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Going Beyond Health Care: Addressing Social Determinants Through a Cross-Sector Approach Jennifer Lee, Senior Program Officer Grant Program Webinar August 16, 2018 Foundation Overview Blue Cross Blue Shield of Massachusetts Foundation 3


  1. Going Beyond Health Care: Addressing Social Determinants Through a Cross-Sector Approach Jennifer Lee, Senior Program Officer Grant Program Webinar August 16, 2018

  2. Foundation Overview Blue Cross Blue Shield of Massachusetts Foundation 3

  3. BCBSMA Foundation: Areas of Focus Blue Cross Blue Shield of Massachusetts Foundation 4

  4. Criteria for Foundation Focus Areas • Relates to a current and critical issue • Draws on Foundation’s unique expertise • Puts good data into the system • Leads to concrete policy options that result in real impact and system improvements • Allows for synergies between policy work and grantmaking • Encourages collaboration Blue Cross Blue Shield of Massachusetts Foundation 5

  5. Grant Program Overview: Going Beyond Health Care Blue Cross Blue Shield of Massachusetts Foundation 6

  6. Social Determinants of Health – Environmental Scan • Human services and health care systems difficult to navigate, often operate in siloes • Creates significant challenges for low-income and vulnerable populations • Data limitations prevent exchange of critical client information between sector • Lack of uniform way to measure success between sectors Social service organizations in particular need enhanced infrastructure and capacity to address needs of clients as equal partners to health care Blue Cross Blue Shield of Massachusetts Foundation 7

  7. Interdisciplinary Teams • Funding to support capacity and infrastructure of interdisciplinary teams to coordinate in addressing non- clinical and clinical needs for low-income and vulnerable populations • Goal: Demonstrate that this interdisciplinary team model can devise a means of coordinating services that leads to: Increased health care access and improved health status for clients; • Stabilization or improvement in social needs; • Cross-sector collaboration; and • Development of standardized non-clinical and clinical metrics that • measure the effect of their efforts Blue Cross Blue Shield of Massachusetts Foundation 8

  8. The Grant Program - Basics • Funding amounts are up to $75,000 for a planning year grant to support the development of interdisciplinary teams consisting of social service and health care partners • Focus during planning year: Develop propose team infrastructure • Workflows • Scope of service to clients • Develop way to measure and evaluate impact, with support and • technical assistance from Foundation Blue Cross Blue Shield of Massachusetts Foundation 9

  9. Interdisciplinary Teams – Who Can Apply? • Lead organization (applicant to the Foundation) must: Be a social service organization that provides supports related to a social • determinant of health Provide case management services • Have an existing client base of low-income people • Demonstrate experience in facilitating initiatives among multiple partners • • At the point of submitting an application, lead organizations should demonstrate an existing relationship with at least one other organization • Teams should ultimately consist of at least one health care organization, and any number of social service organizations • Health care organizations (community health centers, hospitals/hospital programs) are not eligible to apply as the lead applicant; can be a partner within a team Blue Cross Blue Shield of Massachusetts Foundation 10

  10. Outcomes/Deliverables of Planning Year • At the client level: Description and number of clients served, and the types of social • and health care services that will be addressed A clear workflow to address the needs of clients • • At the organizational level: Team partners solidified and governance document established • Prepared job descriptions or clear plans for how existing staff will • fulfill responsibilities Roles and responsibilities of the partners in serving clients • Identification of a data platform to exchange information on clients • Regular meeting structure among partners • Blue Cross Blue Shield of Massachusetts Foundation 11

  11. Reporting, Sharing Best Practices, Ongoing Learning • Grantees expected to provide regular reports on the impact of their work – structure, questions, and timeframes to be dictated by the Foundation • Data will be gathered and shared back with grantees and other stakeholders on trends, lessons learned, and best practices • Regular grantee convenings via Learning Community • Foundation shares impact and lessons with the field, including policy issues or recommendations Blue Cross Blue Shield of Massachusetts Foundation 12

  12. Reporting & Learning (Continued) • Foundation’s consultant will work with grantees to identify and develop a common set of non-health and health metrics that can be: Used as core measures for the grantees in reporting, and • Potentially serve as a universally adopted set of metrics beyond this grant, to measure the • success of interventions that span social services and health care Shared with state level agencies and payers for consideration • • Enhanced learning provided by Foundation to grantees to develop knowledge between and among sectors Blue Cross Blue Shield of Massachusetts Foundation 13

  13. Key Dates Thursday, September 20, 2018: • Letters of Inquiry due via portal @ 5:00 PM Tuesday, October 2, 2018: • All applicants notified if invited to submit Full Proposal Friday, November 2, 2018: • Full Proposals due via portal @ 5:00 PM from invited organizations only Thursday, December 20, 2018: • Grant awards announced *Grantees who receive a planning year grant will be eligible to apply for implementation year grants. Receiving a planning year grant does not guarantee implementation year funding. Blue Cross Blue Shield of Massachusetts Foundation 14

  14. Thank you for you interest! Questions? The Foundation will post webinar slides and answers to frequently asked questions (FAQ) at: www.bluecrossmafoundation.org/grant/going-beyond-health- care. Blue Cross Blue Shield of Massachusetts Foundation 15

  15. Key Contact Info • Jennifer Lee, Senior Program Officer (for content questions related to proposal) Jennifer.Lee@bcbsma.com 617-246-3509 • Evelyn Monteiro, Administrative and Grants Coordinator (for technical questions related to portal) Evelyn.Monteiro@bcbsma.com 617-246-4850 Blue Cross Blue Shield of Massachusetts Foundation 16

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