Medical & Social Services Working Together to Improve Health February 29, 2016
Moderator: Peter Adler, Molina Healthcare Today’s Panelists: Robin Fenn, Snohomish County Human Services Tom Sebastian, Compass Health Kate Parker, Mercy Housing Northwest
Robin Fenn, PhD, LICSW Research Manager Snohomish County Human Services
Slide Title Text box
Community Resource Paramedic Recognizes that frequent utilizers of 9-1-1 and EMS may have underlying social and human services needs Works with social and human service providers to divert these patients to the right services at the right time Improves quality of life, decreases use of emergency crisis system (including EMS and emergency departments)
CHronic utilizer Alternative Response Team (CHART) City of Everett initiative to target frequent utilizers of multiple systems (law enforcement, EMS, jail, courts, ED) Recognizes that for many frequent utilizers of these systems, there are underlying social and human services needs Brings traditionally silo’ed parts of the overall system together to address these needs
Molina/EMS/Sno Co Human Services Project Identifies the frequent utilizers of EMS for several Sno Co fire agencies who are enrollees of Molina Health Care Matches them together so that Molina Health Care can provide care coordination/disease management Improves quality of life, decreases utilization of ED and EMS, reduces spending
What Do All of These Projects Have in Common? Doing the right thing for the right reason • Facilitating that the right people get to the right services at • the right time Recognizing that health is more than a physical condition • Improving the social determinants of health improves health • Making sure we are cost saving not cost shifting • Building strong collaborative partnerships across systems • that don’t always align Using data to improve the work that we do and to show the • impacts of that work
Tom Sebastian President and CEO, Compass Health Co-CEO, Behavioral Health Northwest
Snohomish County Crisis/Triage Center Serves adults in mental health and/or addiction related crises First responder direct drop off Registered nurses on each shift
Cliff Bailey Center Adult behavioral health services at all levels of care Genoa Healthcare Specialty Pharmacy Northstar Apartments Peer Recovery Center Bridgeways Employment Services
Camp Mariposa Partnership with the Moyer Foundation as Washington State partner Serves youth of parents with substance use disorders Non traditional setting to support lives filled with recovery and purpose
Kate Parker Regional Director, Resident Services Mercy Housing Northwest
What we know … • Population health (only 20% is medical care) • Health starts with housing Health & Wellness • MHNW Program model incorporates Housing Community social determinants of health Stability Resident Is what we do transferrable and can we OST/ Youth Financial get it to scale? Programs Stability
2014 - Bringing Health Home Community Health Worker Program • Paid Staff - shared culture and linguistics – relationships of trust • 7 properties – MHNW, KCHA, InterIM CDA • 6 languages represented + partners Year 1: 1,420 residents connected to healthcare activities Residents engaged in 12,304 health/wellness activities Rate of uninsured reduced by 50% for those residents connected to services Year 2: Clients take part in Best-Practice programs; receive cancer screenings; connected to healthcare activities; total number of healthcare activities
Access to Primary Care Nutrition & Benefit Access to food Enrollment Residents in their Prevention & Emotional Risk Reduction HOMES well-being Education Physical Referrals Activities
Next steps/questions • Metrics • Partnerships • Revenue • Systems
Taking it to the next level
Questions for our Panelists
Thank you for joining our session today
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