS systems employ a single fleet of ALS units capable of handling any type of service request, resulting in all patients receiving the highest level of care and higher productivity levels.
  • System Status Management (SSM): HPEMS systems use the flexible deployment technique, SSM, to move ambulances in anticipation of where that ambulance will be needed.

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