Traditional emergency medical service (EMS) systems operate at the intersection of community, public health, and hospital systems and are strategically positioned to adapt care delivery to match the needs of vulnerable populations. An innovative EMS service called mobile integrated health (MIH) could help drive the Quadruple Aim: to control healthcare costs, improve health outcomes, increase patient satisfaction, and increase provider engagement. The purpose of this DNP project was to develop an MIH service for Gresham Fire and Emergency Services (GFES) to better address the unmet social, economic, and health care needs of the community?s vulnerable population, to maintain emergency unit availability, and improve inefficiencies in the EMS system. To develop this new service, project partners developed a strategic proposal utilizing current evidence-based literature, subject matter experts, local experience and knowledge, and local 911 caller data. The project development proposal was drafted and presented to the Gresham City Council for consideration.