**Evaluate this session**
Operating MIH programs have learned a lot about the role of Medical Oversight for MIH programs. Many programs have a goal of enhancing the relationship between the patients and their PCPs to improve patient care as well as help reduce EMS and ED use, and to prevent unnecessary readmissions. What is the ideal balance between the role of an EMS Medical Director and the patient’s PCP? When it comes to the need for on-scene medical direction, which doc should have the lead in patient care decisions? This session will outline how MedStar’s medical directors balance their role with the role of the patient’s PCP.