medCLOUD brings the physician into every community paramedicine visit — in real time, before a patient deteriorates, before a preventable 911 call is made.
Community paramedicine programs exist because the data is undeniable: a small percentage of patients drive a disproportionate share of 911 calls, ED visits, and hospital readmissions. These patients don’t need an ambulance — they need consistent, skilled clinical attention in their homes, connected to a care team that knows them.
The paramedics doing this work are among the most capable clinicians in the field. The problem is not their training. The problem is that they are alone.
A paramedic arrives at a CHF patient’s home three days post-discharge. The patient’s weight is up two pounds, their breath sounds are diminished, and their oxygen saturation is trending down. The paramedic calls medical control. A physician who has never met this patient, cannot see them, and is managing three other things listens to a verbal report and makes a decision blind.
A frequent flier with a complex psychiatric history is in crisis. The paramedic has no access to the patient’s medication list, no real-time clinical backup, and no documented authorization to treat and release. They transport. The patient is back in the ED. The program’s outcomes data takes the hit.
A post-surgical patient in a rural county is developing early signs of wound infection. The nearest physician is 40 minutes away. The nearest wound care specialist is three hours away. The paramedic documents what they see and schedules a follow-up for next week. By next week, the patient is septic.
The clinical capability was in the room. The physician was not.
medCLOUD puts the physician in the room.
MIH programs live or die by their data. Medicaid reimbursement, grant renewals, and program sustainability all depend on documentation that captures the clinical complexity of what paramedics are actually doing on these visits.
Most documentation is retrospective, incomplete, and undersells the clinical value of the work. Programs that should be scaling are staying small because the paperwork doesn’t reflect the outcomes.
Every complex visit has documented physician oversight — not a phone call, a real-time clinical encounter with a session recording
Treat-in-place decisions are authorized, documented, and defensible
Program outcomes data reflects the actual clinical complexity of what your paramedics are doing
Medicaid reimbursement justification is built into the documentation from the moment the visit begins
Real-time visibility into every active visit — join any session, review live vitals, direct assessment and treatment remotely
Protocol compliance visible as it happens
A searchable, auditable record of every supervisory interaction
The ability to serve as clinical backstop for an entire program without being physically present at any visit
A physician in their corner on every complex call — not after, not by phone, but watching the same vitals and directing in real time
Documentation that writes itself from the encounter rather than from memory at the end of a shift
Clinical backup that makes treat-in-place not just possible but defensible
Aggregate outcome data across all visits — ED avoidance rates, treat-in-place rates, readmission reduction, clinical complexity metrics — all generated from documented encounters, not self-reported estimates
A platform that meets the documentation standards required for Medicaid MIH reimbursement codes
Rural Health Transformation grant eligibility — CP-MIH telehealth infrastructure is explicitly named as a qualifying use of RHT funds
MIH Program Director
MIH Medical Director
medCLOUD is a Progressive Web App — no installation required, no app store, no device dependency. Your paramedic opens a browser on the tablet or smartphone they already carry, initiates a session, and the physician is present within seconds. Works anywhere there is cellular or WiFi connectivity.
Attach the medBRIDGE relay device to any compatible patient monitor. medBRIDGE streams live vitals — ECG, blood pressure, SpO2, temperature, capnography — directly to the medCLOUD platform. No new monitors required. medBRIDGE works with the equipment your program already has.
Live vitals, ambient audio, and video transmit securely to the supervising physician in real time. The physician joins from any browser-enabled device — hospital, home, or office. The patient’s care team can also be invited to observe. Every participant sees the same clinical picture simultaneously.
The session records ambient audio throughout the visit. Combined with the synchronized vitals record, medCLOUD generates a complete, structured clinical encounter record. That record integrates directly with your care management platform and EHR — no double documentation, no retrospective reconstruction.
Care Management Platform: HealthCall API integration — session data flows directly into HealthCall’s CP-MIH documentation workflow
EHR: Epic and other major EHR systems via HL7 and FHIR — patient records, encounter documentation, and outcome data flow bidirectionally
Patient Monitors: Compatible with major monitoring platforms via medBRIDGE — device agnostic, no proprietary hardware required
Every medCLOUD session is initiated as a documented clinical encounter and conducted under the same consent framework that governs any telehealth visit. Patients consent to the telehealth session as part of their MIH program enrollment. Session recordings are stored as protected health information under HIPAA, accessible only to authorized clinical personnel. Recording is disclosed as part of standard program intake.
The advantage: your program now has a complete, unambiguous record of exactly what happened on every visit. That record protects your paramedic, your medical director, and your program in any audit, reimbursement dispute, or legal matter. Programs that document well get funded. Programs that document poorly get cut.
medCLOUD is HIPAA-compliant with AES-256 encryption in transit and at rest. Session recordings and patient data are stored on secure infrastructure with role-based access controls. The platform was designed for healthcare data from the ground up. PHI never leaves the secure environment.
The advantage: medCLOUD gives your program a documented, auditable chain of custody for every clinical encounter — something handwritten visit notes and verbal medical control calls have never provided. For Medicaid billing and grant reporting, that audit trail is not a liability. It is your program’s strongest asset.
medCLOUD is a subscription, not a capital purchase. medBRIDGE is included in your subscription at no additional cost. The patient monitors medCLOUD connects to are the ones your program already uses — medBRIDGE bridges your existing equipment to the platform. If your program needs to add monitoring devices, those are purchased directly from the manufacturer at standard pricing. PriusMED is not a distributor and does not mark up equipment.
The advantage: the only new cost is the subscription. Everything your paramedics already carry works with medCLOUD. The platform was designed specifically to remove the capital equipment barrier for programs operating on grant funding and tight margins.
medCLOUD is specifically designed to reduce documentation burden, not add to it. Because the session captures ambient audio and synchronized vitals throughout the visit, the clinical encounter record is generated from what actually happened — not from what the paramedic can remember to type afterward. For programs using HealthCall, session data flows directly into the CP-MIH documentation workflow. There is no parallel system to maintain.
The advantage: your paramedics spend more time on clinical care and less time on paperwork. Documentation quality improves because the record comes from the encounter, not from memory reconstructed under fatigue.
medCLOUD is available as an annual subscription with one, two, and three-year term options. Programs operating on grant funding cycles can align subscription terms to their grant periods. Multi-year commitments receive preferred pricing.
Subscription terms:
1-year subscription
2-year subscription (preferred pricing)
3-year subscription (best value)
Grant-funded programs: we can work with your program administrator to align subscription terms and invoicing to your grant period and reporting requirements.
medCLOUD platform access for your program — unlimited sessions, unlimited users
medBRIDGE relay device — included, no additional cost
HealthCall API integration — session data flows directly into your CP-MIH documentation workflow
EHR integration via HL7 and FHIR — Epic and other major platforms
Session recording and secure HIPAA-compliant storage
Onboarding and training support
Ongoing platform updates and support
Patient monitoring devices are purchased directly from the manufacturer at standard pricing.
PriusMED is not a distributor for monitoring equipment.
medBRIDGE is compatible with major monitoring platforms — your clinical team can advise on compatible devices if needed.