Jennifer Rieker is the director of mobile integrated health at Mehlville (Missouri) Fire Protection District. She was instrumental in the successful implementation of the ET3 program. She has more than 20 years of experience in pre-hospital emergency care and services. For the last 10 years, her focus has been mobile integrated health. Jenny was one of the first community paramedics in Missouri. She helped create and run the state’s first mobile integrated health program, serving as program coordinator and lead instructor for the community paramedic education program.